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Recommendation:
Were specimen source (type, source site and collection method) is conveyed in attributes other than the test name, these values should be coded using SNOMED CT.
In particular:

  • specimen type terms should be drawn from the 123038009 |Specimen| hierarchy in SNOMED CT
  • specimen source site terms should be drawn from the 123037004 |Body structure| hierarchy
  • specimen collection method terms should be drawn from the 71388002 |Procedure| hierarchy


    Explanation:
    Laboratory test names typically include the specimen (e.g. the LOINC "System") upon which the observation was made, but some attributes about the specimen can be carried in other parts of the information or messaging model. Where such other specimen attributes are reported as coded values, they should use SNOMED CT concepts.


EXAMPLE 1: Part of the Value set for Specimen Type. PHIN-VADS (CDC)

Value Set Code NHSNSpecimenTypeCode

 

 

 

 

 

Concept Code

Preferred Concept Name

Code System Name

 

 

 

258414004

Adipose tissue sample

SNOMED-CT

 

 

 

309141004

Adrenal gland specimen

SNOMED-CT

 

 

 

119373006

Amniotic fluid specimen

SNOMED-CT

 

 

 

309479002

Artery sample

SNOMED-CT

 

 

 

309493009

Bile duct biopsy sample

SNOMED-CT

 

 

 

119341000

Bile specimen

SNOMED-CT

 

 

 

309491006

Biliary tract tissue sample

SNOMED-CT

 

 

 

119297000

Blood specimen

SNOMED-CT

 

 

 

119359002

Bone marrow specimen

SNOMED-CT

 

 

 

https://phinvads.cdc.gov/vads/ViewValueSet.action?id=6F61F377-E515-43D2-BFEB-4BF135244033#

 

 

 

 

 



EXAMPLE 2: Specimen type and specimen source site in NAHLN messaging

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