RIVO-Noord Zorgviewer Implementation Guide
1.22.0 - CI build

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.22.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

## Resource Profile: Specimen - XML Profile

Active as of 2026-01-12

XML representation of the Specimen resource profile.

Raw xml | Download

    <StructureDefinition xmlns="http://hl7.org/fhir">
      <id value="Specimen"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: StructureDefinition Specimen</b></p><table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;"><tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top"><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the element can appear in the instance">Card.</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px; width: 100px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a></th><th style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px" class="hierarchy"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a><span style="float: right"><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/></a></span></th></tr><tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_resource.png" alt="." style="background-color: white; background-color: inherit" title="Resource" class="hierarchy"/> <a href="StructureDefinition-Specimen-definitions.html#Specimen">Specimen</a><a name="Specimen"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a href="https://simplifier.net/resolve?scope=nictiz.fhir.nl.stu3.zib2017@2.3.1&amp;canonical=http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen">Zib LaboratoryTestResult Specimen(3.0.3)</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Specimen</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Specimen-definitions.html#Specimen.type">type</a><a name="Specimen.type"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#CodeableConcept">CodeableConcept</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">SpecimenMaterial</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vline.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Specimen-definitions.html#Specimen.type.text">text</a><a name="Specimen.type.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Plain text representation of the concept</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: #F7F7F7; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Specimen-definitions.html#Specimen.note">note</a><a name="Specimen.note"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"/><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">0</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">*</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#Annotation">Annotation</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">Comment</span></td></tr>
    <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white"><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)" class="hierarchy"><img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_blank.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy"/><img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy"/> <a href="StructureDefinition-Specimen-definitions.html#Specimen.note.text">text</a><a name="Specimen.note.text"> </a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="padding-left: 3px; padding-right: 3px; color: white; background-color: red" title="This element must be supported">S</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">1</span><span style="opacity: 0.5">..</span><span style="opacity: 0.5">1</span></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><a style="opacity: 0.5; opacity: 0.5" href="http://hl7.org/fhir/STU3/datatypes.html#string">string</a></td><td style="vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy"><span style="opacity: 0.5">The annotation  - text content</span></td></tr>
    <tr><td colspan="5" class="hierarchy"><br/><a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"><img src="data:image/png;base64,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" alt="doco" style="background-color: inherit"/> Documentation for this format</a></td></tr></table></div>
      </text>
      <url value="http://fhir.hl7.nl/zorgviewer/StructureDefinition/Specimen"/>
      <version value="1.22.0"/>
      <name value="Specimen"/>
      <title value="Specimen"/>
      <status value="active"/>
      <date value="2026-01-12T14:21:48+00:00"/>
      <publisher value="RIVO-NN HL7NL"/>
      <contact>
        <name value="RIVO-NN"/>
        <telecom>
          <system value="url"/>
          <value value="https://rivo-noord.nl"/>
        </telecom>
      </contact>
      <contact>
        <name value="HL7NL"/>
        <telecom>
          <system value="url"/>
          <value value="https://hl7.nl"/>
        </telecom>
      </contact>
      <description value="Monster Materiaal"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="NL"/>
        </coding>
      </jurisdiction>
      <fhirVersion value="3.0.2"/>
      <mapping>
        <identity value="hcim-laboratorytestresult-v4.4-2019EN"/>
        <uri value="https://zibs.nl/wiki/LaboratoriumUitslag-v4.4(2019NL)"/>
        <name value="HCIM LaboratoryTestResult-v4.4(2019EN)"/>
      </mapping>
      <mapping>
        <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
        <uri value="https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN)"/>
        <name value="HCIM LaboratoryTestResult-v4.1(2017EN)"/>
      </mapping>
      <mapping>
        <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
        <uri
             value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN)"/>
        <name value="HCIM LaboratoryTestResultForTransfer-v3.0(2016EN)"/>
      </mapping>
      <mapping>
        <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
        <uri
             value="https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN)"/>
        <name value="HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN)"/>
      </mapping>
      <kind value="resource"/>
      <abstract value="false"/>
      <type value="Specimen"/>
      <baseDefinition
                      value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"/>
      <derivation value="constraint"/>
      <snapshot>
        <extension
                   url="http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version">
          <valueString value="3.0.3"/>
        </extension>
        <element id="Specimen">
          <path value="Specimen"/>
          <short value="Specimen"/>
          <definition
                      value="A sample to be used for analysis. The HCIM LaboratoryTestResult only contains Specimen details at container and collection level. It is not prohibited, rather expected that other details will be present too."/>
