<?xml version="1.0" encoding="UTF-8"?>
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/*
  Copyright (c) 2011+, HL7, Inc.
  All rights reserved.
  
  Redistribution and use in source and binary forms, with or without modification, 
  are permitted provided that the following conditions are met:
  
   * Redistributions of source code must retain the above copyright notice, this 
     list of conditions and the following disclaimer.
   * Redistributions in binary form must reproduce the above copyright notice, 
     this list of conditions and the following disclaimer in the documentation 
     and/or other materials provided with the distribution.
   * Neither the name of HL7 nor the names of its contributors may be used to 
     endorse or promote products derived from this software without specific 
     prior written permission.
  
  THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND 
  ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED 
  WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. 
  IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, 
  INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 
  NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 
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  ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE 
  POSSIBILITY OF SUCH DAMAGE.
  

  Generated on Thu, Apr 9, 2026 17:12+0000 for FHIR v6.0.0-ballot4 

  Note: the schemas &amp; schematrons do not contain all of the rules about what makes resources
  valid. Implementers will still need to be familiar with the content of the specification and with
  any profiles that apply to the resources in order to make a conformant implementation.

-->
<xs:schema xmlns:xs="http://www.w3.org/2001/XMLSchema" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" targetNamespace="http://hl7.org/fhir" elementFormDefault="qualified" version="1.0">
  <xs:include schemaLocation="fhir-base.xsd"/>
  <xs:element name="SpecimenDefinition" type="SpecimenDefinition">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
    </xs:annotation>
  </xs:element>
  <xs:complexType name="SpecimenDefinition">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="MetadataResource">
        <xs:sequence>
          <xs:element name="url" minOccurs="0" maxOccurs="1" type="uri">
            <xs:annotation>
              <xs:documentation xml:lang="en">An absolute URL that is used to identify this SpecimenDefinition when it is referenced in a specification, model, design or an instance. This SHALL be a URL, SHOULD be globally unique, and SHOULD be an address at which this SpecimenDefinition is (or will be) published. The URL SHOULD include the major version of the SpecimenDefinition. For more information see Technical and Business Versions.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="identifier" minOccurs="0" maxOccurs="unbounded" type="Identifier">
            <xs:annotation>
              <xs:documentation xml:lang="en">Business identifiers assigned to this SpecimenDefinition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="version" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">The identifier that is used to identify this version of the SpecimenDefinition when it is referenced in a specification, model, design or instance. This is an arbitrary value managed by the SpecimenDefinition author and is not expected to be globally unique.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">Indicates the mechanism used to compare versions to determine which is more current.</xs:documentation>
            </xs:annotation>
            <xs:element name="versionAlgorithmString" type="string"/>
            <xs:element name="versionAlgorithmCoding" type="Coding"/>
          </xs:choice>
          <xs:element name="name" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">A natural language name identifying the {{title}}. This name should be usable as an identifier for the module by machine processing applications such as code generation.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="title" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">A short, descriptive, user-friendly title for the SpecimenDefinition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="derivedFromCanonical" minOccurs="0" maxOccurs="unbounded" type="canonical">
            <xs:annotation>
              <xs:documentation xml:lang="en">The canonical URL pointing to another FHIR-defined SpecimenDefinition that is adhered to in whole or in part by this definition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="derivedFromUri" minOccurs="0" maxOccurs="unbounded" type="uri">
            <xs:annotation>
              <xs:documentation xml:lang="en">The URL pointing to an externally-defined type of specimen, guideline or other definition that is adhered to in whole or in part by this definition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="status" minOccurs="1" maxOccurs="1" type="PublicationStatus">
            <xs:annotation>
              <xs:documentation xml:lang="en">The current state of theSpecimenDefinition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="experimental" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">A flag to indicate that this SpecimenDefinition is not authored for  genuine usage.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">A code or group definition that describes the intended subject  from which this kind of specimen is to be collected.</xs:documentation>
            </xs:annotation>
            <xs:element name="subjectCodeableConcept" type="CodeableConcept"/>
            <xs:element name="subjectReference" type="Reference"/>
          </xs:choice>
          <xs:element name="date" minOccurs="0" maxOccurs="1" type="dateTime">
            <xs:annotation>
