{
  "description": "MII LogicalModel Modul Lungenfunktion",
  "_filename": "StructureDefinition-mii-lm-lungenfunktion.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.lungenfunktion",
  "date": "2026-09-01",
  "derivation": "specialization",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_LM_Lungenfunktion",
  "mapping": [ {
    "name": "Bildgebung LogicalModel FHIR Mapping",
    "identity": "FHIR"
  } ],
  "abstract": false,
  "type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/LogicalModel/Lungenfunktion",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII LM Lungenfunktion",
  "_description": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII LogicalModel Module Lungenfunktion"
      } ]
    } ]
  },
  "package_version": "2027.0.0-ballot.rc1",
  "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"
      } ]
    }
  } ],
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion",
      "min": 0,
      "definition": "MII LogicalModel Modul Lungenfunktion",
      "short": "Das Erweiterungsmodul Lungenfunktion enthält Datenelemente zur Dokumentation von Lungenfunktionsuntersuchungen (Spirometrie, Bodyplethysmographie, Diffusionskapazität, Provokationstestung) und zugehörigen Befundberichten.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "max": "*",
      "id": "Lungenfunktion",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion"
      }
    }, {
      "path": "Lungenfunktion.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur",
      "min": 0,
      "definition": "Generische Prozedur einer Lungenfunktionmessung. Hier soll das MII KDS-Profil Prozedur verwendet werden.",
      "short": "Lungenfunktionsprozedur",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Procedure",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsprozedur"
      }
    }, {
      "path": "Lungenfunktion.Lungenfunktionsprozedur.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Status",
      "min": 1,
      "definition": "Status der Lugenfunktionsmessung",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "Procedure.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Kategorie",
      "min": 0,
      "definition": "Kategoriesierung der Lungenfunktionmessung nach SNOMET-CT: 23426006 |Measurement of respiratory function (procedure)|",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Procedure.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Code",
      "min": 1,
      "definition": "Code für spezifische Lungenfunktionsmessung",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Procedure.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Person",
      "min": 1,
      "definition": "Person, auf die sich die Lungenfunktionsmessung bezieht. Hier soll das MII KDS-Profil Person verwendet werden.",
      "short": "Person",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Procedure.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Befundungszeit",
      "min": 1,
      "definition": "Befundungszeitpunkt der Lungenfunktionsmessung.",
      "short": "Befundungszeit",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Procedure.performedDateTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Befundungszeit",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Befundungszeit"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Durchfuehrungserfolg",
      "min": 0,
      "definition": "Durchführungserfolg der Lungenfunktionsmessung: Erfolgreich | nicht Erfolgreich | teilweise Erfolgreich",
      "short": "Durchführungserfolg",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Procedure.outcome",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Durchfuehrungserfolg",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Durchfuehrungserfolg"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Bericht",
      "min": 0,
      "definition": "Referenz auf den Bericht",
      "short": "Bericht",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Procedure.report",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Bericht",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsprozedur.Bericht"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund",
      "min": 0,
      "definition": "Generischer Befund einer Lungenfunktionsprozedur",
      "short": "Lungenfunktionsbefund",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund"
      }
    }, {
      "path": "Lungenfunktion.Lungenfunktionsbefund.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Status",
      "min": 1,
      "definition": "Status des Befundberichts.",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "DiagnosticReport.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Kategorie",
      "min": 1,
      "definition": "Kategorisierung des Befunds zur Lungenfunktion nach SNOMED-CT: 720449003 |Pulmonary function report (record artifact)|",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "DiagnosticReport.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Code",
      "min": 1,
      "definition": "Code für den spezifischen Lungenfunktionsbericht.",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "DiagnosticReport.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Person",
      "min": 1,
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden",
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Fall",
      "min": 0,
      "definition": "Referenz über Fall auf den Versorgungsstellenkontakt. Hier soll das MII KDS-Modul Fall referenziert werden",
      "short": "Fall-Referenz",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.encounter",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Fall",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Fall"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Zeitpunkt",
      "min": 0,
      "definition": "Klinisch relevanter Zeitpunkt, auf den sich der Bericht bezieht.",
      "short": "Klinisch relevanter Zeitpunkt",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.effectiveDateTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Zeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Zeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "per-1",
        "human": "If present, start SHALL have a lower value than end",
