CH LAB-Order (R4)
0.1.0 - STU 1 Ballot
This page is part of the CH LAB-Order (R4) (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
<Specimen xmlns="http://hl7.org/fhir">
<id value="throat-swab"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 48736-15394-75465</p><p><b>accessionIdentifier</b>: id: 4e88a-bc987-dd888</p><p><b>status</b>: available</p><p><b>type</b>: <span title="Codes: {http://snomed.info/sct 258529004}">Throat swab (specimen)</span></p><p><b>subject</b>: <a href="Patient-FranzMuster.html">Generated Summary: Medical record number: 012/08.111111; Franz Muster ; Phone: +41 32 321 61 11, franz.muster@example.ch; gender: male; birthDate: 1995-01-27; <span title="Codes: {http://fhir.ch/ig/ch-core/CodeSystem/ech-11-maritalstatus 6}">in eingetragener Partnerschaft</span></a></p><p><b>receivedTime</b>: Aug 16, 2020, 6:40:17 PM</p><p><b>request</b>: <a href="ServiceRequest-lab.html">Generated Summary: Placer Identifier: 123, Filler Identifier: 456; status: active; intent: original-order; <span title="Codes: {http://snomed.info/sct 108252007}">Laboratory procedure (procedure)</span>; priority: urgent; <span title="Codes: {http://snomed.info/sct 61246008}">Laboratory medicine specialist (occupation)</span>; <span title="Codes: {http://snomed.info/sct 404223003}">Deep venous thrombosis of lower extremity</span></a></p><h3>Collections</h3><table class="grid"><tr><td>-</td><td><b>Collector</b></td><td><b>Collected[x]</b></td><td><b>Method</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td><a href="Practitioner-MarcMustermann.html">Generated Summary: id: 7601000050702; Marc Mustermann (OFFICIAL); Phone: 033 333 22 11, marc.mustermann@gruppenpraxis.ch</a></td><td>Aug 16, 2020, 8:40:17 AM</td><td><span title="Codes: {http://snomed.info/sct 418932006}">Oral swab (specimen)</span></td><td><span title="Codes: {http://snomed.info/sct 264231000}">Entire throat (surface region of neck) (body structure)</span></td></tr></table><h3>Containers</h3><table class="grid"><tr><td>-</td><td><b>Identifier</b></td><td><b>Description</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>id: 4e88a-bc987-dd888-12345</td><td>ESwab 486C tubes Copan</td><td><span title="Codes: {http://snomed.info/sct 706053007}">General specimen container (physical object)</span></td></tr></table><p><b>note</b>: Some notes to Sample</p></div>
</text>
<!-- from Resource: id, meta, implicitRules, and language -->
<!-- from DomainResource: text, contained, extension, and modifierExtension -->
<identifier>
<!-- 0..* This is a business identifier, not a resource identifier (see discussion) -->
<value value="48736-15394-75465"/>
</identifier>
<accessionIdentifier>
<!-- 1..1 Identifier Identifier assigned by the lab, must be present -->
<value value="4e88a-bc987-dd888"/>
</accessionIdentifier>
<status value="available"/>
<!-- 0..1 available | unavailable | unsatisfactory | entered-in-error -->
<type>
<!--
Type is a loosely defined field because there is such a lot of variation in how it is used.
The principal variation is how much information that could be represented elsewhere is also
represented here. For instance, here's some possible types:
lithium heparin plasma (+ .container.additive) (e.g. SNOMED CT 446272009)
transfusion bag of blood (+ container.type)
Peritoneal lavage (+ collection.bodySite)
If the type includes other fields, it would be normal not to populate the other fields.
Note that this practice is so widespread that it's pointless to try and stop it. Possible
coding: TODO look at [https://www.hl7.org/fhir/conceptmap-example-specimen-type.html] and
the example below
-->
<coding>
<system value="http://snomed.info/sct"/>
<code value="258529004"/>
<display value="Throat swab (specimen)"/>
</coding>
</type>
<subject>
<!-- 0..1 Reference(Patient|Group|Device|Substance|Location) Where the specimen came from. This
may be from patient(s), from a location (e.g., the source of an environmental sample), or a
sampling of a substance or a device -->
<reference value="Patient/FranzMuster"/>
</subject>
<receivedTime value="2020-08-16T16:40:17Z"/>
<!-- 0..1 The time when specimen was received for processing -->
<request>
<reference value="ServiceRequest/lab"/>
</request>
<collection>
<!-- 0..1 Collection details -->
<collector>
<!-- 0..1 Reference(Practitioner|PractitionerRole) Who collected the specimen -->
<reference value="Practitioner/MarcMustermann"/>
</collector>
<collectedDateTime value="2020-08-16T06:40:17Z"/>
<method>
<!-- 0..1 CodeableConcept Technique used to perform collection -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="418932006"/>
<display value="Oral swab (specimen)"/>
</coding>
</method>
<bodySite>
<!-- 0..1 CodeableConcept Anatomical collection site -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="264231000"/>
<display value="Entire throat (surface region of neck) (body structure)"/>
</coding>
</bodySite>
</collection>
<container>
<!-- 0..* Direct container of specimen (tube/slide, etc.) -->
<identifier>
<value value="4e88a-bc987-dd888-12345"/>
</identifier>
<!-- 0..1 Textual description of the container -->
<!-- 'https://www.copanusa.com/wp-content/uploads/2019/07/LBM-ESwab-051519.pdf' -->
<description value="ESwab 486C tubes Copan"/>
<type>
<!-- 0..1 CodeableConcept Kind of container directly associated with specimen -->
<coding>
<system value="http://snomed.info/sct"/>
<code value="706053007"/>
<display value="General specimen container (physical object)"/>
</coding>
</type>
</container>
<note>
<text value="Some notes to Sample"/>
</note>
</Specimen>