              <xs:documentation xml:lang="en">For draft definitions, indicates the date of initial creation. For active definitions, represents the date of activation. For withdrawn definitions, indicates the date of withdrawal.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="publisher" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Helps establish the &quot;authority/credibility&quot; of the SpecimenDefinition. May also allow for contact.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="contact" minOccurs="0" maxOccurs="unbounded" type="ContactDetail">
            <xs:annotation>
              <xs:documentation xml:lang="en">Contact details to assist a user in finding and communicating with the publisher.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="description" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">A free text natural language description of the SpecimenDefinition from the consumer's perspective.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="useContext" minOccurs="0" maxOccurs="unbounded" type="UsageContext">
            <xs:annotation>
              <xs:documentation xml:lang="en">The content was developed with a focus and intent of supporting the contexts that are listed. These terms may be used to assist with indexing and searching of specimen definitions.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="jurisdiction" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">A jurisdiction in which the SpecimenDefinition is intended to be used.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="purpose" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">Explains why this SpecimeDefinition is needed and why it has been designed as it has.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="copyright" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">Copyright statement relating to the SpecimenDefinition and/or its contents. Copyright statements are notices of intellectual property ownership and can include restrictions on the use and publishing of the SpecimenDefinition.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="copyrightLabel" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">A short string (&lt;50 characters), suitable for inclusion in a page footer that identifies the copyright holder, effective period, and optionally whether rights are restricted. (e.g. 'All rights reserved', 'Some rights reserved').</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="approvalDate" minOccurs="0" maxOccurs="1" type="date">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date on which the asset content was approved by the publisher. Approval happens once when the content is officially approved for usage.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="lastReviewDate" minOccurs="0" maxOccurs="1" type="date">
            <xs:annotation>
              <xs:documentation xml:lang="en">The date on which the asset content was last reviewed. Review happens periodically after that, but doesn't change the original approval date.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="effectivePeriod" minOccurs="0" maxOccurs="1" type="Period">
            <xs:annotation>
              <xs:documentation xml:lang="en">The period during which the SpecimenDefinition content was or is planned to be effective.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="typeCollected" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The kind of material to be collected.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="patientPreparation" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Preparation of the patient for specimen collection.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="timeAspect" minOccurs="0" maxOccurs="1" type="string">
            <xs:annotation>
              <xs:documentation xml:lang="en">Time aspect of specimen collection (duration or offset).</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="collection" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The action to be performed for collecting the specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="typeTested" type="SpecimenDefinition.TypeTested" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Specimen conditioned in a container as expected by the testing laboratory.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="SpecimenDefinition.TypeTested">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="isDerived" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">Primary of secondary specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The kind of specimen conditioned for testing expected by lab.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="preference" minOccurs="1" maxOccurs="1" type="SpecimenContainedPreference">
            <xs:annotation>
              <xs:documentation xml:lang="en">The preference for this type of conditioned specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="container" type="SpecimenDefinition.Container" minOccurs="0" maxOccurs="1">
            <xs:annotation>
              <xs:documentation xml:lang="en">The specimen's container.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="requirement" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">Requirements for delivery and special handling of this kind of conditioned specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="retentionTime" minOccurs="0" maxOccurs="1" type="Duration">
            <xs:annotation>
              <xs:documentation xml:lang="en">The usual time that a specimen of this kind is retained after the ordered tests are completed, for the purpose of additional testing.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="singleUse" minOccurs="0" maxOccurs="1" type="boolean">
            <xs:annotation>