        "xpath": "not(exists(f:start/@value)) or not(exists(f:end/@value)) or (xs:dateTime(f:start/@value) <= xs:dateTime(f:end/@value))",
        "source": "http://hl7.org/fhir/StructureDefinition/Period",
        "severity": "error",
        "expression": "start.hasValue().not() or end.hasValue().not() or (start <= end)"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Periode",
      "min": 0,
      "definition": "Klinisch relevante Periode, auf die sich der Bericht bezieht.",
      "short": "Klinisch relevante Periode",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DR",
        "identity": "v2"
      }, {
        "map": "IVL[lowClosed=\"true\" and highClosed=\"true\"] or URG[lowClosed=\"true\" and highClosed=\"true\"]",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.effectivePeriod",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Periode",
      "condition": [ "ele-1" ],
      "comment": "A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. \"the patient was an inpatient of the hospital for this time range\") or one value from the range applies (e.g. \"give to the patient between these two times\").\n\nPeriod is not used for a duration (a measure of elapsed time). See [Duration](datatypes.html#Duration).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Periode"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.ZeitpunktErstellung",
      "min": 0,
      "definition": "Zeitpunkt der Erstellung des Berichts.",
      "short": "Zeitpunkt der Erstellung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.ZeitpunktErstellung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.ZeitpunktErstellung"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Beobachtung",
      "min": 0,
      "definition": "Referenz auf die Lungenfunktionsmesswerte.",
      "short": "Beobachtung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.result",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Beobachtung",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Beobachtung"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.InterpretationBeobachtung",
      "min": 0,
      "definition": "Freitextinterpretation der Lungenfunktionsmessung.",
      "short": "Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.conclusion",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "markdown"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsbefund.InterpretationBeobachtung",
      "condition": [ "ele-1" ],
      "comment": "Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.InterpretationBeobachtung"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.StrukturierteInterpretation",
      "min": 0,
      "definition": "Strukturierte Interpretation der Lungenfunktionsmessung.",
      "short": "Strukturierte Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "DiagnosticReport.conclusionCode",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.StrukturierteInterpretation",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.StrukturierteInterpretation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "att-1",
        "human": "If the Attachment has data, it SHALL have a contentType",
        "xpath": "not(exists(f:data)) or exists(f:contentType)",
        "source": "http://hl7.org/fhir/StructureDefinition/Attachment",
        "severity": "error",
        "expression": "data.empty() or contentType.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsbefund.Dokumentenanhang",
      "min": 0,
      "definition": "Anhang der Dokumente und Bilder.",
      "short": "Dokumentenanhang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ED/RP",
        "identity": "v2"
      }, {
        "map": "ED",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.presentedForm",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Attachment"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsbefund.Dokumentenanhang",
      "condition": [ "ele-1" ],
      "comment": "When providing a summary view (for example with Observation.value[x]) Attachment should be represented with a brief display text such as \"Signed Procedure Consent\".",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsbefund.Dokumentenanhang"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte",
      "min": 0,
      "definition": "Generische Messwerte einer Lungenfunktionsprozedur",
      "short": "Lungenfunktionsmesswerte",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte"
      }
    }, {
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Prozedur",
      "min": 0,
      "definition": "Prozedur der Lungenfunktionsmessung",
      "short": "Prozedur",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.partOf",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Prozedur",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Prozedur"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Status",
      "min": 1,
      "definition": "Status des Befundberichts.",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Kategorie",
      "min": 1,
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion.",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Code",
      "min": 1,
      "definition": "Code für den spezifischen Lungenfunktionsbericht.",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Person",
      "min": 1,
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden",
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Dokumentationszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde.",
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Dokumentationszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Dokumentationszeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messergebnis",
      "min": 0,
      "definition": "Messergebnis eines Lungenfunktionsmesswert",
      "isModifier": false,
      "short": "Messergebnis",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Messergebnis",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messergebnis"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Interpretation",
      "min": 0,
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall.",
      "short": "Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Interpretation",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Interpretation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messverfahren",
