2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). 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 R3 R2

4.26.5 Resource Specimen - Detailed Descriptions

Detailed Descriptions for the elements in the Specimen resource.

Specimen
Definition

Sample for analysis.

Control1..1
Specimen.identifier
Definition

Id for specimen.

Control0..*
TypeIdentifier
Specimen.type
Definition

The kind of material that forms the specimen.

Control0..1
BindingSpecimenType: The type of the specimen. (Example)
TypeCodeableConcept
Comments

The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems.

Specimen.parent
Definition

Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of a another specimen.

Control0..*
TypeReference(Specimen)
Comments

The parent specimen could be the source from which the current specimen is derived by some processing step (e.g.  an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample.

Specimen.subject
Definition

Where the specimen came from. This may be from the patient(s) or from the environment or a device.

Control1..1
TypeReference(Patient | Group | Device | Substance)
Requirements

Must know the subject context.

Specimen.accessionIdentifier
Definition

The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures.

Control0..1
TypeIdentifier
Specimen.receivedTime
Definition

Time when specimen was received for processing or testing.

Control0..1
TypedateTime
Specimen.collection
Definition

Details concerning the specimen collection.

Control0..1
Specimen.collection.collector
Definition

Person who collected the specimen.

Control0..1
TypeReference(Practitioner)
Specimen.collection.comment
Definition

To communicate any details or issues encountered during the specimen collection procedure.

Control0..*
Typestring
Specimen.collection.collected[x]
Definition

Time when specimen was collected from subject - the physiologically relevant time.

Control0..1
TypedateTime|Period
Specimen.collection.quantity
Definition

The quantity of specimen collected; for instance the volume of a blood sample, or the physical measurement of an anatomic pathology sample.

Control0..1
TypeQuantity
Specimen.collection.method
Definition

A coded value specifying the technique that is used to perform the procedure.

Control0..1
BindingSpecimenCollectionMethod: Example: See http://hl7.org/fhir/vs/specimen-collection-method (The technique that is used to perform the procedure)
TypeCodeableConcept
Specimen.collection.bodySite[x]
Definition

Anatomical location from which the specimen was collected (if subject is a patient). This element is not used for environmental specimens.

Control0..1
BindingBodySite: Example: See http://hl7.org/fhir/vs/body-site (Codes describing anatomical locations. May include laterality)
TypeCodeableConcept|Reference(BodySite)
To DoIs this approach or target site? EH: Target site as in pus sample from abdomen Check the RIM mapping.
Specimen.treatment
Definition

Details concerning treatment and processing steps for the specimen.

Control0..*
Specimen.treatment.description
Definition

Textual description of procedure.

Control0..1
Typestring
Specimen.treatment.procedure
Definition

A coded value specifying the procedure used to process the specimen.

Control0..1
BindingSpecimenTreatmentProcedure: Example: See http://hl7.org/fhir/vs/specimen-treatment-procedure (Type indicating the technique used to process the specimen)
TypeCodeableConcept
Specimen.treatment.additive
Definition

Material used in the processing step.

Control0..*
TypeReference(Substance)
Specimen.container
Definition

The container holding the specimen. The recursive nature of containers; i.e. blood in tube in tray in rack is not addressed here.

Control0..*
Specimen.container.identifier
Definition

Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier, etc. The container ID may differ from the specimen id in some circumstances.

Control0..*
TypeIdentifier
Specimen.container.description
Definition

Textual description of the container.

Control0..1
Typestring
Specimen.container.type
Definition

The type of container associated with the specimen (e.g. slide, aliquot, etc).

Control0..1
BindingSpecimenContainerType: Example: See http://hl7.org/fhir/vs/specimen-container-type (Type of specimen container)
TypeCodeableConcept
Specimen.container.capacity
Definition

The capacity (volume or other measure) the container may contain.

Control0..1
TypeQuantity
Specimen.container.specimenQuantity
Definition

The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type.

Control0..1
TypeQuantity
Specimen.container.additive[x]
Definition

Introduced substance to preserve, maintain or enhance the specimen. examples: Formalin, Citrate, EDTA.

Control0..1
BindingSpecimenContainerAdditive: Substance added to specimen container (Example)
TypeCodeableConcept|Reference(Substance)