Release 5 Snapshot #1

This page is part of the FHIR Specification (v5.0.0-snapshot1: Release 5 Snapshot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Conceptmap2-example-specimen-type

Vocabulary Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile ConceptMap2.


Generated Narrative

Resource "102"

url: http://hl7.org/fhir/ConceptMap/102

version: 20130725

name: Specimen mapping from v2 table 0487 to SNOMED CT

status: draft

experimental: false

date: 2013-07-25

publisher: FHIR project team (original source: LabMCoP)

contact: http://hl7.org/fhir, http://www.phconnect.org/group/laboratorymessagingcommunityofpractice/forum/attachment/download?id=3649725%3AUploadedFile%3A145786

source: http://terminology.hl7.org/ValueSet/v2-0487

target: http://snomed.info/sct?fhir_vs

group

source: http://terminology.hl7.org/CodeSystem/v2-0487

target: http://snomed.info/sct

element

code: ACNE

Targets

-CodeRelationship
*309068002equivalent

element

code: ACNFLD

target

code: 119323008

relationship: equivalent

comment: HL7 term is a historical term. mapped to Pus

element

code: AIRS

Targets

-CodeRelationship
*446302006equivalent

element

code: ALL

target

code: 119376003

relationship: equivalent

element

code: AMP

target

code: 408654003

relationship: equivalent

element

code: ANGI

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: ARTC

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: ASERU

Targets

-RelationshipComment
*not-related-topending

element

code: ASP

target

code: 119295008

relationship: equivalent

element

code: ATTE

Targets

-RelationshipComment
*not-related-toTBD

element

code: AUTOC

Targets

-RelationshipComment
*not-related-toTBD

element

code: AUTP

Targets

-RelationshipComment
*not-related-toThis really is not a specimen per se - it is the state of the subject from whom the specimen is collected, so it should be used as a specimen type modifier ONLY!. Often this is indicated with a special medical record number or other notation on the patient. needs to have specimen type (e.g. SPM-4) and source site (SPM.8) and spatial orientation (SPM.9)

element

code: BBL

Targets

-CodeRelationship
*119304001equivalent

element

code: BCYST

target

relationship: not-related-to

comment: submitted (PLR155) with parent of 167874004^knee joint synovial fluid (specimen), with specimen source topography 32361000^Popliteal fossa structure (body structure)

element

code: BITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent 119365002

element

code: BLEB

target

code: 309049000

relationship: equivalent

element

code: BLIST

target

code: 309049000

relationship: equivalent

element

code: BOIL

target

code: 119295008

relationship: equivalent

element

code: BON

Targets

-CodeRelationship
*430268003equivalent

element

code: BOWL

Targets

-RelationshipComment
*not-related-toDon't use this term for human samples - use Stool instead. animal would use small intestinal contents, large intestinal contents

element

code: BPU

Targets

-CodeRelationship
*119300005equivalent

element

code: BRN

Targets

-CodeRelationship
*119367005equivalent

element

code: BRSH

target

code: 258415003

relationship: equivalent

element

code: BRTH

Targets

-CodeRelationship
*119336008equivalent

element

code: BRUS

target

code: 309176002

relationship: equivalent

element

code: BUB

target

code: 302795002

relationship: equivalent

element

code: BULLA

target

code: 258482009

relationship: equivalent

element

code: BX

target

code: 258415003

relationship: equivalent

element

code: CALC

Targets

-CodeRelationship
*119350003equivalent

element

code: CARBU

target

code: 309051001

relationship: equivalent

element

code: CAT

Targets

-CodeRelationship
*119311002equivalent

element

code: CBITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent 119365002

element

code: CLIPP

Targets

-CodeRelationshipComment
*119327009equivalentBe more specific use either: 119326000^hair specimen or 119327009^nail specimen

element

code: CNJT

Targets

-CodeRelationship
*119401005equivalent

element

code: CNJT

Targets

-CodeRelationship
*128160006equivalent

element

code: CNJT

Targets

-CodeRelationship
*258498002equivalent

element

code: COL

Targets

-CodeRelationship
*119329007equivalent

element

code: CONE

target

code: 399713008

relationship: equivalent

element

code: CSCR

Targets

-RelationshipComment
*not-related-tosubmit for new term with parent 119365002^Specimen from wound (specimen)

