Specimen.profile.xml

StructureDefinition for specimen

  
  
    
  
  
    
    
      
        
          
            
          
          
            
          
          
            
          
          
            
          
          
            
            
              
                
              
            
          
        
        
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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Specimen"/> 
  <meta> 
    <lastUpdated value="2019-10-24T11:53:00+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
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            Nj6C+QmaxAek5tyAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="Specimen : A sample to be used for analysis.">Specimen</span> 
            <a name="Specimen"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Sample for analysis
            <br/>  Elements defined in Ancestors: 
            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned, this

             value never changes.">id</a> , 
            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.

             Changes to the content may not always be associated with version changes to the resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed, and

             which must be understood when processing the content.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource, and may be used to

             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that contains

             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope.">contained</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition

             of the resource. In order to make the use of extensions safe and manageable, there is
             a strict set of governance  applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 
            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition

             of the resource, and that modifies the understanding of the element that contains it.
             Usually modifier elements provide negation or qualification. In order to make the use
             of extensions safe and manageable, there is a strict set of governance applied to the
             definition and use of extensions. Though any implementer is allowed to define an extension,
             there is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.">modifierExtension</a> 
          </td> 
        </tr> 

        
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          available | unavailable | unsatisfactory | entered-in-error
            
             (
            To be conformant, instances of this element SHALL include a code from the specified value
             set.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.identifier : Id for specimen.">identifier</span> 
            <a name="Specimen.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">External Identifier
            <br/>  
          </td> 
        </tr> 

        
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          Kind of material that forms the specimen
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            Specimen.parent : Reference to the parent (source) specimen which is used when the specimen
             was either derived from or a component of another specimen.
            
          
          
          
          
            (
            )
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.accessionIdentifier : The identifier assigned by the lab when accessioning specimen(s).

             This is not necessarily the same as the specimen identifier, depending on local lab procedures.">accessionIdentifier</span> 
            <a name="Specimen.accessionIdentifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Identifier assigned by the lab</td> 
        </tr> 

        
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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            Specimen.subject : Where the specimen came from. This may be from the patient(s) or from
             the environment or a device.
            
          
          
            
          
          
          
            (
             | 
             | 
             | 
            )
          
          Where the specimen came from. This may be from the patient(s) or from the environment
             or a device
        

            7/2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAABmJLR0QA/wD/AP+gvaeTAAAACXBIW

            XMAAAsTAAALEwEAmpwYAAAAB3RJTUUH3gYBFzI0BrFQCwAAAERJREFUOMtj/P//PwMlgImBQjDwBrCcOnWKokBgYWBgYDCU+06W5i
            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Specimen.status : The availability of the specimen.">status</span> 
            <a name="Specimen.status"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is a modifier element">?!</span> 
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">available | unavailable | unsatisfactory | entered-in-error
            <br/>  
            <a href="valueset-specimen-status.html" title="Codes providing the status/availability of a specimen.">SpecimenStatus</a>  (
            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">Required</a> )
          </td> 
        </tr> 

        
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7 
            Specimen.accessionIdentifier : The identifier assigned by the lab when accessioning specimen(s).
             This is not necessarily the same as the specimen identifier, depending on local lab procedures.
            
          
          
            
          
          
          
            
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.type : The kind of material that forms the specimen.">type</span> 
            <a name="Specimen.type"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Kind of material that forms the specimen
            <br/>  
            <a href="v2/0487/index.html" title="The type of the specimen.">v2 Specimen Type</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
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            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1BAACxj

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            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Specimen.subject : Where the specimen came from. This may be from the patient(s) or from

             the environment or a device.">subject</span> 
            <a name="Specimen.subject"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="patient.html">Patient</a>  | 
            <a href="group.html">Group</a>  | 
            <a href="device.html">Device</a>  | 
            <a href="substance.html">Substance</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Where the specimen came from. This may be from the patient(s) or from the environment
             or a device</td> 
        </tr> 


        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KG
          goAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJLa+OltBwAAYP6EEQAAgC
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            8MUggvnH/EOVJjAW4AuQHJ+O75LYqikXE0LzAAALePEntTkEoSAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Specimen.receivedTime : Time when specimen was received for processing or testing.">receivedTime</span> 
            <a name="Specimen.receivedTime"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">The time when specimen was received for processing</td> 
        </tr> 

