{
  "description": "Laborparameter - Observation für das elektronische Medikations-Datenaustauschformat (eMDAF)",
  "_filename": "EMDAF_PR_Observation_Laborparameter.json",
  "package_name": "de.gevko.emdaf",
  "date": "2021-11-26",
  "derivation": "constraint",
  "publisher": "gevko GmbH",
  "fhirVersion": "4.0.1",
  "name": "EMDAF_PR_Observation_Laborparameter",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "eMDAF - Klinische Parameter: Laborparameter",
  "package_version": "1.0.0",
  "status": "active",
  "id": "6db664ac-6d55-45ef-aac7-fb81b35bdb43",
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  "url": "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Observation_Laborparameter",
  "version": "1.0.0",
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      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.profile",
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      "min": 1,
      "path": "Observation.meta.profile",
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      "mustSupport": true,
      "fixedCanonical": "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Observation_Laborparameter|1.0.0"
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      "id": "Observation.implicitRules",
      "max": "0",
      "path": "Observation.implicitRules",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
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    }, {
      "id": "Observation.language",
      "max": "0",
      "path": "Observation.language",
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      "id": "Observation.contained",
      "max": "0",
      "path": "Observation.contained"
    }, {
      "id": "Observation.extension",
      "min": 1,
      "path": "Observation.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
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    }, {
      "id": "Observation.extension:Annotation_Comment",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Annotation_Comment" ]
      } ],
      "short": "Annotation Comment",
      "sliceName": "Annotation_Comment"
    }, {
      "id": "Observation.extension:Freitext_Parameter",
      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Freitext_Parameter" ]
      } ],
      "short": "Freitext Parameter",
      "sliceName": "Freitext_Parameter",
      "mustSupport": true
    }, {
      "id": "Observation.extension:Freitext_Parameter.extension",
      "min": 2,
      "path": "Observation.extension.extension",
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        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
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    }, {
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      "path": "Observation.extension.extension",
      "sliceName": "Parameter-Freitext",
      "mustSupport": true
    }, {
      "id": "Observation.extension:Freitext_Parameter.extension:Parameter-Freitext.value[x]",
      "path": "Observation.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Observation.extension:Freitext_Parameter.extension:Druckkennzeichen",
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      "mustSupport": true
    }, {
      "id": "Observation.extension:Freitext_Parameter.extension:Druckkennzeichen.value[x]",
      "path": "Observation.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation",
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      "min": 0,
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Zusatzinformation" ]
      } ],
      "short": "Vorhabenspezifische Erweiterung/Zusatzinformation des Datensatzes",
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      "path": "Observation.extension.extension",
      "short": "Der Wert der vorhabenspezifischen Erweiterung/Zusatzinformation",
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      "mustSupport": true
    }, {
      "id": "Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Text.value[x]",
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      "mustSupport": true
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      "max": "1",
      "min": 0,
      "path": "Observation.extension.extension",
      "short": "Identifikation der Erweiterung/Zusatzinformation in Form einer URI",
      "sliceName": "Zusatzinformation_Code",
      "mustSupport": true
    }, {
      "id": "Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Code.value[x]",
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        "code": "uri"
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      "mustSupport": true
    }, {
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      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Laborparameter_Status" ]
      } ],
      "short": "Status des Laborparameters",
      "sliceName": "Status_Laborparameter"
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      "id": "Observation.extension:Status_Laborparameter.value[x]",
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      "path": "Observation.extension.value[x]",
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        "strength": "required",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-ActStatus",
        "description": "Der Status des Laborparameters muss aus dem Value Set 'http://terminology.hl7.org/ValueSet/v3-ActStatus' gewählt werden."
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    }, {
      "id": "Observation.extension:Status_Laborparameter.value[x].system",
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      "id": "Observation.extension:Status_Laborparameter.value[x].display",
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      "path": "Observation.identifier"
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      "max": "0",
      "path": "Observation.basedOn"
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      "mustSupport": true
    }, {
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      "max": "0",
      "path": "Observation.category"
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "Code des Laborwertes",
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      "min": 1,
      "path": "Observation.code.coding",
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      },
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      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
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      "path": "Observation.code.coding.code",
      "short": "Code aus dem Value Set Laborparameter (1.2.276.0.76.11.431 )",
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    }, {
      "id": "Observation.code.text",
      "min": 1,
      "path": "Observation.code.text",
      "short": "Name des Laborparameters",
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.subject.reference",
      "min": 1,
      "path": "Observation.subject.reference",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
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      "mustSupport": true
    }, {
      "id": "Observation.subject.type",
      "max": "0",
      "path": "Observation.subject.type",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.subject.identifier",
      "max": "0",
      "path": "Observation.subject.identifier"
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      "path": "Observation.subject.display",
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    }, {
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      "max": "0",
      "path": "Observation.focus"
    }, {
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      "max": "0",
      "path": "Observation.encounter"
    }, {
      "id": "Observation.effective[x]",
      "min": 1,
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Messung des Laborwerts",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.issued",
      "max": "0",
      "path": "Observation.issued",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.performer",
      "max": "0",
      "path": "Observation.performer"
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Wert und Einheit des Laborwertes",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/ucum-units",
        "description": "Der Code für die Einheit des Laborwertes muss aus dem ValueSet 'http://hl7.org/fhir/ValueSet/ucum-units' gewählt werden."
