{
  "description": "Empfindlichkeit beschreibt das Ergebnis der phänotypischen Resistenztestung eines Erregers gegenüber antimikrobiellen Substanzen unter Bezug auf ein Normsystem.",
  "_filename": "StructureDefinition-mii-pr-mikrobio-empfindlichkeit.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.mikrobiologie",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "purpose": "Dieses Profil beschreibt die phänotypische Empfindlichkeitstestung.",
  "name": "MII_PR_Mikrobio_Empfindlichkeit",
  "abstract": false,
  "type": "Observation",
  "experimental": "false",
  "resourceType": "StructureDefinition",
  "title": "MII PR Mikrobio Empfindlichkeit",
  "package_version": "2027.0.0-alpha.2",
  "extension": [ {
    "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
    "valueCodeableConcept": {
      "coding": [ {
        "code": "CC-BY-4.0",
        "system": "http://hl7.org/fhir/spdx-license",
        "display": "Creative Commons Attribution 4.0 International"
      } ]
    }
  } ],
  "status": "active",
  "id": "3b6c0874-ef0f-40d8-b4ea-54fc16d5780c",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-empfindlichkeit",
  "version": "2027.0.0-alpha.2",
  "differential": {
    "element": [ {
      "id": "Observation.extension",
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Observation.extension:triggeredBy-r5",
      "max": "*",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy" ]
      } ],
      "sliceName": "triggeredBy-r5",
      "mustSupport": true
    }, {
      "id": "Observation.extension:triggeredBy-r5.extension:observation",
      "path": "Observation.extension.extension",
      "short": "Triggering observation.",
      "sliceName": "observation"
    }, {
      "id": "Observation.extension:triggeredBy-r5.extension:type",
      "path": "Observation.extension.extension",
      "short": "Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik.",
      "sliceName": "type"
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      }
    }, {
      "path": "Observation.category",
      "min": 1,
      "definition": "Kategorie-Slice für mikrobiologische Laboruntersuchungen.",
      "short": "Mikrobiologie-Kategorie",
      "mustSupport": true,
      "sliceName": "mibi-category",
      "max": "1",
      "id": "Observation.category:mibi-category",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "MB",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
        } ]
      }
    }, {
      "id": "Observation.category:mibi-category.coding",
      "min": 3,
      "path": "Observation.category.coding"
    }, {
      "id": "Observation.category:mibi-category.coding:v2-microbiology",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "v2-microbiology",
      "mustSupport": true,
      "patternCoding": {
        "code": "MB",
        "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
      }
    }, {
      "id": "Observation.category:mibi-category.coding:loinc-microbiology-studies",
      "max": "1",
      "min": 0,
      "path": "Observation.category.coding",
      "sliceName": "loinc-microbiology-studies",
      "mustSupport": true,
      "patternCoding": {
        "code": "18725-2",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "Es werden bevorzugt LOINC-Codes ohne präkoordinierte Specimentype-Angabe verwendet (System = XXX); der Specimentype wird separat über Specimen.type kodiert.",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-empfindlichkeit-phenotyp-loinc"
      }
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ]
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "sliceName": "valueQuantity"
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "path": "Observation.value[x].code",
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        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-empfindlichkeit-einheiten-ucum"
      }
    }, {
      "id": "Observation.interpretation",
      "path": "Observation.interpretation",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-susceptibility"
      }
    }, {
      "id": "Observation.interpretation.extension",
      "min": 1,
      "path": "Observation.interpretation.extension"
    }, {
      "id": "Observation.interpretation.extension:Norm",
      "max": "1",
      "min": 1,
      "path": "Observation.interpretation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-ex-mikrobio-empfindlichkeit-norm" ]
      } ],
      "sliceName": "Norm",
      "mustSupport": true
    }, {
      "id": "Observation.specimen",
      "min": 1,
      "path": "Observation.specimen"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
}