      "min": 0,
      "definition": "Verfahren, wie der Messwert aufgenommen wurden.",
      "short": "Messverfahren",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.method",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Messverfahren",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messverfahren"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall",
      "min": 0,
      "definition": "Intervall zur Auswertung des Messwertes",
      "short": "Referenzintervall",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall"
      }
    }, {
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.UntererReferenzwert",
      "min": 0,
      "definition": "Unter Referenzwert, oder auch LLN",
      "isModifier": false,
      "short": "Unterer Referenzwert",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.low",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.UntererReferenzwert",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.UntererReferenzwert"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.ObererReferenzwert",
      "min": 0,
      "definition": "Oberer Refernzwert, oder auch ULN",
      "isModifier": false,
      "short": "Oberer Referenzwert",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.high",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.ObererReferenzwert",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.ObererReferenzwert"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.Referenzalter",
      "min": 0,
      "definition": "Alter, auf welchen sich das Referenzintervall bezieht.",
      "isModifier": false,
      "short": "Referenzalter",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.age",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.Referenzalter",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.Referenzalter"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.WeitereMesswerte",
      "min": 0,
      "definition": "Weitere Messwerte, die mit diesem zusammengehören.",
      "short": "WeitereMesswert",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.hasMember",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.WeitereMesswerte",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.WeitereMesswerte"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bezugsmesswerte",
      "min": 0,
      "definition": "Messwerte, aus welche dieser berechnet wurde.",
      "short": "Bezugsmesswerte",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.derivedFrom",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bezugsmesswerte",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bezugsmesswerte"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte",
      "min": 0,
      "definition": "Messwerte, die zur Bewertung dieses Messwerts dient.",
      "short": "Bewertungsmesswerte",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.component",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte"
      }
    }, {
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VorhergesagterMesswert",
      "min": 0,
      "definition": "Messwert, der personenbezogen vorhergesagt wird.",
      "isModifier": false,
      "short": "Vorhergesagter Messwert",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.component[predicted]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VorhergesagterMesswert",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VorhergesagterMesswert"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VerhaeltnisZurVorhersage",
      "min": 0,
      "definition": "Verhältnis von Messwert zum vorhergesagtem Messwert.",
      "isModifier": false,
      "short": "Verhältnis zur Vorhersage",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.component[%predicted]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VerhaeltnisZurVorhersage",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VerhaeltnisZurVorhersage"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.zScore",
      "min": 0,
      "definition": "z-Score zur Bewertung des Messwerts",
      "isModifier": false,
      "short": "z-Score",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.component[z-score]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.zScore",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.zScore"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen",
      "min": 0,
      "definition": "Umgebungsvariablen zur Beschreibung des Patientenumfeld",
      "short": "Umgebungsvariablen",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen"
      }
    }, {
      "path": "Lungenfunktion.Umgebungsvariablen.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung",
      "min": 0,
      "definition": "Umgebung in der der Messwert aufgenommen wurde",
      "short": "Umgebung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Location",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Umgebung"
      }
    }, {
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standorttyp",
      "min": 0,
      "definition": "Typ der Umgebung des Patienten",
      "short": "Standorttyp",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Location.type",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standorttyp",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standorttyp"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standortform",
      "min": 0,
      "definition": "Standortform der Umgebung, zur Dokumentation von Innen oder Außen",
      "short": "Standortform",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Location.physicalType",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standortform",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standortform"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit",
      "min": 0,
      "definition": "relative Luftfeuchtigkeit in der Patientenumgebung",
      "short": "Luftfeuchtigkeit",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit"
      }
    }, {
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Status",
      "min": 1,
      "definition": "Status des Befundberichts.",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Kategorie",
      "min": 1,