          <alias value="Monster"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Resource"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <constraint>
            <key value="dom-2"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
            <expression value="contained.contained.empty()"/>
            <xpath value="not(parent::f:contained and f:contained)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-1"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
            <expression value="contained.text.empty()"/>
            <xpath value="not(parent::f:contained and f:text)"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-4"/>
            <severity value="error"/>
            <human
                   value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
            <expression
                        value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
            <xpath
                   value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <constraint>
            <key value="dom-3"/>
            <severity value="error"/>
            <human
                   value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
            <expression
                        value="contained.where(('#'+id in %resource.descendants().reference).not()).empty()"/>
            <xpath
                   value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))"/>
            <source
                    value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="Entity. Role, or Act"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Role[classCode=SPEC]"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="clinical.diagnostics"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.2"/>
            <comment value="Specimen"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.2"/>
            <comment value="Specimen"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.2"/>
            <comment value="Specimen"/>
          </mapping>
        </element>
        <element id="Specimen.id">
          <path value="Specimen.id"/>
          <short value="Logical id of this artifact"/>
          <definition
                      value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
          <comment
                   value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="id"/>
          </type>
          <isSummary value="true"/>
        </element>
        <element id="Specimen.meta">
          <path value="Specimen.meta"/>
          <short value="Metadata about the resource"/>
          <definition
                      value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.meta"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Meta"/>
          </type>
          <isSummary value="true"/>
        </element>
        <element id="Specimen.implicitRules">
          <path value="Specimen.implicitRules"/>
          <short value="A set of rules under which this content was created"/>
          <definition
                      value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
          <comment
                   value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

    This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.implicitRules"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <isModifier value="true"/>
          <isSummary value="true"/>
        </element>
        <element id="Specimen.language">
          <path value="Specimen.language"/>
          <short value="Language of the resource content"/>
          <definition
                      value="The base language in which the resource is written."/>
          <comment
                   value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource  Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Resource.language"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
              <valueReference>🔗
                <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
              </valueReference>
            </extension>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="Language"/>
            </extension>
            <strength value="extensible"/>
            <description value="A human language."/>
            <valueSetReference>🔗
              <reference value="http://hl7.org/fhir/ValueSet/languages"/>
            </valueSetReference>
          </binding>
        </element>
        <element id="Specimen.text">
          <path value="Specimen.text"/>
          <short value="Text summary of the resource, for human interpretation"/>
          <definition
                      value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
          <comment
                   value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
          <alias value="narrative"/>
          <alias value="html"/>
          <alias value="xhtml"/>
          <alias value="display"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="DomainResource.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Narrative"/>
          </type>
          <condition value="dom-1"/>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text?"/>
          </mapping>
        </element>
        <element id="Specimen.contained">
          <path value="Specimen.contained"/>
          <short value="Contained, inline Resources"/>
          <definition
                      value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
          <comment
                   value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
          <alias value="inline resources"/>
          <alias value="anonymous resources"/>
          <alias value="contained resources"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.contained"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Resource"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.extension">
          <path value="Specimen.extension"/>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.modifierExtension">
          <path value="Specimen.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="DomainResource.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <isModifier value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.identifier">
          <path value="Specimen.identifier"/>
          <short value="SpecimenId"/>
          <definition
                      value="Identification number of the material obtained, as a reference for inquiries to the source organization. In a transmural setting, this number will consist of a specimen number including the identification of the issuing organization, to be unique outside of the borders of an organization."/>
