HL7 FHIR Implementation Guide: Breast Cancer Data, Release 1 - US Realm (Draft for Comment 2)

This page is part of the Breast Cancer Data Logical Models and FHIR Profiles (v0.2.0: STU 1 Draft) based on FHIR R3. . For a full list of available versions, see the Directory of published versions

BreastSpecimenModel


<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="oncology-BreastSpecimen-model"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
  <p><b>BC BreastSpecimen Logical Model</b></p>
  <p>Specimen resulting from biopsy or excision of breast and surrounding tissue.</p>
</div>
  </text>
  <url
       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen-model"/>
  <identifier>
    <system value="http://hl7.org/fhir/us/breastcancer"/>
    <value value="oncology.BreastSpecimen"/>
  </identifier>
  <version value="0.2.0"/>
  <name value="BreastSpecimenModel"/>
  <title value="BC BreastSpecimen Logical Model"/>
  <status value="draft"/>
  <date value="2018-08-17T00:00:00+10:00"/>
  <publisher
             value="The HL7 Cancer Interoperability Group sponsored by Clinical Interoperability Council Work Group (CIC)"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cic/index.cfm"/>
    </telecom>
  </contact>
  <description
               value="Specimen resulting from biopsy or excision of breast and surrounding tissue."/>
  <kind value="logical"/>
  <abstract value="false"/>
  <type value="oncology-BreastSpecimen-model"/>
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element"/>
  <derivation value="specialization"/>
  <snapshot>
    <element id="oncology-BreastSpecimen-model">
      <path value="oncology-BreastSpecimen-model"/>
      <definition
                  value="Specimen resulting from biopsy or excision of breast and surrounding tissue."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.accessionIdentifier">
      <path value="oncology-BreastSpecimen-model.accessionIdentifier"/>
      <short value="Identifier assigned by the lab"/>
      <definition value="Identifier assigned by the lab"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.accessionIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-AccessionIdentifier-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenStatus">
      <path value="oncology-BreastSpecimen-model.specimenStatus"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0449438"/>
      </code>
      <short value="State of the specimen, such as obtained, processed, used."/>
      <definition
                  value="State of the specimen, such as obtained, processed, used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/specimen-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.type">
      <path value="oncology-BreastSpecimen-model.type"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0332307"/>
      </code>
      <short
             value="The most specific code (lowest level term) describing the kind or sort of thing being represented."/>
      <definition
                  value="The most specific code (lowest level term) describing the kind or sort of thing being represented."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastSpecimenTypeVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionSource">
      <path value="oncology-BreastSpecimen-model.collectionSource"/>
      <short value="The person or thing the sample was obtained from."/>
      <definition value="The person or thing the sample was obtained from."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionSource"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Patient-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Group-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Device-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Substance-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionTime">
      <path value="oncology-BreastSpecimen-model.collectionTime"/>
      <short
             value="When the sample was obtained, as a specific time or time period."/>
      <definition
                  value="When the sample was obtained, as a specific time or time period."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionMethod">
      <path value="oncology-BreastSpecimen-model.collectionMethod"/>
      <short value="How the specimen was obtained."/>
      <definition value="How the specimen was obtained."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastSpecimenCollectionMethodVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionSite">
      <path value="oncology-BreastSpecimen-model.collectionSite"/>
      <short value="The body site where specimen was collected"/>
      <definition value="The body site where specimen was collected"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionSite"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.sourceSpecimen">
      <path value="oncology-BreastSpecimen-model.sourceSpecimen"/>
      <short
             value="Identifier for the source specimen from which this specimen was derived."/>
      <definition
                  value="Identifier for the source specimen from which this specimen was derived."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.sourceSpecimen"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.receivedTime">
      <path value="oncology-BreastSpecimen-model.receivedTime"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C2735124"/>
      </code>
      <short
             value="Time the item was delivered to, or accepted by, the receiving facility or unit."/>
      <definition
                  value="Time the item was delivered to, or accepted by, the receiving facility or unit."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.receivedTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenContainer">
      <path value="oncology-BreastSpecimen-model.specimenContainer"/>
      <short value="Direct container of specimen (tube&amp;#47;slide, etc.)"/>
      <definition