element

code: CSERU

Targets

-RelationshipComment
*not-related-topending

element

code: CSITE

target

code: 258507003

relationship: equivalent

comment: Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora

element

code: CSMY

Targets

-CodeRelationship
*309051001equivalent

element

code: CST

Targets

-CodeRelationship
*258453008equivalent

element

code: CSVR

Targets

-RelationshipComment
*not-related-toTBD - may use blood and SPM-6

element

code: CTP

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: CVPS

Targets

-CodeRelationship
*258507003equivalent

element

code: CVPT

target

code: 119312009

relationship: equivalent

comment: TBD in detail

element

code: CYN

target

code: 119368000

relationship: equivalent

element

code: CYST

Targets

-CodeRelationship
*119368000equivalent

element

code: DBITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent 119365002

element

code: DCS

Targets

-CodeRelationship
*119335007equivalent

element

code: DEC

Targets

-CodeRelationship
*258505006equivalent

element

code: DEION

Targets

-RelationshipComment
*not-related-toTBD

element

code: DIA

Targets

-CodeRelationship
*119360007equivalent

element

code: DISCHG

Targets

-CodeRelationship
*258439008equivalent

element

code: DIV

target

code: 119376003

relationship: equivalent

element

code: DRN

Targets

-CodeRelationship
*119306004equivalent

element

code: DRNG

target

code: 258455001

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead: not an acceptable specimen for micro - not specific enough term

element

code: DRNGP

target

code: 309051001

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: EARW

Targets

-CodeRelationship
*122580007equivalent

element

code: EBRUSH

target

code: 309210009

relationship: equivalent

element

code: EEYE

Targets

-RelationshipComment
*not-related-toTBD

element

code: EFF

Targets

-RelationshipComment
*not-related-toTBD

element

code: EFFUS

Targets

-CodeRelationship
*258440005equivalent

element

code: EFOD

Targets

-CodeRelationship
*119320006equivalent

element

code: EISO

Targets

-CodeRelationship
*258536003equivalent

element

code: ELT

Targets

-CodeRelationship
*119314005equivalent

element

code: ENVIR

Targets

-CodeRelationship
*119324002equivalent

element

code: EOTH

Targets

-RelationshipComment
*not-related-toTBD

element

code: ESOI

Targets

-RelationshipComment
*not-related-toTBD

element

code: ESOS

Targets

-RelationshipComment
*not-related-toTBD

element

code: ETA

target

code: 119307008

relationship: equivalent

element

code: ETTP

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: ETTUB

target

code: 119307008

relationship: equivalent

element

code: EWHI

Targets

-RelationshipComment
*not-related-toTBD

element

code: EXG

Targets

-CodeRelationship
*119336008equivalent

element

code: EXS

Targets

-RelationshipComment
*not-related-toTBD

element

code: EXUDTE

Targets

-CodeRelationship
*258441009equivalent

element

code: FAW

Targets

-RelationshipComment
*not-related-toTBD

element

code: FBLOOD

target

code: 119297000

relationship: equivalent

element

code: FGA

target

code: 168139001

relationship: equivalent

element

code: FIST

Targets

-CodeRelationship
*119370009equivalent

element

code: FLD

Targets

-CodeRelationship
*309051001equivalent

element

code: FLT

Targets

-RelationshipComment
*not-related-toTBD

element

code: FLU

Targets

-CodeRelationship
*309051001equivalent

element

code: FLUID

Targets

-CodeRelationship
*258442002equivalent

element

code: FOLEY

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: FRS

target

code: 258442002

relationship: equivalent

comment: this term is not specific enough, choose from terms that more accurately describe the specimen

element

code: FSCLP

target

code: 309502007

relationship: equivalent

element

code: FUR

target

code: 119295008

relationship: equivalent

comment: Further describe the sample as tissue or pus. or by the collection method. The term boil is not specific to a body site - need to indicate source site (spm.8). preferred term is Aspirate_Boil

element

code: GAS

Targets

-CodeRelationship
*119317003equivalent

element

code: GASA

target

code: 168137004

relationship: equivalent

element

code: GASAN

target

code: 119379005

relationship: equivalent

element

code: GASBR

target

code: 309213006

relationship: equivalent

element

code: GASD

target

code: 258459007

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: GAST

Targets

-CodeRelationship
*258459007equivalent

element

code: GENV

Targets

-CodeRelationship
*119394009equivalent

element

code: GRAFT

Targets

-CodeRelationship
*440493002equivalent

element

code: GRANU

target

code: 119376003

relationship: equivalent

element

code: GROSH

Targets

-CodeRelationshipComment
*119311002equivalentTBD in detail

element

code: GSOL

Targets

-RelationshipComment
*not-related-toTBD

element

code: GSPEC

target

code: 309211008

relationship: equivalent

element

code: GT

Targets

-RelationshipComment
*not-related-toTBD

element

code: GTUBE

target

code: 258459007

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: HBITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent 119365002

