{
"description": "Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative.",
"_filename": "StructureDefinition-mii-pr-labor-laborbefund.json",
"package_name": "de.medizininformatikinitiative.kerndatensatz.laborbefund",
"date": null,
"derivation": "constraint",
"publisher": "Medizininformatik Initiative",
"fhirVersion": "4.0.1",
"purpose": "Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative.",
"name": "MII_PR_Labor_Laborbefund",
"abstract": false,
"type": "DiagnosticReport",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "MII PR Labor Laborbefund",
"_description": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Laborbefund, der die Ergebnisse einer Laboruntersuchung enthält."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Laboratory report containing the results of a laboratory test."
} ]
} ]
},
"package_version": "2025.0.0-alpha1",
"status": "active",
"id": "85835518-e2b9-4dd6-a586-664cdeeece96",
"kind": "resource",
"url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab",
"_title": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Laborbefund"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Laboratory report"
} ]
} ]
},
"version": "2025.0.0",
"differential": {
"element": [ {
"id": "DiagnosticReport.id",
"path": "DiagnosticReport.id",
"mustSupport": true
}, {
"id": "DiagnosticReport.meta",
"path": "DiagnosticReport.meta",
"mustSupport": true
}, {
"id": "DiagnosticReport.meta.source",
"path": "DiagnosticReport.meta.source",
"mustSupport": true
}, {
"id": "DiagnosticReport.meta.profile",
"path": "DiagnosticReport.meta.profile",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier",
"min": 1,
"path": "DiagnosticReport.identifier",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Identifikator"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Identifier"
} ]
} ]
},
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "type",
"type": "pattern"
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Kennung/en, unter der/denen dieser Laborbefund bekannt ist."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Identifier/s by which this laboratory report is known."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund",
"max": "1",
"min": 1,
"path": "DiagnosticReport.identifier",
"sliceName": "befund"
}, {
"id": "DiagnosticReport.identifier:befund.type",
"min": 1,
"path": "DiagnosticReport.identifier.type",
"mustSupport": true,
"patternCodeableConcept": {
"coding": [ {
"code": "FILL",
"system": "http://terminology.hl7.org/CodeSystem/v2-0203"
} ]
}
}, {
"id": "DiagnosticReport.identifier:befund.type.coding",
"min": 1,
"path": "DiagnosticReport.identifier.type.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "system",
"type": "value"
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.type.coding:fillerV2",
"max": "1",
"min": 1,
"path": "DiagnosticReport.identifier.type.coding",
"sliceName": "fillerV2",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.type.coding:fillerV2.system",
"min": 1,
"path": "DiagnosticReport.identifier.type.coding.system",
"fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.type.coding:fillerV2.code",
"min": 1,
"path": "DiagnosticReport.identifier.type.coding.code",
"fixedCode": "FILL",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.system",
"min": 1,
"path": "DiagnosticReport.identifier.system",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.value",
"min": 1,
"path": "DiagnosticReport.identifier.value",
"mustSupport": true
}, {
"id": "DiagnosticReport.identifier:befund.assigner",
"min": 1,
"path": "DiagnosticReport.identifier.assigner",
"mustSupport": true
}, {
"id": "DiagnosticReport.basedOn",
"min": 1,
"path": "DiagnosticReport.basedOn",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Basiert auf"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Based on"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Bezug zum Laborauftrag, auf dem dieser Laborbefund basiert."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Reference to the laboratory order on which this laboratory report is based."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.status",
"path": "DiagnosticReport.status",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Status"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Status"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "registriert | teilweise | vorläufig | final"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "registered | partial | preliminary | final"
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.category",
"max": "1",
"min": 1,
"path": "DiagnosticReport.category",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Kategorie"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Category"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Klassifikation des Befunds als Laborbefund"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Classification of the report as laboratory report"
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.category.coding",
"min": 2,
"path": "DiagnosticReport.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.category.coding:loinc-lab",
"max": "1",
"min": 1,
"path": "DiagnosticReport.category.coding",
"sliceName": "loinc-lab",
"mustSupport": true,
"patternCoding": {
"code": "26436-6",
"system": "http://loinc.org"
}
}, {
"id": "DiagnosticReport.category.coding:diagnostic-service-sections",
"max": "1",
"min": 1,
"path": "DiagnosticReport.category.coding",
"sliceName": "diagnostic-service-sections",
"mustSupport": true,
"patternCoding": {
"code": "LAB",
"system": "http://terminology.hl7.org/CodeSystem/v2-0074"
}
}, {
"id": "DiagnosticReport.code",