        
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            <span title="Specimen.parent : Reference to the parent (source) specimen which is used when the specimen

             was either derived from or a component of another specimen.">parent</span> 
            <a name="Specimen.parent"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="specimen.html">Specimen</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Specimen from which this specimen originated
            <br/>  
          </td> 
        </tr> 

        
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            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Specimen.request : Details concerning a test or procedure request that required a specimen

             to be collected.">request</span> 
            <a name="Specimen.request"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="procedurerequest.html">ProcedureRequest</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Why the specimen was collected
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; padding:0px 4px 0px 4px;
           white-space: nowrap; background-image: url(data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCA
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            <span title="Specimen.collection : Details concerning the specimen collection.">collection</span> 
            <a name="Specimen.collection"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Collection details</td> 
        </tr> 


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            Specimen.collection.comment : To communicate any details or issues encountered during
             the specimen collection procedure.
            
          
          
          
          
            
          
          
        

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            <span title="Specimen.collection.collector : Person who collected the specimen.">collector</span> 
            <a name="Specimen.collection.collector"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="practitioner.html">Practitioner</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Who collected the specimen</td> 
        </tr> 

        
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            Specimen.collection.collected[x] : Time when specimen was collected from subject - the
             physiologically relevant time.
            
          
          
            
          
          
          
          
        

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            <span title="Specimen.collection.collected[x] : Time when specimen was collected from subject - the

             physiologically relevant time.">collected[x]</span> 
            <a name="Specimen.collection.collected_x_"> </a> 
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            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
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           padding:0px 4px 0px 4px">0..1</td> 
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            A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes

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            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes
             are specified, a time zone SHALL be populated. The format is a union of the schema types
             gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.
          
          
          
          
            
          
          
        

             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">collectedDateTime</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#dateTime">dateTime</a> 
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            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="A time period defined by a start and end date and optionally time.">collectedPeriod</span> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#Period">Period</a> 
          </td> 
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            Specimen.collection.quantity : The quantity of specimen collected; for instance the volume
             of a blood sample, or the physical measurement of an anatomic pathology sample.
            
          
          
          
          
            
          
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.collection.quantity : The quantity of specimen collected; for instance the volume

             of a blood sample, or the physical measurement of an anatomic pathology sample.">quantity</span> 
            <a name="Specimen.collection.quantity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">The quantity of specimen collected</td> 
        </tr> 

        
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            Specimen.collection.method : A coded value specifying the technique that is used to perform
             the procedure.
            
          
          
          
          
            
          
          Technique used to perform collection
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.collection.method : A coded value specifying the technique that is used to perform

             the procedure.">method</span> 
            <a name="Specimen.collection.method"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Technique used to perform collection
            <br/>  
            <a href="valueset-specimen-collection-method.html" title="The  technique that is used to perform the procedure">FHIR Specimen Collection Method</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        
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            Specimen.collection.bodySite : Anatomical location from which the specimen was collected

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.collection.bodySite : Anatomical location from which the specimen was collected
             (if subject is a patient). This is the target site.  This element is not used for environmental
             specimens.
            
          
          
          
          
            
          
          Anatomical collection site
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

             specimens.">bodySite</span> 
            <a name="Specimen.collection.bodySite"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Anatomical collection site
            <br/>  
            <a href="valueset-body-site.html" title="Codes describing anatomical locations. May include laterality.">SNOMED CT Body Structures</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        
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            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="Specimen.processing : Details concerning processing and processing steps for the specimen.">processing</span> 
            <a name="Specimen.processing"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Processing and processing step details
            <br/>  
          </td> 
        </tr> 

        
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            <span title="Specimen.processing.description : Textual description of procedure.">description</span> 
            <a name="Specimen.processing.description"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Textual description of procedure</td> 
        </tr> 

        
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            Specimen.treatment.procedure : A coded value specifying the procedure used to process
             the specimen.
            
          
          
          
          
            
          
          Indicates the treatment or processing step  applied to the specimen
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.processing.procedure : A coded value specifying the procedure used to process

             the specimen.">procedure</span> 
            <a name="Specimen.processing.procedure"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Indicates the treatment step  applied to the specimen
            <br/>  
            <a href="valueset-specimen-processing-procedure.html" title="Type indicating the technique used to process the specimen">SpecimenProcessingProcedure</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
          </td> 
        </tr> 

        
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            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="Specimen.processing.additive : Material used in the processing step.">additive</span> 
            <a name="Specimen.processing.additive"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="substance.html">Substance</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Material used in the processing step
            <br/>  
          </td> 
        </tr> 