          <alias value="Monsternummer"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".id"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="id"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.15"/>
            <comment value="SpecimenNumber"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.15"/>
            <comment value="SpecimenNumber"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.15"/>
            <comment value="SpecimenId"/>
          </mapping>
        </element>
        <element id="Specimen.accessionIdentifier">
          <path value="Specimen.accessionIdentifier"/>
          <short value="Identifier assigned by the lab"/>
          <definition
                      value="The identifier assigned by the lab when accessioning specimen(s). This is not necessarily the same as the specimen identifier, depending on local lab procedures."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.accessionIdentifier"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Identifier"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-30 (v2.7+)"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="id"/>
          </mapping>
        </element>
        <element id="Specimen.status">
          <path value="Specimen.status"/>
          <short
                 value="available | unavailable | unsatisfactory | entered-in-error"/>
          <definition value="The availability of the specimen."/>
          <comment
                   value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.status"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="code"/>
          </type>
          <isModifier value="true"/>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenStatus"/>
            </extension>
            <strength value="required"/>
            <description
                         value="Codes providing the status/availability of a specimen."/>
            <valueSetReference>🔗
              <reference value="http://hl7.org/fhir/ValueSet/specimen-status"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-20"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="status"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="status"/>
          </mapping>
        </element>
        <element id="Specimen.type">
          <path value="Specimen.type"/>
          <short value="SpecimenMaterial"/>
          <definition
                      value="SpecimenMaterial describes the material obtained or the isolate that was derived from the material. If the LOINC test code also implicitly describes a material, this element may not conflict with the description. If desired, this component can provide a more detailed description of the material: LOINC codes only contain the materials at a main level.
    This is in line with the agreements made in the IHE/Nictiz program e-Lab.

    If the test is carried out on derived material (such as plasma), this element will still contain the material drawn (in this case, blood). In this case, the LOINC code will generally refer to plasma."/>
          <comment
                   value="The type can change the way that a specimen is handled, and drives what kind of analyses can properly be performed on the specimen. It is frequently used in diagnostic work flow decision making systems."/>
          <alias value="Monstermateriaal"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <isSummary value="true"/>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenType"/>
            </extension>
            <strength value="extensible"/>
            <description value="The type of the specimen."/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.6--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-4 and possibly SPM-5"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="what"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.16"/>
            <comment value="SpecimenMaterial"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.16"/>
            <comment value="SpecimenMaterial"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.16"/>
            <comment value="SpecimenMaterial"/>
          </mapping>
        </element>
        <element id="Specimen.type.id">
          <path value="Specimen.type.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.type.extension">
          <path value="Specimen.type.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.type.coding">
          <path value="Specimen.type.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Specimen.type.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="Specimen.type.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mustSupport value="true"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="Specimen.subject">
          <path value="Specimen.subject"/>
          <short value="SpecimenSource"/>
          <definition
                      value="If the material is not collected directly from the patient but comes from a patient-related object, e.g. a cathetertip, this source of material can be recorded here using the HCIM MedicalDeviceProduct."/>
          <requirements value="Must know the subject context."/>
          <alias value="BronMonster"/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Specimen.subject"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://fhir.nl/fhir/StructureDefinition/nl-core-patient"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Substance"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value=".scoper  or  .scoper.playsRole"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="who.focus"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.29"/>
            <comment value="SpecimenSource"/>
          </mapping>
        </element>
        <element id="Specimen.receivedTime">
          <path value="Specimen.receivedTime"/>
          <short value="ReceivedDateTime"/>
          <definition
                      value="Date and time that the material is handed over at the laboratory or specimen collection center. This is the issue with material that is collected by the patient himself."/>
          <alias value="AannameDatumTijd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.receivedTime"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-18"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="when.done"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.25"/>
            <comment value="ReceivedDateTime"/>
          </mapping>
        </element>
        <element id="Specimen.parent">
          <path value="Specimen.parent"/>
          <short value="Specimen from which this specimen originated"/>
          <definition
                      value="Reference to the parent (source) specimen which is used when the specimen was either derived from or a component of another specimen."/>
