PATH-R4-32: UKCore-Specimen Snippets

An example of how each key UKCore-Specimen data element may be populated is provided below. Please note that the examples are provided to illustrate individual data element usage; the full set of data elements may not necessarily be consistent with one another or illustrate a single, complete clinical scenario.

Refer to the UKCore-Specimen profile definition for a detailed description of the supported data elements.

<Specimen xmlns="http://hl7.org/fhir">
    <id value="Pathology-Specimen-Sn-Example" />
    <!--  The canonical URL for the UKCore-Specimen profile.  -->
    <meta>
        <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen" />
    </meta>
    <!--  A business identifier supplied by the organisation that collected the specimen.  -->
    <identifier>
        <system value="http://B82033-pickeringmedicalpractice.com/specimen" />
        <value value="SPC-REQ-20220208-000016" />
    </identifier>
    <!--  A business identifier supplied by the laboratory that is responsible for performing the test.  -->
    <accessionIdentifier>
        <system value="http://Y8J7D-pathlab001.com/specimen" />
        <value value="SPC-LAB-20220208-001397" />
    </accessionIdentifier>
    <!--  The availability of the specimen.  -->
    <status value="available" />
    <!--  The kind of material that forms the specimen.  -->
    <type>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="122555007" />
            <display value="Venous blood specimen" />
        </coding>
    </type>
    <!--  Reference to the subject that the specimen relates to.  -->
    <subject>
        <reference value="urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4" />
        <display value="MOXEY, Judy" />
    </subject>
    <!--  The date and time that the specimen was received for processing.  -->
    <receivedTime value="2022-02-08T16:03:00+00:00" />
    <!--  Reference to the ServiceRequest that the specimen relates to.  -->
    <request>
        <reference value="urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac" />
    </request>
    <collection>
        <!--  Reference to the Practitioner or PractitionerRole that collected the specimen.  -->
        <collector>
            <reference value="urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe" />
            <display value="GASKELL, Dr Gale" />
        </collector>
        <!--  The date and time that the specimen was collected.  -->
        <collectedDateTime value="2022-02-08T10:23:00+00:00" />
        <!--  The quantity of specimen that was collected.  -->
        <quantity>
            <value value="3" />
            <unit value="mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mL" />
        </quantity>
        <!--  The anatomical site of the specimen collection.  -->
        <bodySite>
            <coding>
                <system value="http://snomed.info/sct" />
                <code value="49852007" />
                <display value="Structure of median cubital vein" />
            </coding>
        </bodySite>
        <!--  Indicates abstinence or reduction from some or all food, drink, or both, for a period of time prior to specimen collection.  -->
        <fastingStatusCodeableConcept>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0916" />
                <code value="F" />
                <display value="Patient was fasting prior to the procedure." />
            </coding>
        </fastingStatusCodeableConcept>
    </collection>
    <!--  The state of the specimen.  -->
    <condition>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v2-0493" />
            <code value="HEM" />
            <display value="Hemolyzed" />
        </coding>
    </condition>
    <!--  Notes relating to the specimen.  -->
    <note>
        <text value="Specimen haemolysed. Unable to assay." />
    </note>
</Specimen>
{
    "resourceType": "Specimen",
    "id": "Pathology-Specimen-Sn-Example",
    "meta": {
        "profile":  [
            "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen"
        ]
    },
    "identifier":  [
        {
            "system": "http://B82033-pickeringmedicalpractice.com/specimen",
            "value": "SPC-REQ-20220208-000016"
        }
    ],
    "accessionIdentifier": {
        "system": "http://Y8J7D-pathlab001.com/specimen",
        "value": "SPC-LAB-20220208-001397"
    },
    "status": "available",
    "type": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "122555007",
                "display": "Venous blood specimen"
            }
        ]
    },
    "subject": {
        "reference": "urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4",
        "display": "MOXEY, Judy"
    },
    "receivedTime": "2022-02-08T16:03:00+00:00",
    "request":  [
        {
            "reference": "urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac"
        }
    ],
    "collection": {
        "collector": {
            "reference": "urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe",
            "display": "GASKELL, Dr Gale"
        },
        "collectedDateTime": "2022-02-08T10:23:00+00:00",
        "quantity": {
            "value": 3,
            "unit": "mL",
            "system": "http://unitsofmeasure.org",
            "code": "mL"
        },
        "bodySite": {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "49852007",
                    "display": "Structure of median cubital vein"
                }
            ]
        },
        "fastingStatusCodeableConcept": {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0916",
                    "code": "F",
                    "display": "Patient was fasting prior to the procedure."
                }
            ]
        }
    },
    "condition":  [
        {
            "coding":  [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0493",
                    "code": "HEM",
                    "display": "Hemolyzed"
                }
            ]
        }
    ],
    "note":  [
        {
            "text": "Specimen haemolysed. Unable to assay."
        }
    ]
}
Specimen
Specimen.id[0]Pathology-Specimen-Sn-Example
Specimen.meta[0].profile[0]https://fhir.hl7.org.uk/StructureDefinition/UKCore-Specimen
Specimen.identifier[0].system[0]http://B82033-pickeringmedicalpractice.com/specimen
Specimen.identifier[0].value[0]SPC-REQ-20220208-000016
Specimen.accessionIdentifier[0].system[0]http://Y8J7D-pathlab001.com/specimen
Specimen.accessionIdentifier[0].value[0]SPC-LAB-20220208-001397
Specimen.status[0]available
Specimen.type[0].coding[0].system[0]http://snomed.info/sct
Specimen.type[0].coding[0].code[0]122555007
Specimen.type[0].coding[0].display[0]Venous blood specimen
Specimen.subject[0].reference[0]urn:uuid:ab87a3f8-1d37-44a9-804e-5e962598a6e4
Specimen.subject[0].display[0]MOXEY, Judy
Specimen.receivedTime[0]2022-02-08T16:03:00+00:00
Specimen.request[0].reference[0]urn:uuid:1c38d507-9ad7-4b49-ba91-7da204842cac
Specimen.collection[0].collector[0].reference[0]urn:uuid:9a835acf-d715-4d84-8dcf-a8435f6417fe
Specimen.collection[0].collector[0].display[0]GASKELL, Dr Gale
Specimen.collection[0].collected[0]2022-02-08T10:23:00+00:00
Specimen.collection[0].quantity[0].value[0]3
Specimen.collection[0].quantity[0].unit[0]mL
Specimen.collection[0].quantity[0].system[0]http://unitsofmeasure.org
Specimen.collection[0].quantity[0].code[0]mL
Specimen.collection[0].bodySite[0].coding[0].system[0]http://snomed.info/sct
Specimen.collection[0].bodySite[0].coding[0].code[0]49852007
Specimen.collection[0].bodySite[0].coding[0].display[0]Structure of median cubital vein
Specimen.collection[0].fastingStatus[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0916
Specimen.collection[0].fastingStatus[0].coding[0].code[0]F
Specimen.collection[0].fastingStatus[0].coding[0].display[0]Patient was fasting prior to the procedure.
Specimen.condition[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v2-0493
Specimen.condition[0].coding[0].code[0]HEM
Specimen.condition[0].coding[0].display[0]Hemolyzed
Specimen.note[0].text[0]Specimen haemolysed. Unable to assay.