element

code: HBLUD

target

code: 119297000

relationship: equivalent

element

code: HEMAQ

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: HEMO

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: HERNI

Targets

-CodeRelationship
*119376003equivalent

element

code: HEV

Targets

-CodeRelationship
*119306004equivalent

element

code: HIC

target

code: 119312009

relationship: equivalent

comment: TBD in detail

element

code: HYDC

target

code: 309051001

relationship: equivalent

element

code: IBITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent 119365002

element

code: ICYST

Targets

-CodeRelationship
*309075001equivalent

element

code: IDC

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: IHG

Targets

-CodeRelationship
*119337004equivalent

element

code: ILEO

target

code: 258455001

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample

element

code: ILLEG

Targets

-RelationshipComment
*not-related-toTBD

element

code: IMP

Targets

-CodeRelationship
*439961009equivalent

element

code: INCI

Targets

-CodeRelationship
*438660002equivalent

element

code: INFIL

Targets

-RelationshipComment
*not-related-toThis describes a morphologic abnormality, not a sample

element

code: INS

Targets

-CodeRelationship
*258614005equivalent

element

code: INTRD

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: IT

Targets

-CodeRelationship
*119307008equivalent

element

code: IUD

Targets

-RelationshipComment
*not-related-topending

element

code: IVCAT

target

code: 119312009

relationship: equivalent

comment: TBD in detail

element

code: IVFLD

Targets

-CodeRelationship
*258649003equivalent

element

code: IVTIP

Targets

-CodeRelationship
*119312009equivalent

element

code: JEJU

target

code: 258463000

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample

element

code: JNTFLD

Targets

-CodeRelationship
*119332005equivalent

element

code: JP

target

code: 309051001

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: KELOI

target

code: 440674008

relationship: equivalent

element

code: KIDFLD

target

code: 309051001

relationship: equivalent

element

code: LAVG

target

code: 258607008

relationship: equivalent

element

code: LAVGG

target

code: 168138009

relationship: equivalent

element

code: LAVGP

Targets

-CodeRelationship
*440137008equivalent

element

code: LAVPG

target

code: 440674008

relationship: equivalent

element

code: LENS1

Targets

-CodeRelationship
*440473005equivalent

element

code: LENS2

Targets

-RelationshipComment
*not-related-toTBD

element

code: LESN

Targets

-CodeRelationshipComment
*309049000equivalentshould be more specific what kind of lesion is observed - be more specific is it a wound, abscess, mass - specify! Ask SNOMED CT to mark it as a grouper term only (309049000)

element

code: LIQ

Targets

-CodeRelationship
*258442002equivalent

element

code: LIQO

Targets

-RelationshipComment
*not-related-toTBD

element

code: LSAC

target

code: 258450006

relationship: equivalent

comment: The HL7 term is a historical term Mapped to CSF obtained by lumbar puncture

element

code: MAHUR

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: MASS

target

code: 420548004

relationship: equivalent

element

code: MBLD

Targets

-CodeRelationship
*119345009equivalent

element

code: MUCOS

target

code: 119376003

relationship: equivalent

element

code: MUCUS

Targets

-CodeRelationship
*258483004equivalent

element

code: NASDR

target

code: 258474009

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: NEDL

Targets

-RelationshipComment
*not-related-toTBD

element

code: NEPH

Targets

-CodeRelationship
*438660002equivalent

element

code: NGASP

target

code: 302794003

relationship: equivalent

element

code: NGAST

target

code: 258459007

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: NGS

Targets

-CodeRelationship
*438660002equivalent

element

code: NODUL

Targets

-RelationshipComment
*not-related-topending

element

code: NSECR

Targets

-CodeRelationship
*168141000equivalent

element

code: ORH

Targets

-CodeRelationship
*123038009equivalent

element

code: ORL

target

relationship: not-related-to

comment: be more precise use ulcer, tumor, vesicle

element

code: OTH

Targets

-CodeRelationship
*123038009equivalent

element

code: PACEM

Targets

-RelationshipComment
*not-related-toTBD

element

code: PCFL

Targets

-CodeRelationship
*122571007equivalent

element

code: PDSIT

Targets

-CodeRelationship
*438660002equivalent

element

code: PDTS

Targets

-RelationshipComment
*not-related-tosubmitted for code

element

code: PELVA

target

code: 119371008

relationship: equivalent

element

code: PENIL

target

relationship: not-related-to

comment: need to know what kind of lesion, so map to: UlcerTissue_penile, VesicleFluid_penile, Wound_penile, Mass tissue_penile, Necrotic tissue_penile, AbscessAspirate_penile, Anything else?