        
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            <span title="Specimen.processing.time[x] : A record of the time or period when the specimen processing

             occurred.  For example the time of sample fixation or the period of time the sample was
             in formalin.">time[x]</span> 
            <a name="Specimen.processing.time_x_"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Date and time of specimen processing</td> 
        </tr> 


        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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            <span title="A date, date-time or partial date (e.g. just year or year + month).  If hours and minutes

             are specified, a time zone SHALL be populated. The format is a union of the schema types
             gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
             but may be zero-filled and may be ignored.                 Dates SHALL be valid dates.">timeDateTime</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 


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            <span title="A time period defined by a start and end date and optionally time.">timePeriod</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 


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            Specimen.container : The container holding the specimen.  The recursive nature of containers;
             i.e. blood in tube in tray in rack is not addressed here.
            
          
          
          
          
            
          
          
        

            FEhIdcAYJdYASFRUQhQkLCwkOFwcdEBAXhVabE52ecDahKy0oIQA7" style="background-color: white; background-color: inherit" title="Element"/>  
            <span title="Specimen.container : The container holding the specimen.  The recursive nature of containers;

             i.e. blood in tube in tray in rack is not addressed here.">container</span> 
            <a name="Specimen.container"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="backboneelement.html">BackboneElement</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Direct container of specimen (tube/slide, etc.)
            <br/>  
          </td> 
        </tr> 

        
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            Specimen.container.identifier : Id for container. There may be multiple; a manufacturer's

            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.container.identifier : Id for container. There may be multiple; a manufacturer's
             bar code, lab assigned identifier, etc. The container ID may differ from the specimen
             id in some circumstances.
            
          
          
            
          
          
          
            
          
          
        

             id in some circumstances.">identifier</span> 
            <a name="Specimen.container.identifier"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <span style="padding: 3px" title="This element is included in summaries">Σ</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Id for the container
            <br/>  
          </td> 
        </tr> 

        
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            Specimen.container.type : The type of container associated with the specimen (e.g. slide,
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          Kind of container directly associated with specimen
            
             (
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Kind of container directly associated with specimen
            <br/>  
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            Specimen.container.capacity : The capacity (volume or other measure) the container may
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            Specimen.container.specimenQuantity : The quantity of specimen in the container; may be
             volume, dimensions, or other appropriate measurements, depending on the specimen type.
            
          
          
          
          
            
          
          
        

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            <span title="Specimen.container.specimenQuantity : The quantity of specimen in the container; may be

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            <a name="Specimen.container.specimenQuantity"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          </td> 
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          Additive associated with container
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
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          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Additive associated with container
            <br/>  
            <a href="v2/0371/index.html" title="Substance added to specimen container">v2 Additive/Preservative</a>  (
            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value set.  The

             value set merely provides examples of the types of concepts intended to be included.">Example</a> )
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            <span title="A concept that may be defined by a formal reference to a terminology or ontology or may

             be provided by text.">additiveCodeableConcept</span> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

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            (
            )
          
          
        

            KlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  additiveReference
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           padding:0px 4px 0px 4px"/> 
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           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="references.html">Reference</a> (
            <a href="substance.html">Substance</a> )
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
        </tr> 

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
  
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation. Bundles always have an id, though it is usually a generated
       UUID.
      
      
      
        
      
      
    
    
      
      
      The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content may not always be associated with version changes to the resource.
      
      
      
        
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content.
      Asserting this rule set restricts the content to be only understood by a limited set of

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
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          AASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

            3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAw
            NdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data: image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB

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            <img alt="." class="hierarchy" src="data: image/png;base64,R0lGODlhEAAQAOZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQk

            ad4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRP
            z58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPv
            szv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866O
            UPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6i
            f3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///////yH5BAEAAH8ALAAAAAAQABAAAAfNgH+Cg36FfoOIhH4JBxBghYl/hQ
            kNAV0IVT5GkJKLCwtQaSsSdx9aR26Gcwt2IkQaNRI6dBERIzCFDSgWSW8WCDkbBnoOQ3uFARc/JQJfCAZlT0x4ZFyFBxdNQT9ZCBN
            WKQoKUQ+FEDgcdTIAV14YDmg2CgSFA0hmQC5TLE4VRTdrKJAoxOeFCzZSwsw4U6BCizwUQhQyEaAPiAwCVNCY0FCNnA6GPAwYoETI
            FgY9loiRA4dToTYnsOxg8CBGHE6ICvEYQ4AKzkidfgoKBAA7" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Specimen.note : To communicate any details or issues about the specimen or during the

             specimen collection. (for example: broken vial, sent with patient, frozen).">note</span> 
            <a name="Specimen.note"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">
            <a href="datatypes.html#Annotation">Annotation</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;

           padding:0px 4px 0px 4px">Comments
            <br/>  
          </td> 
        </tr> 