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion.",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Code",
      "min": 1,
      "definition": "Code für den spezifischen Lungenfunktionsbericht.",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Person",
      "min": 1,
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden",
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Fokus",
      "min": 1,
      "definition": "Fokus auf den Ort der Messung",
      "short": "Fokus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Fokus",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Fokus"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Dokumentationszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde.",
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Dokumentationszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Dokumentationszeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Messergebnis",
      "min": 0,
      "definition": "Messergebnis eines Lungenfunktionsmesswert",
      "isModifier": false,
      "short": "Messergebnis",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Messergebnis",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Messergebnis"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Interpretation",
      "min": 0,
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall.",
      "short": "Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Interpretation",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Interpretation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur",
      "min": 0,
      "definition": "Lufttemperatur in der Patientenumgebung",
      "short": "Lufttemperatur",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur"
      }
    }, {
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Status",
      "min": 1,
      "definition": "Status des Befundberichts.",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Kategorie",
      "min": 1,
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion.",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Code",
      "min": 1,
      "definition": "Code für den spezifischen Lungenfunktionsbericht.",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Person",
      "min": 1,
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden",
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Fokus",
      "min": 1,
      "definition": "Fokus auf den Ort der Messung",
      "short": "Fokus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Fokus",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Fokus"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Dokumentationszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde.",
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Dokumentationszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Dokumentationszeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Messergebnis",
      "min": 0,
      "definition": "Messergebnis eines Lungenfunktionsmesswert",
      "isModifier": false,
      "short": "Messergebnis",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Messergebnis",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Messergebnis"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Interpretation",
      "min": 0,
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall.",
      "short": "Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Interpretation",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Interpretation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration",
      "min": 0,
      "definition": "CO2 Konzentration in der Patientenumgebung",
      "short": "CO2 Konzentration",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration"
      }
    }, {
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.extension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.modifierExtension",
      "condition": [ "ele-1" ],
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Status",
      "min": 1,
      "definition": "Status des Befundberichts.",
      "short": "Status",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE subset one of the sets of component 1-3 or 4-6",
        "identity": "v2"
      }, {
        "map": "CV",
        "identity": "rim"
      }, {
        "map": "fhir:Coding rdfs:subClassOf dt:CDCoding",
        "identity": "orim"
      }, {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Status",
      "condition": [ "ele-1" ],
      "comment": "Codes may be defined very casually in enumerations or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Kategorie",
      "min": 1,
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion.",
      "short": "Kategorie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "*",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Kategorie",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "*",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Kategorie"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Code",
      "min": 1,
      "definition": "Code für den spezifischen Lungenfunktionsbericht.",
      "short": "Code",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Code",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Person",
      "min": 1,
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden",
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Person",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Person"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ref-1",
        "human": "SHALL have a contained resource if a local reference is provided",
        "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Reference",
        "severity": "error",
        "expression": "reference.exists() implies (reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids')) or (reference='#' and %rootResource!=%resource))"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Fokus",
      "min": 1,
      "definition": "Fokus auf den Ort der Messung",
      "short": "Fokus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)",
        "identity": "rim"
      }, {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Fokus",
      "condition": [ "ele-1" ],
      "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Fokus"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Dokumentationszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde.",
