Submitted by Riki Merrick on
APHL Comment on Speicimen Condition Acceptability
This field combines several aspects about the specimen and why it can or cannot be used in testing and should be split up into more data elements:
Specimen condition (SPM-24 in V2, specimen.condition in FHIR): attribute of the specimen - hemolyzed, frozen etc - should be represented using either SNOMED CT from the clincial finding hierarcy (or more specifically descendants of 441742003 | Evaluation finding) or HL70439 (https://terminology.hl7.org/5.1.0/ValueSet-v2-0493.html) used in both V2 and FHIR - this is usually not reported when the specimen is in the expected conditon and the test is performed, but it must be reported per CLIA as part of the result, when testing was performed on a specimen that was not ideal, but tested anyway to alert the provider to interpret the results with caution.
Specimen appropriatemess (SPM-23 in V2 using HL70492 ( https://terminology.hl7.org/5.2.0/ValueSet-v2-0492.html), sort of captured in FHIR in specimen.status using (https://hl7.org/fhir/valueset-specimen-status.html) this is really an attribute of the test - a specimen in a specific condition may be unacceptable for one test, but totally fine for another - vocabulary for this element is not worked out well.
Specimen reject reason (SPM-21 in V2 using HL70490 (https://terminology.hl7.org/5.2.0/ValueSet-v2-0490.html) and not in FHIR) - This is used when the testing is not performed to convey the reason why.
Submitted by Riki Merrick on
Rename element and update definition
APHL supports the resolution of https://jira.hl7.org/browse/FHIR-43567 and requests to update the definition accordingly.
APHL also supports the renaming of this element to Specimen Condition.