{
  "description": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "_filename": "Profile-ObservationLab.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.laborbefund",
  "date": null,
  "derivation": "constraint",
  "publisher": "https://www.Medizininformatik-Initiative.de",
  "fhirVersion": "4.0.1",
  "purpose": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "name": "ProfileObservationLaboruntersuchung",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "Profile - Observation - Laboruntersuchung",
  "package_version": "1.0.6",
  "status": "active",
  "id": "02b672fb-cbee-4ce4-a31e-1916b9357e47",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
  "version": "1.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "constraint": [ {
        "key": "mii-lab-2",
        "human": "Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden",
        "severity": "error",
        "expression": "value.exists().not() implies dataAbsentReason.exists()"
      } ]
    }, {
      "id": "Observation.id",
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.source",
      "path": "Observation.meta.source",
      "mustSupport": true
    }, {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.identifier",
      "min": 1,
      "path": "Observation.identifier",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode",
      "max": "1",
      "min": 1,
      "path": "Observation.identifier",
      "sliceName": "analyseBefundCode",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type",
      "min": 1,
      "path": "Observation.identifier.type",
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "OBI",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding",
      "min": 1,
      "path": "Observation.identifier.type.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2",
      "max": "1",
      "min": 1,
      "path": "Observation.identifier.type.coding",
      "sliceName": "observationInstanceV2",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.system",
      "min": 1,
      "path": "Observation.identifier.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.code",
      "min": 1,
      "path": "Observation.identifier.type.coding.code",
      "fixedCode": "OBI",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.system",
      "min": 1,
      "path": "Observation.identifier.system",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.value",
      "min": 1,
      "path": "Observation.identifier.value",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.assigner",
      "min": 1,
      "path": "Observation.identifier.assigner",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "min": 2,
      "path": "Observation.category.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:loinc-observation",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "loinc-observation",
      "mustSupport": true,
      "patternCoding": {
        "code": "26436-6",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.category.coding:observation-category",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "observation-category",
      "mustSupport": true,
      "patternCoding": {
        "code": "laboratory",
        "system": "http://terminology.hl7.org/CodeSystem/observation-category"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips",
        "description": "Intensional Value Set Definition: LOINC {  {    STATUS in {ACTIVE}    CLASSTYPE in {1}    CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*}  } }"
      },
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "constraint": [ {
        "key": "mii-lab-1",
        "human": "Datetime must be at least to day",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
        "severity": "error",
        "expression": "($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.effective[x].extension",
      "path": "Observation.effective[x].extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum",
      "max": "1",
      "path": "Observation.effective[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum" ]
      } ],
      "sliceName": "QuelleKlinischesBezugsdatum",
      "mustSupport": true
    }, {
      "id": "Observation.issued",
      "path": "Observation.issued",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      } ],
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "sliceName": "valueQuantity",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.value",
      "min": 1,
      "path": "Observation.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.unit",
      "min": 1,
      "path": "Observation.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.system",
      "min": 1,
      "path": "Observation.value[x].system",
      "fixedUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "min": 1,
      "path": "Observation.value[x].code",
      "comment": "The mandatory system is UCUM.",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding",
      "min": 1,
      "path": "Observation.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.interpretation",
      "path": "Observation.interpretation",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "mustSupport": true
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "mustSupport": true
    }, {
      "id": "Observation.specimen",
      "path": "Observation.specimen",
      "mustSupport": true
    }, {
      "id": "Observation.specimen.reference",
      "path": "Observation.specimen.reference",
      "mustSupport": true
    }, {
      "id": "Observation.specimen.identifier",
      "path": "Observation.specimen.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}