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Resource

https://www.hl7.org/fhir/specimen.html

Profile examples

https://simplifier.net/search?text=specimen&category=Profile&fhirVersion=STU3

Resource – concept model mapping

Yellow rows denote SNOMED CT attributes where there is no specific FHIR counterpart.

Resource element (CodeableConcept)FHIR ValueSetSNOMED CT rangeSNOMED CT attributeComments
Specimen.type

https://www.hl7.org/fhir/v2/0487/index.html

A v2 value set reused for FHIR

<< 123038009 | Specimen (specimen) |
A ConceptMap exists: https://www.hl7.org/fhir/conceptmap-example-specimen-type.html
Specimen.collection.method

https://www.hl7.org/fhir/valueset-specimen-collection-method.html

Extensional ValueSet

<< 71388002 | Procedure (procedure) |118171006 | Specimen procedure (attribute) |
Specimen.collection.bodySite

Include codes from http://snomed.info/sct  where concept is-a 442083009 (Anatomical or acquired body structure)

<< 442083009 | Anatomical or acquired body structure |118169006 | Specimen source topography (attribute) |
Specimen.processing.procedure

https://www.hl7.org/fhir/valueset-specimen-processing-procedure.html

A v2 value set reused for FHIR

<< 71388002 | Procedure (procedure) |118171006 | Specimen procedure (attribute) |
Specimen.processing.additive-->Substance.code

Include codes from http://snomed.info/sct  where concept is-a 105590001 (Substance)

Include codes from http://snomed.info/sct  where concept is-a 373873005 (Pharmaceutical / biologic product)

<< 105590001 | Substance (substance) |primitive
Specimen.container.type

Include codes from http://snomed.info/sct  where concept is-a 434711009 (Specimen container)

?? << 434711009 | Specimen container (physical object) | ??-ValueSet not adequate, e.g. 337386000 | Test tube (physical object) | not included. Generally, little content in SNOMED CT. Terminology requirements??
Specimen.container.additiveCodeableConcepthttps://www.hl7.org/fhir/v2/0371/index.html<< 105590001 | Substance (substance) |primitive
Specimen.subject ??
<< 125676002 | Person | OR << 35359004 | Family | OR << 133928008 | Community | OR << 49062001 | Device | OR << 276339004 | Environment |118170007 | Specimen source identity (attribute) |Overlapping semantics between FHIR and SNOMED CT
Specimen.type ??

<< 49755003 | Morphologically abnormal structure |

118168003 | Specimen source morphology (attribute) |

SNOMED CT distinguishes site, abnormal morphology, and substance when specifying the material contents of the specimen, while FHIR only has type and collection.bodySite
Specimen.type ??
<< 105590001 | Substance (substance) |370133003 | Specimen substance (attribute) |



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