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.xml

Orders and Observations Work Group
Maturity Level: N/A
Standards Status: Informative
Compartments: Not linked to any defined compartments
Raw XML (canonical form + also see XML Format Specification)
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Example definition of serum or plasma specimen. (id = "2364")
<?xml version="1.0" encoding="UTF-8"?>

<SpecimenDefinition xmlns="http://hl7.org/fhir">
  <id value="2364"/> 
  <text> <status value="generated"/> <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> </text> <typeCollected> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="122555007"/> 
      <display value="Venous blood specimen"/> 
    </coding> 
  </typeCollected> 
  <patientPreparation> 
    <text value="12 hour fasting"/> 
  </patientPreparation> 
  <patientPreparation> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="263678003"/> 
      <display value="At rest"/> 
    </coding> 
  </patientPreparation> 
  <timeAspect value="preferrably morning time"/> 
  <typeTested> 
    <type> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="119364003"/> 
        <display value="Serum specimen"/> 
      </coding> 
    </type> 
    <preference value="preferred"/> 
    <container> 
      <material> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="61088005"/> 
          <display value="plastic"/> 
        </coding> 
      </material> 
      <type> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="702281005"/> 
          <display value="Evacuated blood collection tube, thrombin/clot activator/gel separator"/> 
        </coding> 
      </type> 
      <cap> 
        <coding> 
          <system value="urn:iso:std:iso:6710:2017"/> 
          <code value="yellow"/> 
          <display value="yellow cap"/> 
        </coding> 
      </cap> 
      <minimumVolumeQuantity> 
        <value value="2"/> 
        <unit value="ml"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </minimumVolumeQuantity> 
    </container> 
    <handling> 
      <temperatureQualifier> 
        <text value="Ambient temperature"/> 
      </temperatureQualifier> 
      <temperatureRange> 
        <low> 
          <value value="15"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </low> 
        <high> 
          <value value="25"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </high> 
      </temperatureRange> 
      <maxDuration> 
        <value value="60"/> 
        <unit value="minute"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="min"/> 
      </maxDuration> 
    </handling> 
    <handling> 
      <temperatureQualifier> 
        <text value="Refrigerated temperature"/> 
      </temperatureQualifier> 
      <temperatureRange> 
        <low> 
          <value value="2"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </low> 
        <high> 
          <value value="8"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </high> 
      </temperatureRange> 
      <maxDuration> 
        <value value="8"/> 
        <unit value="hour"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="h"/> 
      </maxDuration> 
    </handling> 
  </typeTested> 
  <typeTested> 
    <type> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="119361006"/> 
        <display value="Plasma specimen"/> 
      </coding> 
    </type> 
    <preference value="alternate"/> 
    <container> 
      <material> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="32039001"/> 
          <display value="glass"/> 
        </coding> 
      </material> 
      <type> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="767390000"/> 
          <display value="Evacuated blood collection tube with heparin lithium and gel separator"/> 
        </coding> 
      </type> 
      <cap> 
        <coding> 
          <system value="urn:iso:std:iso:6710:2017"/> 
          <code value="green"/> 
          <display value="green cap"/> 
        </coding> 
      </cap> 
      <minimumVolumeQuantity> 
        <value value="2"/> 
        <unit value="ml"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="mL"/> 
      </minimumVolumeQuantity> 
    </container> 
    <rejectionCriterion> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/rejection-criteria"/> 
        <code value="insufficient"/> 
        <display value="insufficient specimen volume"/> 
      </coding> 
    </rejectionCriterion> 
    <rejectionCriterion> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/rejection-criteria"/> 
        <code value="hemolized"/> 
        <display value="hemolized specimen"/> 
      </coding> 
    </rejectionCriterion> 
    <handling> 
      <temperatureQualifier> 
        <text value="Ambient temperature"/> 
      </temperatureQualifier> 
      <temperatureRange> 
        <low> 
          <value value="15"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </low> 
        <high> 
          <value value="25"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </high> 
      </temperatureRange> 
      <maxDuration> 
        <value value="60"/> 
        <unit value="minute"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="min"/> 
      </maxDuration> 
    </handling> 
    <handling> 
      <temperatureQualifier> 
        <text value="Refrigerated temperature"/> 
      </temperatureQualifier> 
      <temperatureRange> 
        <low> 
          <value value="2"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </low> 
        <high> 
          <value value="8"/> 
          <unit value="°C"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="Cel"/> 
        </high> 
      </temperatureRange> 
      <maxDuration> 
        <value value="8"/> 
        <unit value="hour"/> 
        <system value="http://unitsofmeasure.org"/> 
        <code value="h"/> 
      </maxDuration> 
    </handling> 
  </typeTested> 
</SpecimenDefinition>
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.