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].value",
      "min": 1,
      "path": "Observation.value[x].value",
      "short": "Wert des Laborwertes",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].comparator",
      "max": "0",
      "path": "Observation.value[x].comparator",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.value[x].unit",
      "min": 1,
      "path": "Observation.value[x].unit",
      "short": "Einheit des Laborwertes",
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        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].system",
      "min": 1,
      "path": "Observation.value[x].system",
      "fixedUri": "http://unitsofmeasure.org",
      "extension": [ {
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        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x].code",
      "min": 1,
      "path": "Observation.value[x].code",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
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      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "max": "0",
      "path": "Observation.dataAbsentReason"
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      "id": "Observation.interpretation",
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      "path": "Observation.interpretation",
      "mustSupport": true
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      "id": "Observation.interpretation.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.interpretation.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation",
        "description": "Die qualitative Interpretation des Laborwertes muss aus dem Value Set 'http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation' gewählt werden."
      },
      "mustSupport": true
    }, {
      "id": "Observation.interpretation.coding.system",
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      "mustSupport": true
    }, {
      "id": "Observation.interpretation.coding.code",
      "min": 1,
      "path": "Observation.interpretation.coding.code",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
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      "mustSupport": true
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      "max": "0",
      "path": "Observation.note"
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.method",
      "max": "0",
      "path": "Observation.method"
    }, {
      "id": "Observation.specimen",
      "max": "0",
      "path": "Observation.specimen"
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      "id": "Observation.device",
      "max": "0",
      "path": "Observation.device"
    }, {
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      "path": "Observation.referenceRange",
      "short": "Normalwertebereich",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.low",
      "min": 1,
      "path": "Observation.referenceRange.low",
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    }, {
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    }, {
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      "path": "Observation.referenceRange.low.unit",
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      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.low.system",
      "min": 1,
      "path": "Observation.referenceRange.low.system",
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      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.low.code",
      "min": 1,
      "path": "Observation.referenceRange.low.code",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high",
      "min": 1,
      "path": "Observation.referenceRange.high",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high.value",
      "min": 1,
      "path": "Observation.referenceRange.high.value",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high.unit",
      "min": 1,
      "path": "Observation.referenceRange.high.unit",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high.system",
      "min": 1,
      "path": "Observation.referenceRange.high.system",
      "fixedUri": "http://hl7.org/fhir/ValueSet/ucum-units",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high.code",
      "min": 1,
      "path": "Observation.referenceRange.high.code",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.type",
      "path": "Observation.referenceRange.type",
      "short": "Interpretation"
    }, {
      "id": "Observation.referenceRange.type.coding",
      "max": "1",
      "path": "Observation.referenceRange.type.coding",
      "binding": {
        "strength": "required",
        "valueSet": "http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation",
        "description": "Die qualitative Interpretation muss aus dem Value Set 'http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation' gewählt werden."
      }
    }, {
      "id": "Observation.referenceRange.type.coding.system",
      "min": 1,
      "path": "Observation.referenceRange.type.coding.system",
      "short": "Entspricht dem Terminologie-System: 2.16.840.1.113883.5.83 (Observation Interpretation)",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.referenceRange.type.coding.code",
      "min": 1,
      "path": "Observation.referenceRange.type.coding.code",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.referenceRange.type.coding.userSelected",
      "max": "0",
      "path": "Observation.referenceRange.type.coding.userSelected",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.referenceRange.appliesTo",
      "max": "0",
      "path": "Observation.referenceRange.appliesTo"
    }, {
      "id": "Observation.referenceRange.age",
      "max": "0",
      "path": "Observation.referenceRange.age"
    }, {
      "id": "Observation.referenceRange.text",
      "max": "0",
      "path": "Observation.referenceRange.text",
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ]
    }, {
      "id": "Observation.hasMember",
      "max": "0",
      "path": "Observation.hasMember"
    }, {
      "id": "Observation.derivedFrom",
      "max": "0",
      "path": "Observation.derivedFrom"
    }, {
      "id": "Observation.component",
      "max": "0",
      "path": "Observation.component"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}