          <comment
                   value="The parent specimen could be the source from which the current specimen is derived by some processing step (e.g. an aliquot or isolate or extracted nucleic acids from clinical samples) or one of many specimens that were combined to create a pooled sample."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.parent"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen-Isolate"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.2"/>
            <comment value="Specimen"/>
          </mapping>
        </element>
        <element id="Specimen.request">
          <path value="Specimen.request"/>
          <short value="Why the specimen was collected"/>
          <definition
                      value="Details concerning a test or procedure request that required a specimen to be collected."/>
          <comment
                   value="The request may be explicit or implied such with a ProcedureRequest that requires a blood draw."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.request"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/ProcedureRequest"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="ORC? OBR-2/3?"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="outboundRelationship[typeCode=FLFS].target"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="why"/>
          </mapping>
        </element>
        <element id="Specimen.collection">
          <path value="Specimen.collection"/>
          <short value="Collection details"/>
          <definition value="Details concerning the specimen collection."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-14"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Specimen.collection.id">
          <path value="Specimen.collection.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.extension">
          <path value="Specimen.collection.extension"/>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.modifierExtension">
          <path value="Specimen.collection.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <isModifier value="true"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collector">
          <path value="Specimen.collection.collector"/>
          <short value="Who collected the specimen"/>
          <definition value="Person who collected the specimen."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.collector"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="PRT"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=PFM].role"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="who.actor"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]">
          <path value="Specimen.collection.collected[x]"/>
          <slicing>
            <discriminator>
              <type value="type"/>
              <path value="$this"/>
            </discriminator>
            <rules value="open"/>
          </slicing>
          <short value="Collection time"/>
          <definition
                      value="Time at which the material was collected.

    If the material has not been collected at a single point in time but over a certain period, this period can be captured in this concept. An example is 24 hour urine."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.collected[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="Period"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-17"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="when.init"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedDateTime">
          <path value="Specimen.collection.collected[x]"/>
          <sliceName value="collectedDateTime"/>
          <short value="CollectionDateTime"/>
          <definition
                      value="Time when specimen was collected from subject - the physiologically relevant time."/>
          <alias value="AfnameDatumTijd"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.collected[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-17"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="when.init"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.17"/>
            <comment value="DrawingDateTime"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.17"/>
            <comment value="DrawingDateTime"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.17"/>
            <comment value="CollectionDateTime"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedPeriod">
          <path value="Specimen.collection.collected[x]"/>
          <sliceName value="collectedPeriod"/>
          <short value="CollectionPeriod"/>
          <definition
                      value="Time when specimen was collected from subject - the physiologically relevant time."/>
          <alias value="Verzamelperiode"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.collected[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Period"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-17"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
          <mapping>
            <identity value="w5"/>
            <map value="when.init"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.24"/>
            <comment value="CollectionPeriod"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.4-2019EN"/>
            <map value="NL-CM:13.1.24"/>
            <comment value="CollectionPeriod::TimeInterval Duration"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedPeriod.id">
          <path value="Specimen.collection.collected[x].id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedPeriod.extension">
          <path value="Specimen.collection.collected[x].extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element
                 id="Specimen.collection.collected[x]:collectedPeriod.extension:period-duration">
          <path value="Specimen.collection.collected[x].extension"/>
          <sliceName value="period-duration"/>
          <short value="Optional Extensions Element"/>
          <definition
                      value="Optional Extension Element - found in all resources."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/period-duration"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://nictiz.nl/fhir/StructureDefinition/period-duration"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedPeriod.start">
          <path value="Specimen.collection.collected[x].start"/>
          <short value="Starting time with inclusive boundary"/>
          <definition
                      value="The start of the period. The boundary is inclusive."/>
          <comment