                  value="Direct container of specimen (tube&amp;#47;slide, etc.)"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenContainer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-SpecimenContainer-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenTreatment">
      <path value="oncology-BreastSpecimen-model.specimenTreatment"/>
      <short value="Treatment performed on the specimen."/>
      <definition value="Treatment performed on the specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenTreatment"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-SpecimenTreatment-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.handlingRisk">
      <path value="oncology-BreastSpecimen-model.handlingRisk"/>
      <short value="Cautions on the handling of this specimen."/>
      <definition value="Cautions on the handling of this specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.handlingRisk"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specialHandling">
      <path value="oncology-BreastSpecimen-model.specialHandling"/>
      <short value="Information about the proper handling of the specimen."/>
      <definition value="Information about the proper handling of the specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specialHandling"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.tumorIdentifier">
      <path value="oncology-BreastSpecimen-model.tumorIdentifier"/>
      <short
             value="A human-readable identifier for the lesion; e.g., a letter or integer."/>
      <definition
                  value="A human-readable identifier for the lesion; e.g., a letter or integer."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.tumorIdentifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.coldIschemiaTime">
      <path value="oncology-BreastSpecimen-model.coldIschemiaTime"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C1948053"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="44778-9"/>
        <display value="Cold ischemic time {Organ}"/>
      </code>
      <short
             value="The time period between the chilling of a tissue or tissue sample and the time it is warmed."/>
      <definition
                  value="The time period between the chilling of a tissue or tissue sample and the time it is warmed.
CIMI Alignment: In CIMI Version 0.0.4, specimen processing is represented as a &#39;SpecimenProcessingPerformed&#39; clinical statement, mapped to FHIR Procedure. However, specimen processing maps to FHIR Specimen.processing, part of the Specimen resource. It would be a difficult mapping exercise (and beyond the scope of this IG) to express the mapping rule that any CIMI SpecimenProcessingPerformed clinical statement needs to mapped to FHIR by (1) finding the corresponding Specimen entity, and (2) mapping the content of (possibly multiple) SpecimenProcessingPerformed into the FHIR Specimen resource. To avoid this complexity, the breast cancer model expresses the cold ischemia time as an attribute of the BreastSpecimen rather than a separate procedure."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.coldIschemiaTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </snapshot>
  <differential>
    <element id="oncology-BreastSpecimen-model">
      <path value="oncology-BreastSpecimen-model"/>
      <definition
                  value="Specimen resulting from biopsy or excision of breast and surrounding tissue."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.accessionIdentifier">
      <path value="oncology-BreastSpecimen-model.accessionIdentifier"/>
      <short value="Identifier assigned by the lab"/>
      <definition value="Identifier assigned by the lab"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.accessionIdentifier"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-AccessionIdentifier-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenStatus">
      <path value="oncology-BreastSpecimen-model.specimenStatus"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0449438"/>
      </code>
      <short value="State of the specimen, such as obtained, processed, used."/>
      <definition
                  value="State of the specimen, such as obtained, processed, used."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenStatus"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/specimen-status"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.type">
      <path value="oncology-BreastSpecimen-model.type"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C0332307"/>
      </code>
      <short
             value="The most specific code (lowest level term) describing the kind or sort of thing being represented."/>
      <definition
                  value="The most specific code (lowest level term) describing the kind or sort of thing being represented."/>
      <min value="1"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.type"/>
        <min value="1"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastSpecimenTypeVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionSource">
      <path value="oncology-BreastSpecimen-model.collectionSource"/>
      <short value="The person or thing the sample was obtained from."/>
      <definition value="The person or thing the sample was obtained from."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionSource"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Patient-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Group-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Device-model"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-Substance-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionTime">
      <path value="oncology-BreastSpecimen-model.collectionTime"/>
      <short
             value="When the sample was obtained, as a specific time or time period."/>
      <definition
                  value="When the sample was obtained, as a specific time or time period."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionMethod">
      <path value="oncology-BreastSpecimen-model.collectionMethod"/>
      <short value="How the specimen was obtained."/>
