StructureDefinition: QICore-Specimen

QICore-Specimen

Raw XML

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="specimen-qicore-qicore-specimen"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><!-- Snipped for brevity --></div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/specimen-qicore-qicore-specimen"/>
  <name value="QICore-Specimen"/>
  <publisher value="Health Level Seven, Inc. - CQI WG"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/special/committees/CQI"/>
    </telecom>
  </contact>
  <description value="Profile of Specimen for decision support/quality metrics. Defines the core set of elements
   and extensions for quality rule and measure authors."/>
  <status value="draft"/>
  <date value="2015-02-27"/>
  <type value="constraint"/>
  <abstract value="false"/>
  <base value="http://hl7.org/fhir/StructureDefinition/Specimen"/>
  <snapshot>
    <element>
      <path value="Specimen"/>
      <name value="QICore-Specimen"/>
      <short value="Sample for analysis"/>
      <definition value="Sample for analysis."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Specimen"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="Role[classCode=SPEC]"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.id"/>
      <short value="Logical id of this artefact"/>
      <definition value="The logical id of the resource, as used in the url for the resoure. Once assigned, this
       value never changes."/>
      <comments 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. Bundles always have an id, though it is usually a generated
       UUID."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
    </element>
    <element>
      <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"/>
      <type>
        <code value="Meta"/>
      </type>
    </element>
    <element>
      <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."/>
      <comments 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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
    </element>
    <element>
      <path value="Specimen.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comments 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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <name value="Language"/>
        <strength value="required"/>
        <description value="A human language"/>
        <valueSetUri value="http://tools.ietf.org/html/bcp47"/>
      </binding>
    </element>
    <element>
      <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."/>
      <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element>
      <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."/>
      <comments 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="*"/>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <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."/>
      <comments 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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <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."/>
      <comments 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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <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>
    </element>
    <element>
      <path value="Specimen.type"/>
      <short value="Kind of material that forms the specimen"/>
      <definition value="The kind of material that forms the specimen."/>
      <comments 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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <binding>
        <name value="SpecimenType"/>
        <strength value="example"/>
        <description value="The type of the specimen."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/v2/vs/0487"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SPM-4 and possibly SPM-5"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <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 a another specimen."/>
      <comments 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 on
      e of many specimens that were combined to create a pooled sample."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-qicore-qicore-specimen"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value=".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"/>
      </mapping>
    </element>
    <element>
      <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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-qicore-qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/device-qicore-qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-substance"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value=".scoper  or  .scoper.playsRole"/>
      </mapping>
    </element>
    <element>
      <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>
    </element>
    <element>
      <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>
      <mustSupport value="true"/>
      <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>
    </element>
    <element>
      <path value="Specimen.collection"/>
      <short value="Collection details"/>
      <definition value="Details concerning the specimen collection."/>
      <min value="0"/>
      <max value="1"/>
      <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>
      <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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.extension"/>
      <name value="Specimen.collection.specialHandling"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
      </type>
    </element>
    <element>
      <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."/>
      <comments 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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/practitioner-qicore-qicore-practitioner"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="PRT"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PFM].role"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.comment"/>
      <short value="Collector comments"/>
      <definition value="To communicate any details or issues encountered during the specimen collection procedure."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="string"/>
      </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>
    <element>
      <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>
      <mustSupport value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="v2"/>
        <map value="SPM-17"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".effectiveTime"/>
      </mapping>
    </element>
    <element>
      <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"/>
      </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>
      <path value="Specimen.collection.quantity.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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.quantity.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.quantity.extension"/>
      <name value="Specimen.collection.quantity.isDryWeight"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.quantity.value"/>
      <short value="Numerical value (with implicit precision)"/>
      <definition value="The value of the measured amount. The value includes an implicit precision in the presentation
       of the value."/>
      <comments value="The implicit precision in the value should always be honored. Monetary values have their
       own rules for handling precision (refer to standard accounting text books)."/>
      <requirements value="Precision is handled implicitly in almost all cases of measurement."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="decimal"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="SN.2  / CQ - N/A"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.quantity.comparator"/>
      <short value="&lt; | &lt;= | &gt;= | &gt; - how to understand the value"/>
      <definition value="How the value should be understood and represented - whether the actual value is greater
       or less than the stated value due to measurement issues. E.g. if the comparator is &quot;&lt;&quot;
       , then the real value is &lt; stated value."/>
      <comments value="This is labeled as &quot;Is Modifier&quot; because the comparator modifies the interpretation
       of the value significantly. If there is no comparator, then there is no modification of
       the value."/>
      <requirements value="Need a framework for handling measures where the value is &lt;5ug/L or &gt;400mg/L due
       to the limitations of measuring methodology."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <isModifier value="true"/>
      <binding>
        <name value="QuantityComparator"/>
        <strength value="required"/>
        <description value="How the Quantity should be understood and represented"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/quantity-comparator"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SN.1  / CQ.1"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="IVL properties"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.quantity.units"/>
      <short value="Unit representation"/>
      <definition value="A human-readable form of the units."/>
      <requirements value="There are many representations for units and in many contexts, particular representations
       are fixed and required. I.e. mcg for micrograms."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.unit"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.quantity.system"/>
      <short value="System that defines coded unit form"/>
      <definition value="The identification of the system that provides the coded form of the unit."/>