                   value="If the low element is missing, the meaning is that the low boundary is not known."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.start"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <condition value="per-1"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="DR.1"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./low"/>
          </mapping>
        </element>
        <element id="Specimen.collection.collected[x]:collectedPeriod.end">
          <path value="Specimen.collection.collected[x].end"/>
          <short value="End time with inclusive boundary, if not ongoing"/>
          <definition
                      value="The end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."/>
          <comment
                   value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Period.end"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <meaningWhenMissing
                              value="If the end of the period is missing, it means that the period is ongoing"/>
          <condition value="per-1"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="DR.2"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="./high"/>
          </mapping>
        </element>
        <element id="Specimen.collection.quantity">
          <path value="Specimen.collection.quantity"/>
          <short value="CollectedVolume"/>
          <definition
                      value="Total volume of the collected material. If it is necessary to determine the absolute amount of a particular substance in the collected material, the volume thereof must be given."/>
          <alias value="Verzamelvolume"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.quantity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Quantity"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-12"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=SBJ].role[classCode=SPEC].player.quantity"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.23"/>
            <comment value="CollectedVolume"/>
          </mapping>
        </element>
        <element id="Specimen.collection.method">
          <path value="Specimen.collection.method"/>
          <short value="CollectionMethod"/>
          <definition
                      value="If relevant for the results, the method of obtaining the specimen can be entered as well."/>
          <alias value="Afnameprocedure"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.method"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenCollectionMethod"/>
            </extension>
            <strength value="extensible"/>
            <description
                         value="The  technique that is used to perform the procedure"/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.2--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-7"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".methodCode"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.18"/>
            <comment value="DrawingProcedure"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.18"/>
            <comment value="DrawingProcedure"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.18"/>
            <comment value="CollectionMethod"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite">
          <path value="Specimen.collection.bodySite"/>
          <short value="AnatomicalLocation"/>
          <definition
                      value="Anatomic location where the material is collected, e.g. elbow."/>
          <comment
                   value="If the use case requires  BodySite to be handled as a separate resource instead of an inline coded element (e.g. to identify and track separately)  then use the standard extension [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html)."/>
          <alias value="AnatomischeLocatie"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.collection.bodySite"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="BodySite"/>
            </extension>
            <strength value="extensible"/>
            <description value="SpecimenAnatomicalLocationCodelist"/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.11--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-8 and SPM-9"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".targetSiteCode"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.26"/>
            <comment value="AnatomicalLocation"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.id">
          <path value="Specimen.collection.bodySite.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension">
          <path value="Specimen.collection.bodySite.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:laterality">
          <path value="Specimen.collection.bodySite.extension"/>
          <sliceName value="laterality"/>
          <short value="Laterality"/>
          <definition
                      value="Laterality adds information about body side to the anatomic location, e.g. left"/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.27"/>
            <comment value="Laterality"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:laterality.id">
          <path value="Specimen.collection.bodySite.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element
                 id="Specimen.collection.bodySite.extension:laterality.extension">
          <path value="Specimen.collection.bodySite.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:laterality.url">
          <path value="Specimen.collection.bodySite.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Qualifier"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:laterality.value[x]">
          <path value="Specimen.collection.bodySite.extension.value[x]"/>
          <short value="BodySite qualifier"/>
          <definition
                      value="Qualifier to refine the anatomical location. These include qualifiers for laterality, relative location, directionality, number, and plane."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <strength value="extensible"/>
            <description value="LateralityCodelist"/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.12--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:morphology">
          <path value="Specimen.collection.bodySite.extension"/>
          <sliceName value="morphology"/>
          <short value="Morphology"/>
          <definition
                      value="Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="Morfologie"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
            <profile
                     value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology"/>
          </type>
          <condition value="ele-1"/>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <constraint>
            <key value="ext-1"/>
            <severity value="error"/>