      <definition value="How the specimen was obtained."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionMethod"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
      <binding>
        <strength value="required"/>
        <valueSetReference>
          <reference
                     value="http://hl7.org/fhir/us/breastcancer/ValueSet/oncology-BreastSpecimenCollectionMethodVS"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="oncology-BreastSpecimen-model.collectionSite">
      <path value="oncology-BreastSpecimen-model.collectionSite"/>
      <short value="The body site where specimen was collected"/>
      <definition value="The body site where specimen was collected"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.collectionSite"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSite-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.sourceSpecimen">
      <path value="oncology-BreastSpecimen-model.sourceSpecimen"/>
      <short
             value="Identifier for the source specimen from which this specimen was derived."/>
      <definition
                  value="Identifier for the source specimen from which this specimen was derived."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.sourceSpecimen"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/oncology-BreastSpecimen-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.receivedTime">
      <path value="oncology-BreastSpecimen-model.receivedTime"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C2735124"/>
      </code>
      <short
             value="Time the item was delivered to, or accepted by, the receiving facility or unit."/>
      <definition
                  value="Time the item was delivered to, or accepted by, the receiving facility or unit."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.receivedTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="dateTime"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenContainer">
      <path value="oncology-BreastSpecimen-model.specimenContainer"/>
      <short value="Direct container of specimen (tube&amp;#47;slide, etc.)"/>
      <definition
                  value="Direct container of specimen (tube&amp;#47;slide, etc.)"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenContainer"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Reference"/>
        <targetProfile
                       value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-SpecimenContainer-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specimenTreatment">
      <path value="oncology-BreastSpecimen-model.specimenTreatment"/>
      <short value="Treatment performed on the specimen."/>
      <definition value="Treatment performed on the specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specimenTreatment"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/cimi-entity-SpecimenTreatment-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.handlingRisk">
      <path value="oncology-BreastSpecimen-model.handlingRisk"/>
      <short value="Cautions on the handling of this specimen."/>
      <definition value="Cautions on the handling of this specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.handlingRisk"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.specialHandling">
      <path value="oncology-BreastSpecimen-model.specialHandling"/>
      <short value="Information about the proper handling of the specimen."/>
      <definition value="Information about the proper handling of the specimen."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.specialHandling"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Coding"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.tumorIdentifier">
      <path value="oncology-BreastSpecimen-model.tumorIdentifier"/>
      <short
             value="A human-readable identifier for the lesion; e.g., a letter or integer."/>
      <definition
                  value="A human-readable identifier for the lesion; e.g., a letter or integer."/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="oncology-BreastSpecimen-model.tumorIdentifier"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
    <element id="oncology-BreastSpecimen-model.coldIschemiaTime">
      <path value="oncology-BreastSpecimen-model.coldIschemiaTime"/>
      <code>
        <system value="http://ncimeta.nci.nih.gov"/>
        <code value="C1948053"/>
      </code>
      <code>
        <system value="http://loinc.org"/>
        <code value="44778-9"/>
        <display value="Cold ischemic time {Organ}"/>
      </code>
      <short
             value="The time period between the chilling of a tissue or tissue sample and the time it is warmed."/>
      <definition
                  value="The time period between the chilling of a tissue or tissue sample and the time it is warmed.
CIMI Alignment: In CIMI Version 0.0.4, specimen processing is represented as a &#39;SpecimenProcessingPerformed&#39; clinical statement, mapped to FHIR Procedure. However, specimen processing maps to FHIR Specimen.processing, part of the Specimen resource. It would be a difficult mapping exercise (and beyond the scope of this IG) to express the mapping rule that any CIMI SpecimenProcessingPerformed clinical statement needs to mapped to FHIR by (1) finding the corresponding Specimen entity, and (2) mapping the content of (possibly multiple) SpecimenProcessingPerformed into the FHIR Specimen resource. To avoid this complexity, the breast cancer model expresses the cold ischemia time as an attribute of the BreastSpecimen rather than a separate procedure."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="oncology-BreastSpecimen-model.coldIschemiaTime"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code
              value="http://hl7.org/fhir/us/breastcancer/StructureDefinition/shr-core-TimePeriod-model"/>
      </type>
      <mustSupport value="false"/>
      <isModifier value="false"/>
      <isSummary value="false"/>
    </element>
  </differential>
</StructureDefinition>