National Pathology FHIR Message Profiles
Specimen Overview
Contains data on the specimen that was provided for testing. Where a single type of specimen (for example blood) is split into multiple containers it is treated as multiple specimens.
Mapping for Specimen
How to populate the Specimen instance to conform to the profiles below:
| Level 1 | Specimen Resource | Level 2 | CareConnect-Specimen-1 | Level 3 | None |
| View Used FHIR Elements | View All FHIR Elements |
Note: Hover over name to see data item name.
| Name | Card. | Business Conformance | Type | Description, Constraints and mapping for National Pathology Implementation |
|---|---|---|---|---|
| - id | 0..1 | Mandatory | Id | Logical id of this artifact Must contain a UUID to identify the instance of a specimen |
| - meta | 0..1 | Mandatory | Meta | Metadata about the resource The value attribute of the profile element MUST contain the value 'https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-Specimen-1' |
| - extension (fastingStatus) | 0..1 | Required | Extension-CareConnect-FastingStatus-1 | Fasting Status Constraint (ext-1): Must have either extensions or value[x], not both Details of the fasting status of the patient at time of specimen collection |
| - identifier | 0..1 | Mandatory | Identifier | External Identifier A business level identifier for the specimen supplied by the collecting/requesting organisation. eg. GP Practice |
| - - system | 1..1 | Mandatory | Uri | The namespace for the identifier value MUST contain the value 'https://tools.ietf.org/html/rfc4122'. |
| - - value | 1..1 | Mandatory | String | The value that is unique MUST contain a UUID |
| - accessionIdentifier | 0..1 | Mandatory | Identifier | Identifier assigned by the lab A business level identifier for the specimen supplied by the performing organisation. eg. Lab performing the test. |
| - status | 0..1 | Required | Code | available : unavailable : unsatisfactory : entered-in-error Binding (required): Codes providing the status/availability of a specimen. (http://hl7.org/fhir/stu3/valueset-specimen-status.html ) |
| - type | 0..1 | Required | CodeableConcept | Kind of material that forms the specimen Binding (required): The type of the specimen. ( https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-SpecimenType-1 ) |
| - - coding | 0..* | Required | Coding | Code defined by a terminology system |
| - - - system | 1..1 | Mandatory | Uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system Code MUST be from: (<105590001 :Substance (substance):(in which case method and site should also be populated)OR <49755003 :Morphologically abnormal structure (morphologic abnormality):OR < 260787004 :Physical object (physical object)) |
| - - - display | 1..1 | Mandatory | String | Representation defined by the system MUST contain a SNOMED CT display name that matches to its equivalent SNOMED CT code |
| - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - subject | 1..1 | Mandatory | Reference | Where the specimen came from. This may be from the patient(s) or from the environment or a device Constraint (ref-1): SHALL have a contained resource if a local reference is provided |
| Mandatory | CareConnect-Patient-1 | This MUST be to the patient resource profiled as CareConnect-Patient-1 | ||
| - receivedTime | 0..1 | Required | dateTime | The time when specimen was received for processing The date and time on which the specimen was received for processing. |
| - collection | 0..1 | Mandatory | BackboneElement | Collection details |
| - - collector | 0..1 | Required | Reference | Who collected the specimen Constraint (ref-1): SHALL have a contained resource if a local reference is provided This MUST be a reference to either the Practitioner resource |
| 0..1 | Required | CareConnect-Practitioner-1 | The responsible clinician for the encounter. This MUST use the CareConnect Practitioner profile. | |
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL A reference to the practitioner resource included in the FHIR message bundle. |
| - - collected[x] | 0..1 | Required | dateTime | Collection time The date and time on which the specimen was collected. |
| - - quantity | 0..1 | Required | Quantity ( SimpleQuantity ) | The quantity of specimen collected Constraint (qty-3): If a code for the unit is present, the system SHALL also be present Constraint (sqty-1): The comparator is not used on a SimpleQuantity |
| - - - value | 0..1 | Required | Decimal | Numerical value (with implicit precision) Collected Specimen Quantity |
| - - - unit | 0..1 | Required | String | Unit representation Collected Specimen Quantity Unit of Measure Text |
| - - - bodySite | 0..1 | Optional | CodeableConcept | Anatomical collection site Binding (required): Codes describing anatomical locations. May include laterality. (https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-SpecimenBodySite-1 ) |
| - - - - coding | 0..* | Optional | Coding | Code defined by a terminology system |
| - - - - - system | 1..1 | Required | Uri | Identity of the terminology system Fixed Value: http://snomed.info/sct |
| - - - - - code | 1..1 | Mandatory | Code | Symbol in syntax defined by the system MUST be code from: < 442083009 : Anatomical or acquired body structure OR < 49755003 : Morphologically abnormal structure |
| - - - - - display | 1..1 | Mandatory | String | Representation defined by the system MUST contain a SNOMED CT display name that matches to its equivalent SNOMED CT code |
| - - - - text | 0..1 | Optional | String | Plain text representation of the concept |
| - note | 0..* | Optional | Annotation | Comments Notes/comments relating to the specimen taken by the collection and/or performing organisation or HCP. |
| - - author[x] | 0..1 | Optional | String | Individual responsible for the annotation Constraint (ref-1): SHALL have a contained resource if a local reference is provided This MUST be a reference to either the Practitioner resource |
| 0..1 | Required | CareConnect-Practitioner-1 | The responsible clinician for the encounter. This MUST use the CareConnect Practitioner profile. | |
| - - reference | 0..1 | Required | String | Literal reference, Relative, internal or absolute URL A reference to the practitioner resource included in the FHIR message bundle. |
| - - time | 0..1 | Required | dateTime | When the annotation was made |
| - - text | 1..1 | Mandatory | String | The annotation - text content |
