Diagnostic Data Services

DDS-Report-Specimen-1-0

The FHIR Specimen Resource is defined as a sample to be used for analysis. Scope and usage extends to any material sample which is taken from a biological entity, living or dead or taken from a physical object or the environment. Some specimens are biological and can contain one or more components including but not limited to cellular molecules, cells, tissues, organs, body fluids, embryos, and body excretory products (source: NCI Thesaurus , modified). The specimen resource covers substances used for diagnostic and environmental testing.

Follow this link to view examples for DDS-Report-Specimen-1-0: Examples
NameCard.TypeDescription & Constraints
..SpecimenSpecimenSample for analysis

...identifier0..1IdentifierExternal Identifier

....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required
Example Value: official

....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value: http://mmp.nhs.uk/id/specimen-id

....value1..1StringThe value that is unique
Example Value: B603CEDE-8C3F-4909-9CB1-D47C0FDE9F8A

....period0..1PeriodTime period when id is/was valid for use

.....start1..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1OrganizationOrganization that issued id (may be just text)

.....reference1..1StringRelative URL reference
Example Value: Organisation/78D64BB3-B5B2-450B-AEB7-D9035EBC711D

.....display0..1StringText alternative for the resource
Example Value: MGP Medical Centre

...status0..1Codeavailable | unavailable | unsatisfactory | entered-in-error
Binding: Codes providing the status/availability of a specimen. (http://hl7.org/fhir/ValueSet/specimen-status)
Binding Strength: Required

...type0..1CodeableConceptKind of material that forms the specimen
Binding: The type of the specimen. (http://snomed.info/sct)
Binding Strength: Example

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

.....version0..1StringVersion of the system - if relevant
Example Value: 20150731

.....code1..1CodeSymbol in syntax defined by the system
Example Value: 119297000

.....display1..1StringRepresentation defined by the system
Example Value: Blood specimen

.....userSelected0..1BooleanIf this coding was chosen directly by the user

....text0..1StringPlain text representation of the concept

...parent0..*SpecimenSpecimen from which this specimen originated

....reference1..1StringRelative, internal or absolute URL reference

....display0..1StringText alternative for the resource

...subject1..1dds-report-patient-1-0, Group, Device, SubstanceWhere the specimen came from. This may be from the patient(s) or from the environment or a device

...accessionIdentifier0..1IdentifierIdentifier assigned by the lab

....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required

....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....system1..1UriThe namespace for the identifier
Example Value: http://www.sampleth.nhs.uk/pathology/BloodSciences/labno

....value1..1StringThe value that is unique
Example Value: HAEM8667800001

....period0..1PeriodTime period when id is/was valid for use

.....start1..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....assigner0..1OrganizationOrganization that issued id (may be just text)

.....reference1..1StringRelative URL reference
Example Value: Organization/223F5C66-66BF-4CEA-A5D7-25AB9348B448

.....display0..1StringText alternative for the resource

...receivedTime0..1DateTimeThe time when specimen was received for processing

...collection0..1BackboneElementCollection details

....collector0..1PractitionerWho collected the specimen

.....reference1..1StringRelative URL reference
Example Value: Practitioner/4BFCA0EF-85D0-4C5E-B662-D4910BB83D82

.....display0..1StringText alternative for the resource
Example Value: Dr. Jones

....comment0..*StringCollector comments

....collected[x]0..1DateTime, PeriodCollection time

....quantity0..1StructureDefinition/SimpleQuantityThe quantity of specimen collected

.....value1..1DecimalNumerical value (with implicit precision)
Example Value: 6

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation
Example Value: millilitre

.....system1..1UriSystem that defines coded unit form
Example Value: http://unitsofmeasure.org

.....code1..1CodeCoded form of the unit
Example Value: mL

....method0..1CodeableConceptTechnique used to perform collection
Binding: The technique that is used to perform the procedure (http://snomed.info/sct)
Binding Strength: Example

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system
Example Value: 32564009

......display1..1StringRepresentation defined by the system
Example Value: arterial specimen collection for laboratory test

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....bodySite0..1CodeableConceptAnatomical collection site
Binding: Codes describing anatomical locations. May include laterality. (http://hl7.org/fhir/ValueSet/body-site)
Binding Strength: Example

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value: http://hl7.org/fhir/ValueSet/body-site

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system
Example Value: 308046002

......display1..1StringRepresentation defined by the system
Example Value: Structure of superficial forearm vein

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

...treatment0..*BackboneElementTreatment and processing step details

....description0..1StringTextual description of procedure
Example Value: Treated with anticoagulants.