              <xs:documentation xml:lang="en">Specimen can be used by only one test or panel if the value is &quot;true&quot;.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="rejectionCriterion" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Criterion for rejection of the specimen in its container by the laboratory.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="handling" type="SpecimenDefinition.Handling" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Set of instructions for preservation/transport of the specimen at a defined temperature interval, prior the testing process.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="testingDestination" minOccurs="0" maxOccurs="unbounded" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Where the specimen will be tested: e.g., lab, sector, device or any combination of these.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="SpecimenDefinition.Container">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="material" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of material of the container.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="type" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">The type of container used to contain this kind of specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="cap" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">Color of container cap.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="description" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">The textual description of the kind of container.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="capacity" minOccurs="0" maxOccurs="1" type="Quantity">
            <xs:annotation>
              <xs:documentation xml:lang="en">The capacity (volume or other measure) of this kind of container.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:choice minOccurs="0" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">The minimum volume to be conditioned in the container.</xs:documentation>
            </xs:annotation>
            <xs:element name="minimumVolumeQuantity" type="Quantity"/>
            <xs:element name="minimumVolumeString" type="string"/>
          </xs:choice>
          <xs:element name="additive" type="SpecimenDefinition.Additive" minOccurs="0" maxOccurs="unbounded">
            <xs:annotation>
              <xs:documentation xml:lang="en">Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="preparation" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">Special processing that should be applied to the container for this kind of specimen.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="SpecimenDefinition.Additive">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:choice minOccurs="1" maxOccurs="1" >
            <xs:annotation>
              <xs:documentation xml:lang="en">Substance introduced in the kind of container to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA.</xs:documentation>
            </xs:annotation>
            <xs:element name="additiveCodeableConcept" type="CodeableConcept"/>
            <xs:element name="additiveReference" type="Reference"/>
          </xs:choice>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:complexType name="SpecimenDefinition.Handling">
    <xs:annotation>
      <xs:documentation xml:lang="en">A kind of specimen with associated set of requirements.</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="BackboneElement">
        <xs:sequence>
          <xs:element name="temperatureQualifier" minOccurs="0" maxOccurs="1" type="CodeableConcept">
            <xs:annotation>
              <xs:documentation xml:lang="en">It qualifies the interval of temperature, which characterizes an occurrence of handling. Conditions that are not related to temperature may be handled in the instruction element.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="temperatureRange" minOccurs="0" maxOccurs="1" type="Range">
            <xs:annotation>
              <xs:documentation xml:lang="en">The temperature interval for this set of handling instructions.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="maxDuration" minOccurs="0" maxOccurs="1" type="Duration">
            <xs:annotation>
              <xs:documentation xml:lang="en">The maximum time interval of preservation of the specimen with these conditions.</xs:documentation>
           </xs:annotation>
          </xs:element>
          <xs:element name="instruction" minOccurs="0" maxOccurs="1" type="markdown">
            <xs:annotation>
              <xs:documentation xml:lang="en">Additional textual instructions for the preservation or transport of the specimen. For instance, 'Protect from light exposure'.</xs:documentation>
           </xs:annotation>
          </xs:element>
        </xs:sequence>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
  <xs:simpleType name="SpecimenContainedPreferenceEnum">
    <xs:restriction base="code-primitive">
      <xs:enumeration value="preferred">
        <xs:annotation>
          <xs:documentation xml:lang="en">Preferred</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
      <xs:enumeration value="alternate">
        <xs:annotation>
          <xs:documentation xml:lang="en">Alternate</xs:documentation>
        </xs:annotation>
      </xs:enumeration>
    </xs:restriction>
  </xs:simpleType>
  <xs:complexType name="SpecimenContainedPreference">
    <xs:annotation>
      <xs:documentation xml:lang="en"></xs:documentation>
      <xs:documentation xml:lang="en">If the element is present, it must have either a @value, an @id, or extensions</xs:documentation>
    </xs:annotation>
    <xs:complexContent>
      <xs:extension base="Element">
        <xs:attribute name="value" type="SpecimenContainedPreferenceEnum" use="optional"/>
      </xs:extension>
    </xs:complexContent>
  </xs:complexType>
</xs:schema>