        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="oo"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/Specimen"/> 
  <name value="Specimen"/> 
  <status value="draft"/> 
  <date value="2019-10-24T11:53:00+11:00"/> 
  <publisher value="Health Level Seven International (Orders and Observations)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/orders/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="Base StructureDefinition for Specimen Resource"/> 
  <fhirVersion value="3.0.2"/> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/w5"/> 
    <name value="W5 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="v2"/> 
    <uri value="http://hl7.org/v2"/> 
    <name value="HL7 v2 Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Specimen"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="Specimen">
      <path value="Specimen"/> 
      <short value="Sample for analysis"/> 
      <definition value="A sample to be used for analysis."/> 
      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or

         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere

         in the resource"/> 
        <expression value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/> 
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f

        :reference/@value=concat('#', $id))]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Role[classCode=SPEC]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.diagnostics"/> 
      </mapping> 
    </element> 
    <element id="Specimen.id">
      <path value="Specimen.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this

       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the

       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Specimen.meta">
      <path value="Specimen.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.

       Changes to the content may not always be associated with version changes to the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Specimen.implicitRules">
      <path value="Specimen.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and

       which must be understood when processing the content."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element as much as possible.
      
      
      
        
      
      
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as

       and/or specification writers should avoid using this element. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Specimen.language">
      <path value="Specimen.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource  Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).
      
      
      
        
      
      
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource, and may be used to

       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="Specimen.text">
      <path value="Specimen.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative.
      
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains

       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have

       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Specimen.contained">
      <path value="Specimen.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again.
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification

       is lost, it is extremely difficult (and context dependent) to restore it again."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.extension">
      <path value="Specimen.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order to make the use of extensions safe and manageable, there is
       a strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,

       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.modifierExtension">
      <path value="Specimen.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource, and that modifies the understanding of the element that contains it.
       Usually modifier elements provide negation or qualification. In order to make the use
       of extensions safe and manageable, there is a strict set of governance applied to the
       definition and use of extensions. Though any implementer is allowed to define an extension,
       there is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,

       Applications processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      The type can change the way that a specimen is handled, and drives what kind of analyses

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.identifier">
      <path value="Specimen.identifier"/> 
      <short value="External Identifier"/> 
      <definition value="Id for specimen."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.accessionIdentifier">
      <path value="Specimen.accessionIdentifier"/> 
      <short value="Identifier assigned by the lab"/> 
      <definition value="The identifier assigned by the lab when accessioning specimen(s). This is not necessarily

       the same as the specimen identifier, depending on local lab procedures."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-30 (v2.7+)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.status">
      <path value="Specimen.status"/> 
      <short value="available | unavailable | unsatisfactory | entered-in-error"/> 
      <definition value="The availability of the specimen."/> 
      <comment value="This element is labeled as a modifier because the status contains codes that mark the

       resource as not currently valid."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes providing the status/availability of a specimen."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-20"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="Specimen.type">
      <path value="Specimen.type"/> 
      <short value="Kind of material that forms the specimen"/> 
      <definition value="The kind of material that forms the specimen."/> 
      <comment value="The type can change the way that a specimen is handled, and drives what kind of analyses
       can properly be performed on the specimen. It is frequently used in diagnostic work flow
       decision making systems.
      
      
      
        
      
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Reference to the parent (source) specimen which is used when the specimen was either derived
       from or a component of another specimen.
      The parent specimen could be the source from which the current specimen is derived by some

       decision making systems."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The type of the specimen."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v2-0487"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-4 and possibly SPM-5"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="what"/> 
      </mapping> 
    </element> 
    <element id="Specimen.subject">
      <path value="Specimen.subject"/> 
      <short value="Where the specimen came from. This may be from the patient(s) or from the environment

       or a device"/> 
      <definition value="Where the specimen came from. This may be from the patient(s) or from the environment

       or a device."/> 
      <requirements value="Must know the subject context."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper  or  .scoper.playsRole"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="Specimen.receivedTime">
      <path value="Specimen.receivedTime"/> 
      <short value="The time when specimen was received for processing"/> 
      <definition value="Time when specimen was received for processing or testing."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-18"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.done"/> 
      </mapping> 
    </element> 
    <element id="Specimen.parent">
      <path value="Specimen.parent"/> 
      <short value="Specimen from which this specimen originated"/> 
      <definition value="Reference to the parent (source) specimen which is used when the specimen was either derived

       from or a component of another specimen."/> 
      <comment value="The parent specimen could be the source from which the current specimen is derived by some
       processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one
       of many specimens that were combined to create a pooled sample.
      