....procedure0..1CodeableConceptIndicates the treatment or processing step applied to the specimen
Binding: Type indicating the technique used to process the specimen (http://hl7.org/fhir/ValueSet/specimen-treatment-procedure)
Binding Strength: Example

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system

......version0..1StringVersion of the system - if relevant

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....additive0..*StructureDefinition/SubstanceMaterial used in the processing step

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...container0..*BackboneElementDirect container of specimen (tube/slide, etc.)

....identifier0..1IdentifierId for the container

.....use0..1Codeusual | official | temp | secondary (If known)
Binding: Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength: Required

.....type0..1CodeableConceptDescription of identifier
Binding: A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength: Extensible

......coding0..1CodingCode defined by a terminology system

.......system1..1UriIdentity of the terminology system

.......version0..1StringVersion of the system - if relevant

.......code1..1CodeSymbol in syntax defined by the system

.......display1..1StringRepresentation defined by the system

.......userSelected0..1BooleanIf this coding was chosen directly by the user

......text0..1StringPlain text representation of the concept

.....system1..1UriThe namespace for the identifier
Example Value: http://mmp.nhs.uk/id/container-id

.....value1..1StringThe value that is unique
Example Value: 08FC96C4-EB3A-46D3-93C5-4B23792DCC1C

.....period0..1PeriodTime period when id is/was valid for use

......start1..1DateTimeStarting time with inclusive boundary

......end0..1DateTimeEnd time with inclusive boundary, if not ongoing

.....assigner0..1StructureDefinition/dds-report-organization-1-0Organization that issued id (may be just text)

......reference1..1StringRelative URL reference
Example Value: Organization/78D64BB3-B5B2-450B-AEB7-D9035EBC711D

......display0..1StringText alternative for the resource
Example Value: MGP Medical Centre

....description0..1StringTextual description of the container

....type0..1CodeableConceptKind of container directly associated with specimen
Binding: Type of specimen container (http://snomed.info/sct)
Binding Strength: Example

.....coding0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value: http://snomed.info/sct

......version0..1StringVersion of the system - if relevant
Example Value: 20150731

......code1..1CodeSymbol in syntax defined by the system
Example Value: 434746001

......display1..1StringRepresentation defined by the system
Example Value: Specimen vial

......userSelected0..1BooleanIf this coding was chosen directly by the user

.....text0..1StringPlain text representation of the concept

....capacity0..1StructureDefinition/SimpleQuantityContainer volume or size

.....value1..1DecimalNumerical value (with implicit precision)
Example Value: 10

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation
Example Value: millilitre

.....system1..1UriSystem that defines coded unit form
Example Value: http://unitsofmeasure.org

.....code1..1CodeCoded form of the unit
Example Value: mL

....specimenQuantity0..1StructureDefinition/SimpleQuantityQuantity of specimen within container

.....value1..1DecimalNumerical value (with implicit precision)
Example Value: 6

.....comparator0..1Code< | <= | >= | > - how to understand the value
Binding: How the Quantity should be understood and represented. (http://hl7.org/fhir/ValueSet/quantity-comparator)
Binding Strength: Required

.....unit1..1StringUnit representation
Example Value: millilitre

.....system1..1UriSystem that defines coded unit form
Example Value: http://unitsofmeasure.org

.....code1..1CodeCoded form of the unit
Example Value: mL

....additive[x]0..1SubstanceAdditive associated with container
Binding: Substance added to specimen container (http://hl7.org/fhir/ValueSet/v2-0371)
Binding Strength: Example