Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Specimendefinition-example-serum-plasma.json

Orders and Observations Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

Raw JSON (canonical form + also see JSON Format Specification)

Example definition of serum or plasma specimen.

{
  "resourceType": "SpecimenDefinition",
  "id": "2364",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource &quot;2364&quot; </p></div><p><b>typeCollected</b>: Venous blood specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#122555007)</span></p><p><b>patientPreparation</b>: 12 hour fasting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span>, At rest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#263678003)</span></p><p><b>timeAspect</b>: preferrably morning time</p><blockquote><p><b>typeTested</b></p><p><b>type</b>: Serum specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119364003)</span></p><p><b>preference</b>: preferred</p><h3>Containers</h3><table class=\"grid\"><tr><td>-</td><td><b>Material</b></td><td><b>Type</b></td><td><b>Cap</b></td><td><b>MinimumVolume[x]</b></td></tr><tr><td>*</td><td>plastic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#61088005)</span></td><td>Evacuated blood collection tube, thrombin/clot activator/gel separator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#702281005)</span></td><td>yellow cap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#yellow)</span></td><td>2 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Ambient temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 15-25 °C</p></blockquote><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Refrigerated temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 2-8 °C</p></blockquote></blockquote><blockquote><p><b>typeTested</b></p><p><b>type</b>: Plasma specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#119361006)</span></p><p><b>preference</b>: alternate</p><h3>Containers</h3><table class=\"grid\"><tr><td>-</td><td><b>Material</b></td><td><b>Type</b></td><td><b>Cap</b></td><td><b>MinimumVolume[x]</b></td></tr><tr><td>*</td><td>glass <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32039001)</span></td><td>Evacuated blood collection tube with heparin lithium and gel separator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#767390000)</span></td><td>green cap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (unknown#green)</span></td><td>2 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mL = 'mL')</span></td></tr></table><p><b>rejectionCriterion</b>: insufficient specimen volume <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-rejection-criteria.html\">RejectionCriterion</a>#insufficient)</span>, hemolized specimen <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-rejection-criteria.html\">RejectionCriterion</a>#hemolized)</span></p><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Ambient temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 15-25 °C</p></blockquote><blockquote><p><b>handling</b></p><p><b>temperatureQualifier</b>: Refrigerated temperature <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>temperatureRange</b>: 2-8 °C</p></blockquote></blockquote></div>"
  },
  "typeCollected": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "122555007",
        "display": "Venous blood specimen"
      }
    ]
  },
  "patientPreparation": [
    {
      "text": "12 hour fasting"
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "263678003",
          "display": "At rest"
        }
      ]
    }
  ],
  "timeAspect": "preferrably morning time",
  "typeTested": [
    {
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "119364003",
            "display": "Serum specimen"
          }
        ]
      },
      "preference": "preferred",
      "container": {
        "material": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "61088005",
              "display": "plastic"
            }
          ]
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "702281005",
              "display": "Evacuated blood collection tube, thrombin/clot activator/gel separator"
            }
          ]
        },
        "cap": {
          "coding": [
            {
              "system": "urn:iso:std:iso:6710:2017",
              "code": "yellow",
              "display": "yellow cap"
            }
          ]
        },
        "minimumVolumeQuantity": {
          "value": 2,
          "unit": "ml",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      },
      "handling": [
        {
          "temperatureQualifier": {
            "text": "Ambient temperature"
          },
          "temperatureRange": {
            "low": {
              "value": 15,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 25,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            }
          },
          "maxDuration": {
            "value": 60,
            "unit": "minute",
            "system": "http://unitsofmeasure.org",
            "code": "min"
          }
        },
        {
          "temperatureQualifier": {
            "text": "Refrigerated temperature"
          },
          "temperatureRange": {
            "low": {
              "value": 2,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 8,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            }
          },
          "maxDuration": {
            "value": 8,
            "unit": "hour",
            "system": "http://unitsofmeasure.org",
            "code": "h"
          }
        }
      ]
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "119361006",
            "display": "Plasma specimen"
          }
        ]
      },
      "preference": "alternate",
      "container": {
        "material": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "32039001",
              "display": "glass"
            }
          ]
        },
        "type": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "767390000",
              "display": "Evacuated blood collection tube with heparin lithium and gel separator"
            }
          ]
        },
        "cap": {
          "coding": [
            {
              "system": "urn:iso:std:iso:6710:2017",
              "code": "green",
              "display": "green cap"
            }
          ]
        },
        "minimumVolumeQuantity": {
          "value": 2,
          "unit": "ml",
          "system": "http://unitsofmeasure.org",
          "code": "mL"
        }
      },
      "rejectionCriterion": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/rejection-criteria",
              "code": "insufficient",
              "display": "insufficient specimen volume"
            }
          ]
        },
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/rejection-criteria",
              "code": "hemolized",
              "display": "hemolized specimen"
            }
          ]
        }
      ],
      "handling": [
        {
          "temperatureQualifier": {
            "text": "Ambient temperature"
          },
          "temperatureRange": {
            "low": {
              "value": 15,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 25,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            }
          },
          "maxDuration": {
            "value": 60,
            "unit": "minute",
            "system": "http://unitsofmeasure.org",
            "code": "min"
          }
        },
        {
          "temperatureQualifier": {
            "text": "Refrigerated temperature"
          },
          "temperatureRange": {
            "low": {
              "value": 2,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 8,
              "unit": "°C",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            }
          },
          "maxDuration": {
            "value": 8,
            "unit": "hour",
            "system": "http://unitsofmeasure.org",
            "code": "h"
          }
        }
      ]
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.