      
      
        
        
      
      
        
        
      
    
    
      
      Where the specimen came from. This may be from the patient(s) or from the environment
       or a device
      Where the specimen came from. This may be from the patient(s) or from the environment
       or a device.
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier assigned by the lab when accessioning specimen(s). This is not necessarily
       the same as the specimen identifier, depending on local lab procedures.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       of many specimens that were combined to create a pooled sample."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"/> 
      </mapping> 
    </element> 
    <element id="Specimen.request">
      <path value="Specimen.request"/> 
      <short value="Why the specimen was collected"/> 
      <definition value="Details concerning a test or procedure request that required a specimen to be collected."/> 
      <comment value="The request may be explicit or implied such with a ProcedureRequest that requires a blood

       draw."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC? OBR-2/3?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection">
      <path value="Specimen.collection"/> 
      <short value="Collection details"/> 
      <definition value="Details concerning the specimen collection."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.id">
      <path value="Specimen.collection.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any

       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.extension">
      <path value="Specimen.collection.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,

       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.modifierExtension">
      <path value="Specimen.collection.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,

       processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The quantity of specimen collected; for instance the volume of a blood sample, or the
       physical measurement of an anatomic pathology sample.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Anatomical location from which the specimen was collected (if subject is a patient). This
       is the target site.  This element is not used for environmental specimens.
      If the use case requires  BodySite to be handled as a separate resource instead of an

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.collector">
      <path value="Specimen.collection.collector"/> 
      <short value="Who collected the specimen"/> 
      <definition value="Person who collected the specimen."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRT"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PFM].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.collected[x]">
      <path value="Specimen.collection.collected[x]"/> 
      <short value="Collection time"/> 
      <definition value="Time when specimen was collected from subject - the physiologically relevant time."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.init"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.quantity">
      <path value="Specimen.collection.quantity"/> 
      <short value="The quantity of specimen collected"/> 
      <definition value="The quantity of specimen collected; for instance the volume of a blood sample, or the

       physical measurement of an anatomic pathology sample."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-12"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.method">
      <path value="Specimen.collection.method"/> 
      <short value="Technique used to perform collection"/> 
      <definition value="A coded value specifying the technique that is used to perform the procedure."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenCollectionMethod"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The  technique that is used to perform the procedure"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-collection-method"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".methodCode"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.bodySite">
      <path value="Specimen.collection.bodySite"/> 
      <short value="Anatomical collection site"/> 
      <definition value="Anatomical location from which the specimen was collected (if subject is a patient). This

       is the target site.  This element is not used for environmental specimens."/> 
      <comment value="If the use case requires  BodySite to be handled as a separate resource instead of an
       inline coded element (e.g. to identify and track separately)  then use the standard extension
       [body-site-instance](extension-body-site-instance.html).
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       [body-site-instance](extension-body-site-instance.html)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing anatomical locations. May include laterality."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/body-site"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-8 and SPM-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".targetSiteCode"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing">
      <path value="Specimen.processing"/> 
      <short value="Processing and processing step details"/> 
      <definition value="Details concerning processing and processing steps for the specimen."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.id">
      <path value="Specimen.processing.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any

       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.extension">
      <path value="Specimen.processing.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,

       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.modifierExtension">
      <path value="Specimen.processing.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,

       processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The container holding the specimen.  The recursive nature of containers; i.e. blood in
       tube in tray in rack is not addressed here.
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.description">
      <path value="Specimen.processing.description"/> 
      <short value="Textual description of procedure"/> 
      <definition value="Textual description of procedure."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".text"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.procedure">
      <path value="Specimen.processing.procedure"/> 
      <short value="Indicates the treatment step  applied to the specimen"/> 
      <definition value="A coded value specifying the procedure used to process the specimen."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenProcessingProcedure"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Type indicating the technique used to process the specimen"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-processing-procedure"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.additive">
      <path value="Specimen.processing.additive"/> 
      <short value="Material used in the processing step"/> 
      <definition value="Material used in the processing step."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-6"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=ADTV].code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.time[x]">
      <path value="Specimen.processing.time[x]"/> 
      <short value="Date and time of specimen processing"/> 
      <definition value="A record of the time or period when the specimen processing occurred.  For example the

       time of sample fixation or the period of time the sample was in formalin."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container">
      <path value="Specimen.container"/> 
      <short value="Direct container of specimen (tube/slide, etc.)"/> 
      <definition value="The container holding the specimen.  The recursive nature of containers; i.e. blood in

       tube in tray in rack is not addressed here."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player.scopingRole[classCode=CONT].scoper"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.id">
      <path value="Specimen.container.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any