            <human value="Must have either extensions or value[x], not both"/>
            <expression value="extension.exists() != value.exists()"/>
            <xpath
                   value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])"/>
            <source
                    value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.28"/>
            <comment value="Morphology"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:morphology.id">
          <path value="Specimen.collection.bodySite.extension.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element
                 id="Specimen.collection.bodySite.extension:morphology.extension">
          <path value="Specimen.collection.bodySite.extension.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="0"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.extension:morphology.url">
          <path value="Specimen.collection.bodySite.extension.url"/>
          <representation value="xmlAttr"/>
          <short value="identifies the meaning of the extension"/>
          <definition
                      value="Source of the definition for the extension code - a logical name or a URL."/>
          <comment
                   value="The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Extension.url"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="uri"/>
          </type>
          <fixedUri
                    value="http://nictiz.nl/fhir/StructureDefinition/BodySite-Morphology"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element
                 id="Specimen.collection.bodySite.extension:morphology.value[x]:valueCodeableConcept">
          <path value="Specimen.collection.bodySite.extension.value[x]"/>
          <sliceName value="valueCodeableConcept"/>
          <short value="BodySite morphology"/>
          <definition
                      value="Morphology describes morphological abnormalities of the anatomical location where the material is taken, for example wound, ulcer."/>
          <alias value="Morfologie"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Extension.value[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <strength value="extensible"/>
            <description value="MorphologyCodelist"/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.13--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.coding">
          <path value="Specimen.collection.bodySite.coding"/>
          <short value="Code defined by a terminology system"/>
          <definition
                      value="A reference to a code defined by a terminology system."/>
          <comment
                   value="Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true."/>
          <requirements
                        value="Allows for translations and alternate encodings within a code system.  Also supports communication of the same instance to systems requiring different encodings."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="CodeableConcept.coding"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Coding"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.1-8, C*E.10-22"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="union(., ./translation)"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"/>
          </mapping>
        </element>
        <element id="Specimen.collection.bodySite.text">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
            <valueBoolean value="true"/>
          </extension>
          <path value="Specimen.collection.bodySite.text"/>
          <short value="Plain text representation of the concept"/>
          <definition
                      value="A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user."/>
          <comment
                   value="Very often the text is the same as a displayName of one of the codings."/>
          <requirements
                        value="The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="CodeableConcept.text"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="C*E.9. But note many systems use C*E.2 for this"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value="./originalText[mediaType/code=&quot;text/plain&quot;]/data"/>
          </mapping>
          <mapping>
            <identity value="orim"/>
            <map
                 value="fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"/>
          </mapping>
        </element>
        <element id="Specimen.processing">
          <path value="Specimen.processing"/>
          <short value="Processing and processing step details"/>
          <definition
                      value="Details concerning processing and processing steps for the specimen."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.processing"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]"/>
          </mapping>
        </element>
        <element id="Specimen.processing.id">
          <path value="Specimen.processing.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.processing.extension">
          <path value="Specimen.processing.extension"/>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.processing.modifierExtension">
          <path value="Specimen.processing.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <isModifier value="true"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.processing.description">
          <path value="Specimen.processing.description"/>
          <short value="Textual description of procedure"/>
          <definition value="Textual description of procedure."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.processing.description"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value=".text"/>
          </mapping>
        </element>
        <element id="Specimen.processing.procedure">
          <path value="Specimen.processing.procedure"/>
          <short value="Indicates the treatment step  applied to the specimen"/>
          <definition
                      value="A coded value specifying the procedure used to process the specimen."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.processing.procedure"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenProcessingProcedure"/>
            </extension>
            <strength value="example"/>
            <description
                         value="Type indicating the technique used to process the specimen"/>
            <valueSetReference>🔗
              <reference
                         value="http://hl7.org/fhir/ValueSet/specimen-processing-procedure"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
        </element>
        <element id="Specimen.processing.additive">
          <path value="Specimen.processing.additive"/>