"path": "DiagnosticReport.code",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Code"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Code"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ein LOINC Code zur Identifikation des Befunds als Laborbefund."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "A LOINC code identifying the report as laboratory report."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.code.coding",
"min": 1,
"path": "DiagnosticReport.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "pattern"
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.code.coding:loinc-labReport",
"max": "1",
"min": 1,
"path": "DiagnosticReport.code.coding",
"sliceName": "loinc-labReport",
"mustSupport": true,
"patternCoding": {
"code": "11502-2",
"system": "http://loinc.org"
}
}, {
"id": "DiagnosticReport.subject",
"min": 1,
"path": "DiagnosticReport.subject",
"mustSupport": true
}, {
"id": "DiagnosticReport.encounter",
"path": "DiagnosticReport.encounter",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Fall oder Kontakt"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Encounter"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Fall oder Kontakt, bei dem der Laborbefund erstellt wurde."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Encounter during which the laboratory report was created."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.effective[x]",
"min": 1,
"path": "DiagnosticReport.effective[x]",
"type": [ {
"code": "dateTime"
} ],
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Klinisches Bezugsdatum"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Clinical reference Date"
} ]
} ]
},
"definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. \nWenn der Zeitpunkt der Probenentnahme angegeben ist, wird meist dieser Zeitpunkt verwendet. \nAndernfalls wird zumeist behelfsmäßig der Probeneingang im Labor gewählt. \nDieses Element ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial e.g. Analytkonzentration mutmaßlich der Eigenschaft im Patienten entsprach."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The time when the measured property in the specimen material e.g. analyte concentration is presumed to pertain to the patient."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.effective[x].extension:QuelleKlinischesBezugsdatum",
"max": "1",
"min": 0,
"path": "DiagnosticReport.effective[x].extension",
"type": [ {
"code": "Extension",
"profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum" ]
} ],
"sliceName": "QuelleKlinischesBezugsdatum",
"mustSupport": true
}, {
"id": "DiagnosticReport.issued",
"min": 1,
"path": "DiagnosticReport.issued",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Dokumentationsdatum"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Issued"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The time when the laboratory report was documented."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.performer",
"path": "DiagnosticReport.performer",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ausführende*r"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Performer"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Verantwortliche Person oder Organisation, die für die Ausstellung des Befunds verantwortlich ist."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "The diagnostic service that is responsible for issuing the report."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.performer.reference",
"path": "DiagnosticReport.performer.reference",
"mustSupport": true
}, {
"id": "DiagnosticReport.performer.identifier",
"path": "DiagnosticReport.performer.identifier",
"mustSupport": true
}, {
"id": "DiagnosticReport.specimen",
"path": "DiagnosticReport.specimen",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Probenmaterial"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Specimen"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Details zu den Bioproben, auf denen dieser Laborbefund basiert."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Details about the specimens on which this diagnostic report is based."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.specimen.reference",
"path": "DiagnosticReport.specimen.reference",
"mustSupport": true
}, {
"id": "DiagnosticReport.specimen.identifier",
"path": "DiagnosticReport.specimen.identifier",
"mustSupport": true
}, {
"id": "DiagnosticReport.result",
"min": 1,
"path": "DiagnosticReport.result",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Ergebnis"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Result"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Laborergebnisse, die Teil dieses Laborbefunds sind."
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Laboratory test results that are part of this diagnostic report."
} ]
} ]
},
"mustSupport": true
}, {
"id": "DiagnosticReport.conclusion",
"path": "DiagnosticReport.conclusion",
"_short": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Schlussfolgerung"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Conclusion"
} ]
} ]
},
"_definition": {
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "de-DE"
}, {
"url": "content",
"valueString": "Klinische Schlussfolgerung/Interpretation der Testergebnisse"
} ]
}, {
"url": "http://hl7.org/fhir/StructureDefinition/translation",
"extension": [ {
"url": "lang",
"valueCode": "en-US"
}, {
"url": "content",
"valueString": "Clinical conclusion/interpretation of test results"
} ]
} ]
},
"mustSupport": true
} ]
},
"contact": [ {
"telecom": [ {
"value": "https://www.medizininformatik-initiative.de",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}