       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.extension">
      <path value="Specimen.container.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order to make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,

       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.modifierExtension">
      <path value="Specimen.container.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element, and that modifies the understanding of the element that contains it. Usually
       modifier elements provide negation or qualification. In order to make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension. Applications
       processing a resource are required to check for modifier extensions.
      There can be no stigma associated with the use of extensions by any application, project,

       processing a resource are required to check for modifier extensions."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
      
        
      
      
      
        
        
      
    
    
      
      
      Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier,
       etc. The container ID may differ from the specimen id in some circumstances.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The quantity of specimen in the container; may be volume, dimensions, or other appropriate
       measurements, depending on the specimen type.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin,
       Citrate, EDTA.
      
      
      
        
      
      
        
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
  
  
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      The type can change the way that a specimen is handled, and drives what kind of analyses

       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.identifier">
      <path value="Specimen.container.identifier"/> 
      <short value="Id for the container"/> 
      <definition value="Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier,

       etc. The container ID may differ from the specimen id in some circumstances."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.description">
      <path value="Specimen.container.description"/> 
      <short value="Textual description of the container"/> 
      <definition value="Textual description of the container."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".desc"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.type">
      <path value="Specimen.container.type"/> 
      <short value="Kind of container directly associated with specimen"/> 
      <definition value="The type of container associated with the specimen (e.g. slide, aliquot, etc.)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenContainerType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Type of specimen container"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-container-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-27"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.capacity">
      <path value="Specimen.container.capacity"/> 
      <short value="Container volume or size"/> 
      <definition value="The capacity (volume or other measure) the container may contain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.specimenQuantity">
      <path value="Specimen.container.specimenQuantity"/> 
      <short value="Quantity of specimen within container"/> 
      <definition value="The quantity of specimen in the container; may be volume, dimensions, or other appropriate

       measurements, depending on the specimen type."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-23 (value) SAC-24 (units"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".playedRole[classCode=CONT].quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.additive[x]">
      <path value="Specimen.container.additive[x]"/> 
      <short value="Additive associated with container"/> 
      <definition value="Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin,

       Citrate, EDTA."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenContainerAdditive"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Substance added to specimen container"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v2-0371"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-27"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scopesRole[classCode=ADTV].player"/> 
      </mapping> 
    </element> 
    <element id="Specimen.note">
      <path value="Specimen.note"/> 
      <short value="Comments"/> 
      <definition value="To communicate any details or issues about the specimen or during the specimen collection.

       (for example: broken vial, sent with patient, frozen)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]

        .value"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Specimen">
      <path value="Specimen"/> 
      <short value="Sample for analysis"/> 
      <definition value="A sample to be used for analysis."/> 
      <min value="0"/> 
      <max value="*"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Role[classCode=SPEC]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="clinical.diagnostics"/> 
      </mapping> 
    </element> 
    <element id="Specimen.identifier">
      <path value="Specimen.identifier"/> 
      <short value="External Identifier"/> 
      <definition value="Id for specimen."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-2"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.accessionIdentifier">
      <path value="Specimen.accessionIdentifier"/> 
      <short value="Identifier assigned by the lab"/> 
      <definition value="The identifier assigned by the lab when accessioning specimen(s). This is not necessarily

       the same as the specimen identifier, depending on local lab procedures."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-30 (v2.7+)"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.status">
      <path value="Specimen.status"/> 
      <short value="available | unavailable | unsatisfactory | entered-in-error"/> 
      <definition value="The availability of the specimen."/> 
      <comment value="This element is labeled as a modifier because the status contains codes that mark the

       resource as not currently valid."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenStatus"/> 
        </extension> 
        <strength value="required"/> 
        <description value="Codes providing the status/availability of a specimen."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-status"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-20"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="status"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="status"/> 
      </mapping> 
    </element> 
    <element id="Specimen.type">
      <path value="Specimen.type"/> 
      <short value="Kind of material that forms the specimen"/> 
      <definition value="The kind of material that forms the specimen."/> 
      <comment value="The type can change the way that a specimen is handled, and drives what kind of analyses
       can properly be performed on the specimen. It is frequently used in diagnostic work flow
       decision making systems.
      