          <short value="Material used in the processing step"/>
          <definition value="Material used in the processing step."/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.processing.additive"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Substance"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-6"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".participation[typeCode=CSM].role[classCode=ADTV].code"/>
          </mapping>
        </element>
        <element id="Specimen.processing.time[x]">
          <path value="Specimen.processing.time[x]"/>
          <short value="Date and time of specimen processing"/>
          <definition
                      value="A record of the time or period when the specimen processing occurred.  For example the time of sample fixation or the period of time the sample was in formalin."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.processing.time[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <type>
            <code value="Period"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value=".effectiveTime"/>
          </mapping>
        </element>
        <element id="Specimen.container">
          <path value="Specimen.container"/>
          <short value="SpecimenContainer"/>
          <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."/>
          <alias value="Monstercontainer"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.container"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="BackboneElement"/>
          </type>
          <constraint>
            <key value="ele-1"/>
            <severity value="error"/>
            <human value="All FHIR elements must have a @value or children"/>
            <expression
                        value="hasValue() | (children().count() &gt; id.count())"/>
            <xpath value="@value|f:*|h:div"/>
            <source value="http://hl7.org/fhir/StructureDefinition/Element"/>
          </constraint>
          <mapping>
            <identity value="rim"/>
            <map value=".player.scopingRole[classCode=CONT].scoper"/>
          </mapping>
        </element>
        <element id="Specimen.container.id">
          <path value="Specimen.container.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.container.extension">
          <path value="Specimen.container.extension"/>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.container.modifierExtension">
          <path value="Specimen.container.modifierExtension"/>
          <short value="Extensions that cannot be ignored"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <alias value="modifiers"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="BackboneElement.modifierExtension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <isModifier value="true"/>
          <isSummary value="true"/>
          <mapping>
            <identity value="rim"/>
            <map value="N/A"/>
          </mapping>
        </element>
        <element id="Specimen.container.identifier">
          <path value="Specimen.container.identifier"/>
          <short value="SpecimenNumberExtension"/>
          <definition
                      value="The specimen number extension is used when the collected material is distributed from the original tube or container across multiple tubes. In combination with the specimen Id the extension yield a unique identification of the tube or container"/>
          <alias value="Monstervolgnummer"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.container.identifier"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <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>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.20"/>
            <comment value="SpecimenNumberExtension"/>
          </mapping>
        </element>
        <element id="Specimen.container.description">
          <path value="Specimen.container.description"/>
          <short value="Textual description of the container"/>
          <definition value="Textual description of the container."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.container.description"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value=".desc"/>
          </mapping>
        </element>
        <element id="Specimen.container.type">
          <path value="Specimen.container.type"/>
          <short value="ContainerType"/>
          <definition
                      value="Container type describes the envelope in which the material is collected or sent. Examples include blood tubes, transport container, possibly including culture medium."/>
          <alias value="Containertype"/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.container.type"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenContainerType"/>
            </extension>
            <strength value="extensible"/>
            <description value="ContainerTypeCodelist"/>
            <valueSetReference>🔗
              <reference
                         value="http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.13.1.9--20171231000000"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SPM-27"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".code"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.21"/>
            <comment value="ContainerType"/>
          </mapping>
        </element>
        <element id="Specimen.container.capacity">
          <path value="Specimen.container.capacity"/>
          <short value="Container volume or size"/>
          <definition
                      value="The capacity (volume or other measure) the container may contain."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.container.capacity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Quantity"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="one of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".quantity"/>
          </mapping>
        </element>
        <element id="Specimen.container.specimenQuantity">
          <path value="Specimen.container.specimenQuantity"/>
          <short value="Quantity of specimen within container"/>
          <definition
                      value="The quantity of specimen in the container; may be volume, dimensions, or other appropriate measurements, depending on the specimen type."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.container.specimenQuantity"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Quantity"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="SAC-23 (value) SAC-24 (units"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".playedRole[classCode=CONT].quantity"/>
          </mapping>
        </element>
        <element id="Specimen.container.additive[x]">
          <path value="Specimen.container.additive[x]"/>