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Dokumentationszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Dokumentationszeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      }, {
        "key": "sqty-1",
        "human": "The comparator is not used on a SimpleQuantity",
        "xpath": "not(exists(f:comparator))",
        "source": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity",
        "severity": "error",
        "expression": "comparator.empty()"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Messergebnis",
      "min": 0,
      "definition": "Messergebnis eines Lungenfunktionsmesswert",
      "isModifier": false,
      "short": "Messergebnis",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Messergebnis",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Messergebnis"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Interpretation",
      "min": 0,
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall.",
      "short": "Interpretation",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CE/CNE/CWE",
        "identity": "v2"
      }, {
        "map": "CD",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD",
        "identity": "orim"
      }, {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "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"
      } ],
      "max": "1",
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Interpretation",
      "condition": [ "ele-1" ],
      "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Interpretation"
      }
    } ]
  },
  "status": "active",
  "id": "af563fcb-29f0-45e0-b07d-66b2618bc8f4",
  "kind": "logical",
  "_name": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII_LM_Lungenfunktion"
      } ]
    } ]
  },
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/LogicalModel/Lungenfunktion",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "MII LM Lungenfunktion"
      } ]
    } ]
  },
  "version": "2027.0.0-ballot.rc1",
  "differential": {
    "element": [ {
      "id": "Lungenfunktion",
      "path": "Lungenfunktion",
      "short": "Das Erweiterungsmodul Lungenfunktion enthält Datenelemente zur Dokumentation von Lungenfunktionsuntersuchungen (Spirometrie, Bodyplethysmographie, Diffusionskapazität, Provokationstestung) und zugehörigen Befundberichten.",
      "definition": "MII LogicalModel Modul Lungenfunktion"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsprozedur",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Lungenfunktionsprozedur",
      "mapping": [ {
        "map": "Procedure",
        "identity": "FHIR"
      } ],
      "definition": "Generische Prozedur einer Lungenfunktionmessung. Hier soll das MII KDS-Profil Prozedur verwendet werden."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "Procedure.status",
        "identity": "FHIR"
      } ],
      "definition": "Status der Lugenfunktionsmessung"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Kategorie",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "Procedure.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategoriesierung der Lungenfunktionmessung nach SNOMET-CT: 23426006 |Measurement of respiratory function (procedure)|"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "Procedure.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für spezifische Lungenfunktionsmessung"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Person",
      "mapping": [ {
        "map": "Procedure.subject",
        "identity": "FHIR"
      } ],
      "definition": "Person, auf die sich die Lungenfunktionsmessung bezieht. Hier soll das MII KDS-Profil Person verwendet werden."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Befundungszeit",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Befundungszeit",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Befundungszeit",
      "mapping": [ {
        "map": "Procedure.performedDateTime",
        "identity": "FHIR"
      } ],
      "definition": "Befundungszeitpunkt der Lungenfunktionsmessung."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Durchfuehrungserfolg",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Durchfuehrungserfolg",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Durchführungserfolg",
      "mapping": [ {
        "map": "Procedure.outcome",
        "identity": "FHIR"
      } ],
      "definition": "Durchführungserfolg der Lungenfunktionsmessung: Erfolgreich | nicht Erfolgreich | teilweise Erfolgreich"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsprozedur.Bericht",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsprozedur.Bericht",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Bericht",
      "mapping": [ {
        "map": "Procedure.report",
        "identity": "FHIR"
      } ],
      "definition": "Referenz auf den Bericht"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Lungenfunktionsbefund",
      "mapping": [ {
        "map": "DiagnosticReport",
        "identity": "FHIR"
      } ],
      "definition": "Generischer Befund einer Lungenfunktionsprozedur"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "DiagnosticReport.status",
        "identity": "FHIR"
      } ],
      "definition": "Status des Befundberichts."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Kategorie",
      "max": "*",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "DiagnosticReport.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategorisierung des Befunds zur Lungenfunktion nach SNOMED-CT: 720449003 |Pulmonary function report (record artifact)|"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "DiagnosticReport.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für den spezifischen Lungenfunktionsbericht."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "DiagnosticReport.subject",
        "identity": "FHIR"
      } ],
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Fall",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Fall",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ]
      } ],
      "short": "Fall-Referenz",
      "mapping": [ {
        "map": "DiagnosticReport.encounter",
        "identity": "FHIR"
      } ],