      
      
        
      
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Reference to the parent (source) specimen which is used when the specimen was either derived
       from or a component of another specimen.
      The parent specimen could be the source from which the current specimen is derived by some

       decision making systems."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The type of the specimen."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v2-0487"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-4 and possibly SPM-5"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="what"/> 
      </mapping> 
    </element> 
    <element id="Specimen.subject">
      <path value="Specimen.subject"/> 
      <short value="Where the specimen came from. This may be from the patient(s) or from the environment

       or a device"/> 
      <definition value="Where the specimen came from. This may be from the patient(s) or from the environment

       or a device."/> 
      <requirements value="Must know the subject context."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper  or  .scoper.playsRole"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.focus"/> 
      </mapping> 
    </element> 
    <element id="Specimen.receivedTime">
      <path value="Specimen.receivedTime"/> 
      <short value="The time when specimen was received for processing"/> 
      <definition value="Time when specimen was received for processing or testing."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-18"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.done"/> 
      </mapping> 
    </element> 
    <element id="Specimen.parent">
      <path value="Specimen.parent"/> 
      <short value="Specimen from which this specimen originated"/> 
      <definition value="Reference to the parent (source) specimen which is used when the specimen was either derived

       from or a component of another specimen."/> 
      <comment value="The parent specimen could be the source from which the current specimen is derived by some
       processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one
       of many specimens that were combined to create a pooled sample.
      
      
      
        
        
      
      
        
        
      
    
    
      
      Where the specimen came from. This may be from the patient(s) or from the environment
       or a device
      Where the specimen came from. This may be from the patient(s) or from the environment
       or a device.
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier assigned by the lab when accessioning specimen(s). This is not necessarily
       the same as the specimen identifier, depending on local lab procedures.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
      
        
        .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]
        .value
      
    
    
      
      
      
      
      
      
        
      
      
        
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The quantity of specimen collected; for instance the volume of a blood sample, or the
       physical measurement of an anatomic pathology sample.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Anatomical location from which the specimen was collected (if subject is a patient). This
       is the target site.  This element is not used for environmental specimens.
      If the use case requires  BodySite to be handled as a separate resource instead of an

       of many specimens that were combined to create a pooled sample."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Specimen"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"/> 
      </mapping> 
    </element> 
    <element id="Specimen.request">
      <path value="Specimen.request"/> 
      <short value="Why the specimen was collected"/> 
      <definition value="Details concerning a test or procedure request that required a specimen to be collected."/> 
      <comment value="The request may be explicit or implied such with a ProcedureRequest that requires a blood

       draw."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="ORC? OBR-2/3?"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="outboundRelationship[typeCode=FLFS].target"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection">
      <path value="Specimen.collection"/> 
      <short value="Collection details"/> 
      <definition value="Details concerning the specimen collection."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-14"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.collector">
      <path value="Specimen.collection.collector"/> 
      <short value="Who collected the specimen"/> 
      <definition value="Person who collected the specimen."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="PRT"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=PFM].role"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.collected[x]">
      <path value="Specimen.collection.collected[x]"/> 
      <short value="Collection time"/> 
      <definition value="Time when specimen was collected from subject - the physiologically relevant time."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-17"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.init"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.quantity">
      <path value="Specimen.collection.quantity"/> 
      <short value="The quantity of specimen collected"/> 
      <definition value="The quantity of specimen collected; for instance the volume of a blood sample, or the

       physical measurement of an anatomic pathology sample."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-12"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.method">
      <path value="Specimen.collection.method"/> 
      <short value="Technique used to perform collection"/> 
      <definition value="A coded value specifying the technique that is used to perform the procedure."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenCollectionMethod"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The  technique that is used to perform the procedure"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-collection-method"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-7"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".methodCode"/> 
      </mapping> 
    </element> 
    <element id="Specimen.collection.bodySite">
      <path value="Specimen.collection.bodySite"/> 
      <short value="Anatomical collection site"/> 
      <definition value="Anatomical location from which the specimen was collected (if subject is a patient). This

       is the target site.  This element is not used for environmental specimens."/> 
      <comment value="If the use case requires  BodySite to be handled as a separate resource instead of an
       inline coded element (e.g. to identify and track separately)  then use the standard extension
       [body-site-instance](extension-body-site-instance.html).
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The container holding the specimen.  The recursive nature of containers; i.e. blood in
       tube in tray in rack is not addressed here.
      