element

code: PERIA

target

code: 119371008

relationship: equivalent

element

code: PILOC

Targets

-CodeRelationship
*119368000equivalent

element

code: PINS

Targets

-CodeRelationship
*438660002equivalent

element

code: PIS

Targets

-CodeRelationship
*258507003equivalent

element

code: PLAN

Targets

-CodeRelationship
*119301009equivalent

element

code: PLAS

Targets

-CodeRelationship
*119361006equivalent

element

code: PLB

Targets

-CodeRelationship
*119305000equivalent

element

code: PLEVS

target

code: 119364003

relationship: equivalent

element

code: PND

target

code: 258439008

relationship: equivalent

comment: Historical term -though in this case more often used for discharge

element

code: POL

target

code: 119376003

relationship: equivalent

element

code: POPGS

target

code: 440493002

relationship: equivalent

element

code: POPLG

target

code: 440493002

relationship: equivalent

element

code: POPLV

Targets

-RelationshipComment
*not-related-toTBD

element

code: PORTA

Targets

-CodeRelationshipComment
*119311002equivalentTBD in detail

element

code: PPP

Targets

-CodeRelationship
*119362004equivalent

element

code: PROST

Targets

-CodeRelationship
*438660002equivalent

element

code: PRP

Targets

-CodeRelationship
*119363009equivalent

element

code: PSC

Targets

-CodeRelationship
*119368000equivalent

element

code: PUNCT

target

code: 119365002

relationship: equivalent

element

code: PUS

Targets

-CodeRelationship
*119323008equivalent

element

code: PUSFR

target

code: 119323008

relationship: equivalent

element

code: PUST

target

code: 119323008

relationship: equivalent

element

code: QC3

Targets

-RelationshipComment
*not-related-toTBD

element

code: RANDU

Targets

-CodeRelationship
*278020009equivalent

element

code: RBITE

Targets

-RelationshipComment
*not-related-toSubmit for new term with parent: 119365002

element

code: RECT

target

code: 119339001

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead: stool is what is expected, should use stool sample

element

code: RECTA

target

code: 119371008

relationship: equivalent

element

code: RENALC

target

code: 258420003

relationship: equivalent

element

code: RENC

target

code: 258453008

relationship: equivalent

element

code: RES

Targets

-CodeRelationship
*258603007equivalent

element

code: SAL

Targets

-CodeRelationship
*119342007equivalent

element

code: SCAR

Targets

-CodeRelationship
*119376003equivalent

element

code: SCLV

target

code: 119312009

relationship: equivalent

comment: TBD in detail

element

code: SCROA

target

code: 119371008

relationship: equivalent

element

code: SECRE

Targets

-CodeRelationship
*432825001equivalent

element

code: SER

Targets

-CodeRelationship
*119364003equivalent

element

code: SHU

target

code: 119295008

relationship: equivalent

comment: Preferred is aspiration with sterile syringe from inflamed area. Specify body location of shunt site

element

code: SHUNF

target

code: 446861007

relationship: equivalent

element

code: SHUNT

Targets

-RelationshipComment
*not-related-toTBD

element

code: SITE

Targets

-RelationshipComment
*not-related-toTBD

element

code: SKBP

target

code: 309066003

relationship: equivalent

element

code: SKN

Targets

-CodeRelationship
*119325001equivalent

element

code: SMM

target

code: 420548004

relationship: equivalent

element

code: SNV

Targets

-CodeRelationship
*119332005equivalent

element

code: SPRM

Targets

-CodeRelationship
*119349003equivalent

element

code: SPRP

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: SPRPB

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: SPS

Targets

-RelationshipComment
*not-related-toTBD

element

code: SPT

Targets

-CodeRelationship
*119334006equivalent

element

code: SPTC

Targets

-CodeRelationship
*119335007equivalent

element

code: SPTT

Targets

-CodeRelationship
*258609006equivalent

element

code: SPUT1

Targets

-RelationshipComment
*not-related-toTBD

element

code: SPUTIN

Targets

-CodeRelationship
*258610001equivalent

element

code: SPUTSP

Targets

-CodeRelationship
*119335007equivalent

element

code: STER

Targets

-RelationshipComment
*not-related-toTBD

element

code: STL

Targets

-CodeRelationship
*119339001equivalent

element

code: STONE

target

code: 119350003

relationship: equivalent

element

code: SUBMA

target

code: 119371008

relationship: equivalent

element

code: SUBMX

target

code: 119371008

relationship: equivalent

element

code: SUMP

target

code: 446562005

relationship: equivalent

comment: Historical term - consider what is being drained and indicate that in SPM-4 instead