      "definition": "Referenz über Fall auf den Versorgungsstellenkontakt. Hier soll das MII KDS-Modul Fall referenziert werden"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Zeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Zeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Klinisch relevanter Zeitpunkt",
      "mapping": [ {
        "map": "DiagnosticReport.effectiveDateTime",
        "identity": "FHIR"
      } ],
      "definition": "Klinisch relevanter Zeitpunkt, auf den sich der Bericht bezieht."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Periode",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Periode",
      "type": [ {
        "code": "Period"
      } ],
      "short": "Klinisch relevante Periode",
      "mapping": [ {
        "map": "DiagnosticReport.effectivePeriod",
        "identity": "FHIR"
      } ],
      "definition": "Klinisch relevante Periode, auf die sich der Bericht bezieht."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.ZeitpunktErstellung",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.ZeitpunktErstellung",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Erstellung",
      "mapping": [ {
        "map": "DiagnosticReport.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt der Erstellung des Berichts."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Beobachtung",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Beobachtung",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "short": "Beobachtung",
      "mapping": [ {
        "map": "DiagnosticReport.result",
        "identity": "FHIR"
      } ],
      "definition": "Referenz auf die Lungenfunktionsmesswerte."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.InterpretationBeobachtung",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.InterpretationBeobachtung",
      "type": [ {
        "code": "markdown"
      } ],
      "short": "Interpretation",
      "mapping": [ {
        "map": "DiagnosticReport.conclusion",
        "identity": "FHIR"
      } ],
      "definition": "Freitextinterpretation der Lungenfunktionsmessung."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.StrukturierteInterpretation",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.StrukturierteInterpretation",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Strukturierte Interpretation",
      "mapping": [ {
        "map": "DiagnosticReport.conclusionCode",
        "identity": "FHIR"
      } ],
      "definition": "Strukturierte Interpretation der Lungenfunktionsmessung."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsbefund.Dokumentenanhang",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsbefund.Dokumentenanhang",
      "type": [ {
        "code": "Attachment"
      } ],
      "short": "Dokumentenanhang",
      "mapping": [ {
        "map": "DiagnosticReport.presentedForm",
        "identity": "FHIR"
      } ],
      "definition": "Anhang der Dokumente und Bilder."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Lungenfunktionsmesswerte",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "Generische Messwerte einer Lungenfunktionsprozedur"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Prozedur",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Prozedur",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "short": "Prozedur",
      "mapping": [ {
        "map": "Observation.partOf",
        "identity": "FHIR"
      } ],
      "definition": "Prozedur der Lungenfunktionsmessung"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "definition": "Status des Befundberichts."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Kategorie",
      "max": "*",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für den spezifischen Lungenfunktionsbericht."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Dokumentationszeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Dokumentationszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Messergebnis",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messergebnis",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Messergebnis",
      "mapping": [ {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "definition": "Messergebnis eines Lungenfunktionsmesswert"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Interpretation",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Interpretation",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Interpretation",
      "mapping": [ {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Messverfahren",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Messverfahren",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Messverfahren",
      "mapping": [ {
        "map": "Observation.method",
        "identity": "FHIR"
      } ],
      "definition": "Verfahren, wie der Messwert aufgenommen wurden."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Referenzintervall",
      "mapping": [ {
        "map": "Observation.referenceRange",
        "identity": "FHIR"
      } ],
      "definition": "Intervall zur Auswertung des Messwertes"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.UntererReferenzwert",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.UntererReferenzwert",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Unterer Referenzwert",
      "mapping": [ {
        "map": "Observation.referenceRange.low",
        "identity": "FHIR"
      } ],
      "definition": "Unter Referenzwert, oder auch LLN"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.ObererReferenzwert",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.ObererReferenzwert",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Oberer Referenzwert",
      "mapping": [ {
        "map": "Observation.referenceRange.high",
        "identity": "FHIR"
      } ],
      "definition": "Oberer Refernzwert, oder auch ULN"
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.Referenzalter",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Referenzintervall.Referenzalter",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Referenzalter",
      "mapping": [ {
        "map": "Observation.referenceRange.age",
        "identity": "FHIR"
      } ],