      
      
        
      
      
        
        
      
    
    
      
      
      Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier,
       etc. The container ID may differ from the specimen id in some circumstances.
      
      
      
        
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The quantity of specimen in the container; may be volume, dimensions, or other appropriate
       measurements, depending on the specimen type.
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin,
       Citrate, EDTA.
      
      
      
        
      
      
        
        
      
      
        
        
        
          
        
      
      
        
        
      
      
        
        
      
    
  

       [body-site-instance](extension-body-site-instance.html)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="BodySite"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Codes describing anatomical locations. May include laterality."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/body-site"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-8 and SPM-9"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".targetSiteCode"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing">
      <path value="Specimen.processing"/> 
      <short value="Processing and processing step details"/> 
      <definition value="Details concerning processing and processing steps for the specimen."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.description">
      <path value="Specimen.processing.description"/> 
      <short value="Textual description of procedure"/> 
      <definition value="Textual description of procedure."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".text"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.procedure">
      <path value="Specimen.processing.procedure"/> 
      <short value="Indicates the treatment step  applied to the specimen"/> 
      <definition value="A coded value specifying the procedure used to process the specimen."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenProcessingProcedure"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Type indicating the technique used to process the specimen"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-processing-procedure"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.additive">
      <path value="Specimen.processing.additive"/> 
      <short value="Material used in the processing step"/> 
      <definition value="Material used in the processing step."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-6"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".participation[typeCode=CSM].role[classCode=ADTV].code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.processing.time[x]">
      <path value="Specimen.processing.time[x]"/> 
      <short value="Date and time of specimen processing"/> 
      <definition value="A record of the time or period when the specimen processing occurred.  For example the

       time of sample fixation or the period of time the sample was in formalin."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <type> 
        <code value="Period"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".effectiveTime"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container">
      <path value="Specimen.container"/> 
      <short value="Direct container of specimen (tube/slide, etc.)"/> 
      <definition value="The container holding the specimen.  The recursive nature of containers; i.e. blood in

       tube in tray in rack is not addressed here."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".player.scopingRole[classCode=CONT].scoper"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.identifier">
      <path value="Specimen.container.identifier"/> 
      <short value="Id for the container"/> 
      <definition value="Id for container. There may be multiple; a manufacturer's bar code, lab assigned identifier,

       etc. The container ID may differ from the specimen id in some circumstances."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-3"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.description">
      <path value="Specimen.container.description"/> 
      <short value="Textual description of the container"/> 
      <definition value="Textual description of the container."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".desc"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.type">
      <path value="Specimen.container.type"/> 
      <short value="Kind of container directly associated with specimen"/> 
      <definition value="The type of container associated with the specimen (e.g. slide, aliquot, etc.)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenContainerType"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Type of specimen container"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/specimen-container-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SPM-27"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".code"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.capacity">
      <path value="Specimen.container.capacity"/> 
      <short value="Container volume or size"/> 
      <definition value="The capacity (volume or other measure) the container may contain."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.specimenQuantity">
      <path value="Specimen.container.specimenQuantity"/> 
      <short value="Quantity of specimen within container"/> 
      <definition value="The quantity of specimen in the container; may be volume, dimensions, or other appropriate

       measurements, depending on the specimen type."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="Quantity"/> 
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-23 (value) SAC-24 (units"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".playedRole[classCode=CONT].quantity"/> 
      </mapping> 
    </element> 
    <element id="Specimen.container.additive[x]">
      <path value="Specimen.container.additive[x]"/> 
      <short value="Additive associated with container"/> 
      <definition value="Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin,

       Citrate, EDTA."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="SpecimenContainerAdditive"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Substance added to specimen container"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v2-0371"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="v2"/> 
        <map value="SAC-27"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".scopesRole[classCode=ADTV].player"/> 
      </mapping> 
    </element> 
    <element id="Specimen.note">
      <path value="Specimen.note"/> 
      <short value="Comments"/> 
      <definition value="To communicate any details or issues about the specimen or during the specimen collection.

       (for example: broken vial, sent with patient, frozen)."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Annotation"/> 
      </type> 
      <mapping> 
        <identity value="v2"/> 
        <map value="OBX"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;]

        .value"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>