element

code: SUP

target

code: 122575003

relationship: equivalent

element

code: SUTUR

Targets

-RelationshipComment
*not-related-toTBD

element

code: SWGZ

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: TASP

target

code: 122877000

relationship: equivalent

element

code: TISS

Targets

-CodeRelationship
*119376003equivalent

element

code: TISU

Targets

-CodeRelationship
*122593002equivalent

element

code: TLC

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: TRAC

Targets

-CodeRelationship
*438660002equivalent

element

code: TRANS

Targets

-CodeRelationship
*258538002equivalent

element

code: TSERU

target

code: 119364003

relationship: equivalent

element

code: TSTES

target

code: 119371008

relationship: equivalent

element

code: TTRA

target

code: 258480001

relationship: equivalent

element

code: TUBES

Targets

-CodeRelationship
*119310001equivalent

element

code: TUMOR

Targets

-CodeRelationship
*258435002equivalent

element

code: TZANC

Targets

-RelationshipComment
*not-related-toThis is the name of a lab test. A skin sample is examined for viral inclusions.

element

code: UDENT

Targets

-CodeRelationship
*123038009equivalent

element

code: UR

Targets

-CodeRelationship
*122575003equivalent

element

code: URC

Targets

-CodeRelationship
*122880004equivalent

element

code: URINB

target

code: 122575003

relationship: equivalent

element

code: URINC

Targets

-CodeRelationship
*446846006equivalent

element

code: URINM

target

code: 258574006

relationship: equivalent

element

code: URINN

target

code: 446277003

relationship: equivalent

element

code: URINP

Targets

-RelationshipComment
*not-related-toTBD

element

code: URT

Targets

-CodeRelationship
*122565001equivalent

element

code: USCOP

target

relationship: not-related-to

comment: NEW specimenTERM 7

element

code: USPEC

Targets

-CodeRelationship
*123038009equivalent

element

code: VASTIP

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: VENT

Targets

-CodeRelationshipComment
*119312009equivalentTBD in detail

element

code: VITF

Targets

-CodeRelationship
*258438000equivalent

element

code: VOM

Targets

-CodeRelationship
*122572000equivalent

element

code: WASH

Targets

-CodeRelationship
*440674008equivalent

element

code: WASI

Targets

-CodeRelationship
*122609004equivalent

element

code: WAT

Targets

-CodeRelationship
*119318008equivalent

element

code: WB

Targets

-RelationshipComment
*not-related-toBloodbanking term ONLY now map to blood and the respective preservative

element

code: WEN

Targets

-CodeRelationship
*309075001equivalent

element

code: WICK

Targets

-RelationshipComment
*not-related-toTBD

element

code: WND

Targets

-CodeRelationship
*119365002equivalent

element

code: WNDA

Targets

-CodeRelationship
*119366001equivalent

element

code: WNDD

target

code: 122566000

relationship: equivalent

element

code: WNDE

Targets

-CodeRelationship
*122568004equivalent

element

code: WORM

Targets

-CodeRelationship
*258618008equivalent

element

code: WRT

Targets

-CodeRelationship
*309068002equivalent

element

code: WWA

Targets

-CodeRelationship
*119318008equivalent

element

code: WWO

Targets

-RelationshipComment
*not-related-toTBD

element

code: WWT

Targets

-RelationshipComment
*not-related-toTBD

element

code: CSITE

target

relationship: not-related-to

comment: Prefer to have aspirate of the pus oozing out from cleaned insertion site - if swab is all that can be obtained, then swab after cleaning, otherwise you may get a contaminated specimen and a falsely identified infected central line. Do not just swab the reddened area - that will just collect skin flora

element

code: CLIPP

target

relationship: not-related-to

comment: Be more specific use either: 119326000^hair specimen, or 119327009^nail specimen

element

code: SHU

target

relationship: not-related-to

comment: assume swab from shunt site for mapping here - clean surface of skin prior to expressing the shunt site - preferred is aspiration with sterile syringe should use SPM.8 to specify body approximate match location of shunt site


 

 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.