          <short value="Additive associated with container"/>
          <definition
                      value="Introduced substance to preserve, maintain or enhance the specimen. Examples: Formalin, Citrate, EDTA."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Specimen.container.additive[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="CodeableConcept"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Substance"/>
          </type>
          <binding>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
              <valueString value="SpecimenContainerAdditive"/>
            </extension>
            <strength value="example"/>
            <description value="Substance added to specimen container"/>
            <valueSetReference>🔗
              <reference value="http://hl7.org/fhir/ValueSet/v2-0371"/>
            </valueSetReference>
          </binding>
          <mapping>
            <identity value="v2"/>
            <map value="SAC-27"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value=".scopesRole[classCode=ADTV].player"/>
          </mapping>
        </element>
        <element id="Specimen.note">
          <path value="Specimen.note"/>
          <short value="Comment"/>
          <definition
                      value="To communicate any details or issues about the specimen or during the specimen collection. (for example: broken vial, sent with patient, frozen)."/>
          <alias value="Toelichting"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Specimen.note"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Annotation"/>
          </type>
          <mapping>
            <identity value="v2"/>
            <map value="OBX"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map
                 value=".inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=&quot;annotation&quot;].value"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v1.2.2-2015EN"/>
            <map value="NL-CM:13.1.19"/>
            <comment value="Explanation"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresultfortransfer-v3.0-2016EN"/>
            <map value="NL-CM:13.1.19"/>
            <comment value="Explanation"/>
          </mapping>
          <mapping>
            <identity value="hcim-laboratorytestresult-v4.1-2017EN"/>
            <map value="NL-CM:13.1.19"/>
            <comment value="Comment"/>
          </mapping>
        </element>
        <element id="Specimen.note.id">
          <path value="Specimen.note.id"/>
          <representation value="xmlAttr"/>
          <short value="xml:id (or equivalent in JSON)"/>
          <definition
                      value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Element.id"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.note.extension">
          <path value="Specimen.note.extension"/>
          <slicing>
            <discriminator>
              <type value="value"/>
              <path value="url"/>
            </discriminator>
            <description value="Extensions are always sliced by (at least) url"/>
            <rules value="open"/>
          </slicing>
          <short value="Additional Content defined by implementations"/>
          <definition
                      value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
          <comment
                   value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
          <alias value="extensions"/>
          <alias value="user content"/>
          <min value="0"/>
          <max value="*"/>
          <base>
            <path value="Element.extension"/>
            <min value="0"/>
            <max value="*"/>
          </base>
          <type>
            <code value="Extension"/>
          </type>
          <mapping>
            <identity value="rim"/>
            <map value="n/a"/>
          </mapping>
        </element>
        <element id="Specimen.note.author[x]">
          <path value="Specimen.note.author[x]"/>
          <short value="Individual responsible for the annotation"/>
          <definition
                      value="The individual responsible for making the annotation."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Annotation.author[x]"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/Patient"/>
          </type>
          <type>
            <code value="Reference"/>
            <targetProfile
                           value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
          </type>
          <type>
            <code value="string"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Act.participant[typeCode=AUT].role"/>
          </mapping>
        </element>
        <element id="Specimen.note.time">
          <path value="Specimen.note.time"/>
          <short value="When the annotation was made"/>
          <definition
                      value="Indicates when this particular annotation was made."/>
          <min value="0"/>
          <max value="1"/>
          <base>
            <path value="Annotation.time"/>
            <min value="0"/>
            <max value="1"/>
          </base>
          <type>
            <code value="dateTime"/>
          </type>
          <isSummary value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Act.effectiveTime"/>
          </mapping>
        </element>
        <element id="Specimen.note.text">
          <path value="Specimen.note.text"/>
          <short value="The annotation  - text content"/>
          <definition value="The text of the annotation."/>
          <min value="1"/>
          <max value="1"/>
          <base>
            <path value="Annotation.text"/>
            <min value="1"/>
            <max value="1"/>
          </base>
          <type>
            <code value="string"/>
          </type>
          <mustSupport value="true"/>
          <mapping>
            <identity value="v2"/>
            <map value="N/A"/>
          </mapping>
          <mapping>
            <identity value="rim"/>
            <map value="Act.text"/>
          </mapping>
        </element>
      </snapshot>
      <differential>
        <element id="Specimen">
          <path value="Specimen"/>
        </element>
        <element id="Specimen.type">
          <path value="Specimen.type"/>
        </element>
        <element id="Specimen.type.text">
          <path value="Specimen.type.text"/>
          <mustSupport value="true"/>
        </element>
        <element id="Specimen.note">
          <path value="Specimen.note"/>
        </element>
        <element id="Specimen.note.text">
          <path value="Specimen.note.text"/>
          <mustSupport value="true"/>
        </element>
      </differential>
    </StructureDefinition>