      <requirements value="Need to know the system that defines the coded form of the unit."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="uri"/>
      </type>
      <condition value="qty-3"/>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="CO.codeSystem, PQ.translation.codeSystem"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.quantity.code"/>
      <short value="Coded form of the unit"/>
      <definition value="A computer processable form of the units in some unit representation system."/>
      <comments value="The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or
       ISO 4217 for currency.  The context of use may additionally require a code from a particular
       system."/>
      <requirements value="Need a computable form of the units that is fixed across all forms. UCUM provides this
       for quantities, but SNOMED CT provides many units of interest."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="code"/>
      </type>
      <mapping>
        <identity value="v2"/>
        <map value="(see OBX.6 etc) / CQ.2"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="PQ.code, MO.currency, PQ.translation.code"/>
      </mapping>
    </element>
    <element>
      <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>
        <name value="SpecimenCollectionMethod"/>
        <strength value="example"/>
        <description value="The  technique that is used to perform the procedure"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/specimen-collection-method"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SPM-7"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".methodCode"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.collection.bodySite[x]"/>
      <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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/bodysite-qicore-qicore-bodysite"/>
      </type>
      <mustSupport value="true"/>
      <binding>
        <name value="BodySite"/>
        <strength value="example"/>
        <description value="Codes describing anatomical locations. May include laterality"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/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>
      <path value="Specimen.treatment"/>
      <short value="Treatment and processing step details"/>
      <definition value="Details concerning treatment and processing steps for the specimen."/>
      <min value="0"/>
      <max value="*"/>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.treatment.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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.treatment.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Specimen.treatment.extension"/>
      <name value="Specimen.treatment.treatmentTime"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-treatmentTime"/>
      </type>
    </element>
    <element>
      <path value="Specimen.treatment.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."/>
      <comments 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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.treatment.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>
      <path value="Specimen.treatment.procedure"/>
      <short value="Indicates the treatment or processing 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>
      <mustSupport value="true"/>
      <binding>
        <name value="SpecimenTreatmentProcedure"/>
        <strength value="example"/>
        <description value="Type indicating the technique used to process the specimen"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/specimen-treatment-procedure"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.treatment.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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-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>
      <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="*"/>
      <mapping>
        <identity value="rim"/>
        <map value=".player.scopingRole[classCode=CONT].scoper"/>
      </mapping>
    </element>
    <element>
      <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)."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="id"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element>
      <path value="Specimen.container.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
    </element>
    <element>
      <path value="Specimen.container.extension"/>
      <name value="Specimen.container.sequenceNumber"/>
      <short value="Extension"/>
      <definition value="An Extension"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
      </type>
    </element>
    <element>
      <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."/>
      <comments 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."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element>
      <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>
      <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>
      <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>
        <name value="SpecimenContainerType"/>
        <strength value="example"/>
        <description value="Type of specimen container"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/vs/specimen-container-type"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SPM-27"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".code"/>
      </mapping>
    </element>
    <element>
      <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"/>
      </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>
      <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"/>
      </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>
      <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"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-substance"/>
      </type>
      <binding>
        <name value="SpecimenContainerAdditive"/>
        <strength value="example"/>
        <description value="Substance added to specimen container"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/v2/vs/0371"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="v2"/>
        <map value="SAC-27"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".scopesRole[classCode=ADTV].player"/>
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element>
      <path value="Specimen"/>
      <name value="QICore-Specimen"/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Specimen"/>
      </type>
    </element>
    <element>
      <path value="Specimen.type"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.parent"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-qicore-qicore-specimen"/>
      </type>
    </element>
    <element>
      <path value="Specimen.subject"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/patient-qicore-qicore-patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/device-qicore-qicore-device"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-substance"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.receivedTime"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.collection"/>
    </element>
    <element>
      <path value="Specimen.collection.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
    </element>
    <element>
      <path value="Specimen.collection.extension"/>
      <name value="Specimen.collection.specialHandling"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.collector"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/practitioner-qicore-qicore-practitioner"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.collected[x]"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.collection.quantity"/>
    </element>
    <element>
      <path value="Specimen.collection.quantity.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
    </element>
    <element>
      <path value="Specimen.collection.quantity.extension"/>
      <name value="Specimen.collection.quantity.isDryWeight"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-isDryWeight"/>
      </type>
    </element>
    <element>
      <path value="Specimen.collection.bodySite[x]"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/bodysite-qicore-qicore-bodysite"/>
      </type>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.treatment"/>
    </element>
    <element>
      <path value="Specimen.treatment.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
    </element>
    <element>
      <path value="Specimen.treatment.extension"/>
      <name value="Specimen.treatment.treatmentTime"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-treatmentTime"/>
      </type>
    </element>
    <element>
      <path value="Specimen.treatment.procedure"/>
      <mustSupport value="true"/>
    </element>
    <element>
      <path value="Specimen.treatment.additive"/>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-substance"/>
      </type>
    </element>
    <element>
      <path value="Specimen.container"/>
    </element>
    <element>
      <path value="Specimen.container.extension"/>
      <slicing>
        <discriminator value="url"/>
        <ordered value="false"/>
        <rules value="open"/>
      </slicing>
    </element>
    <element>
      <path value="Specimen.container.extension"/>
      <name value="Specimen.container.sequenceNumber"/>
      <type>
        <code value="Extension"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/specimen-sequenceNumber"/>
      </type>
    </element>
    <element>
      <path value="Specimen.container.additive[x]"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <type>
        <code value="Reference"/>
        <profile value="http://hl7.org/fhir/StructureDefinition/substance-qicore-qicore-substance"/>
      </type>
    </element>
  </differential>
</StructureDefinition>