{
  "description": "This profile describes a susceptibility test in microbiology",
  "_filename": "MII_PR_Mikrobio_Empfindlichkeit.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mikrobiologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "https://www.Medizininformatik-Initiative.de",
  "fhirVersion": "4.0.1",
  "purpose": "Dieses Profil beschreibt ein Empfindlichkeit Test der Medizininformatik-Initiative.",
  "name": "MII_PR_Mikrobio_Empfindlichkeit",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "MII PR Mikrobio Empfindlichkeit",
  "package_version": "2024.0.0",
  "status": "active",
  "id": "2d1022cd-05b7-4d40-8cec-be0ae87279f8",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-empfindlichkeit",
  "version": "2024.0.0",
  "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": 3,
      "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.category.coding:loinc-microbiology-studies",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "loinc-microbiology-studies",
      "mustSupport": true,
      "patternCoding": {
        "code": "18725-2",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-empfindlichkeit-phenotyp-loinc"
      },
      "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",
        "severity": "error",
        "expression": "($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum",
      "max": "1",
      "path": "Observation.effective[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum" ]
      } ],
      "sliceName": "QuelleKlinischesBezugsdatum",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum.url",
      "path": "Observation.effective[x].extension.url",
      "fixedUri": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum"
    }, {
      "id": "Observation.issued",
      "path": "Observation.issued",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].code",
      "path": "Observation.value[x].code",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-empfindlichkeit-einheiten-ucum"
      }
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "mustSupport": true
    }, {
      "id": "Observation.interpretation",
      "max": "1",
      "path": "Observation.interpretation",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.interpretation:EUCAST",
      "max": "1",
      "path": "Observation.interpretation",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-eucast-snomedct"
      },
      "sliceName": "EUCAST"
    }, {
      "id": "Observation.interpretation:EUCAST.coding.version",
      "min": 1,
      "path": "Observation.interpretation.coding.version"
    }, {
      "id": "Observation.interpretation:CLSI",
      "max": "1",
      "path": "Observation.interpretation",
      "label": "CLSI",
      "binding": {
        "strength": "required",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-clsi-hl7"
      },
      "sliceName": "CLSI"
    }, {
      "id": "Observation.interpretation:CLSI.coding.version",
      "min": 1,
      "path": "Observation.interpretation.coding.version"
    }, {
      "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",
      "min": 1,
      "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
    }, {
      "id": "Observation.component.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ]
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}