WARNING
This guidance is under active development by NHS England and content may be added or updated on a regular basis. The implementation guide is currently in draft and SHOULD NOT be used for development or implementation without consulting the NHS England Pathology Standards and Implementation team.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.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. |