<?xml version=“1.0” encoding=“UTF-8”?><Specimen xmlns=“hl7.org/fhir”>

      <id value="spec-uslab-example1"/>

      <!--   a specimen identifier - e.g. assigned when the specimen was taken by the orderer/placer  use the accession number for the filling lab   -->
      <!--  Placer ID  -->
      <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: spec-uslab-example1</p><p><b>identifier</b>: SID123 (OFFICIAL)</p><p><b>type</b>: Blood sample <span>(Details : {SNOMED CT code &#39;122555007&#39; = &#39;122555007&#39;, given as &#39;Venous blood specimen&#39;}; {http://ehr.goodhealthclinic.org code &#39;BLD&#39; = &#39;??&#39;, given as &#39;Blood&#39;})</span></p><p><b>subject</b>: <a>Todd Lerr</a></p><p><b>accessionIdentifier</b>: 21041205000001 (OFFICIAL)</p><h3>Collections</h3><table><tr><td>-</td><td><b>Collected[x]</b></td><td><b>BodySite</b></td></tr><tr><td>*</td><td>05/12/2014</td><td>Drawn from Arm <span>(Details : {SNOMED CT code &#39;53120007&#39; = &#39;53120007&#39;, given as &#39;Arm&#39;}; {http://ehr.goodhealthclinic.org code &#39;ARM&#39; = &#39;??&#39;, given as &#39;Arm&#39;})</span></td></tr></table></div></text><identifier>
              <use value="official"/>
              <system value="http://ehr.goodhealthclinic.org/identifiers/specimen"/>
              <value value="SID123"/>
      </identifier>
      <!--  Filler ID moved to accsession number
      <identifier>
              <use value="official"></use>
              <label  value="Filler Specimen ID"></label>
              <system value="http://lis.acmelabs.org/identifiers/specimen"/>
              <value value="SID456"/>
      </identifier>
-->
      <!--  
 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  :(   -->
      <!--  choice of SNOMED CT concept code...  -->
      <type>
              <coding>
                      <system value="http://snomed.info/sct"/>
                      <!--  EH: Note to balloters  - lots of choices for whole blood I chose this.  -->
                      <code value="122555007"/>
                      <display value="Venous blood specimen"/>
              </coding>
              <!--   and or local code  -->
              <coding>
                      <system value="http://ehr.goodhealthclinic.org"/>
                      <code value="BLD"/>
                      <display value="Blood"/>
              </coding>
              <text value="Blood sample"/>
      </type>
      <!--  Patient is required from core   -->
      <subject>
              <reference value="Patient/patient-uslab-example1"/>
              <display value="Todd Lerr"/>
      </subject>
      <!--   accession identifier - e.g. assigned by the labaratory when it is received.
   This is common, unlike specimen identifier   -->
      <accessionIdentifier>
              <use value="official"/>
              <system value="http://lis.acmelabs.org/identifiers/accession"/>
              <value value="21041205000001"/>
      </accessionIdentifier>
      <collection>
              <!--   the time of collection is required. Usually a point in time, but can be a period
    (collectedPeriod) if it's a timed collection (e.g. a 24 hour urine)   -->
              <collectedDateTime value="2014-12-05"/>
              <bodySite>
                      <!--  choice of SNOMED CT concept code...  -->
                      <coding>
                              <system value="http://snomed.info/sct"/>
                              <!--  EH: Note to balloters  -  this is to demonstrate use of source for body site not really needed for blood draw.  -->
                              <code value="53120007"/>
                              <display value="Arm"/>
                      </coding>
                      <!--   and or local code  -->
                      <coding>
                              <system value="http://ehr.goodhealthclinic.org"/>
                              <code value="ARM"/>
                              <display value="Arm"/>
                      </coding>
                      <text value="Drawn from Arm"/>
              </bodySite>
      </collection>

</Specimen>