      "definition": "Alter, auf welchen sich das Referenzintervall bezieht."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.WeitereMesswerte",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.WeitereMesswerte",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "short": "WeitereMesswert",
      "mapping": [ {
        "map": "Observation.hasMember",
        "identity": "FHIR"
      } ],
      "definition": "Weitere Messwerte, die mit diesem zusammengehören."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bezugsmesswerte",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bezugsmesswerte",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Observation" ]
      } ],
      "short": "Bezugsmesswerte",
      "mapping": [ {
        "map": "Observation.derivedFrom",
        "identity": "FHIR"
      } ],
      "definition": "Messwerte, aus welche dieser berechnet wurde."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte",
      "max": "*",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Bewertungsmesswerte",
      "mapping": [ {
        "map": "Observation.component",
        "identity": "FHIR"
      } ],
      "definition": "Messwerte, die zur Bewertung dieses Messwerts dient."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VorhergesagterMesswert",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VorhergesagterMesswert",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Vorhergesagter Messwert",
      "mapping": [ {
        "map": "Observation.component[predicted]",
        "identity": "FHIR"
      } ],
      "definition": "Messwert, der personenbezogen vorhergesagt wird."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VerhaeltnisZurVorhersage",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.VerhaeltnisZurVorhersage",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Verhältnis zur Vorhersage",
      "mapping": [ {
        "map": "Observation.component[%predicted]",
        "identity": "FHIR"
      } ],
      "definition": "Verhältnis von Messwert zum vorhergesagtem Messwert."
    }, {
      "id": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.zScore",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Lungenfunktionsmesswerte.Bewertungsmesswerte.zScore",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "z-Score",
      "mapping": [ {
        "map": "Observation.component[z-score]",
        "identity": "FHIR"
      } ],
      "definition": "z-Score zur Bewertung des Messwerts"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Umgebungsvariablen",
      "mapping": [ {
        "map": "",
        "identity": "FHIR"
      } ],
      "definition": "Umgebungsvariablen zur Beschreibung des Patientenumfeld"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Umgebung",
      "mapping": [ {
        "map": "Location",
        "identity": "FHIR"
      } ],
      "definition": "Umgebung in der der Messwert aufgenommen wurde"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standorttyp",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standorttyp",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Standorttyp",
      "mapping": [ {
        "map": "Location.type",
        "identity": "FHIR"
      } ],
      "definition": "Typ der Umgebung des Patienten"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standortform",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Umgebung.Standortform",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Standortform",
      "mapping": [ {
        "map": "Location.physicalType",
        "identity": "FHIR"
      } ],
      "definition": "Standortform der Umgebung, zur Dokumentation von Innen oder Außen"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Luftfeuchtigkeit",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "relative Luftfeuchtigkeit in der Patientenumgebung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "definition": "Status des Befundberichts."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Kategorie",
      "max": "*",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für den spezifischen Lungenfunktionsbericht."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Fokus",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Fokus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "short": "Fokus",
      "mapping": [ {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "definition": "Fokus auf den Ort der Messung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Dokumentationszeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Dokumentationszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Messergebnis",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Messergebnis",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Messergebnis",
      "mapping": [ {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "definition": "Messergebnis eines Lungenfunktionsmesswert"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Interpretation",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Luftfeuchtigkeit.Interpretation",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Interpretation",
      "mapping": [ {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Lufttemperatur",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "Lufttemperatur in der Patientenumgebung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "definition": "Status des Befundberichts."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Kategorie",
      "max": "*",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für den spezifischen Lungenfunktionsbericht."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Fokus",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Fokus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "short": "Fokus",
      "mapping": [ {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "definition": "Fokus auf den Ort der Messung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Dokumentationszeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Dokumentationszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Messergebnis",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Messergebnis",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Messergebnis",
      "mapping": [ {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "definition": "Messergebnis eines Lungenfunktionsmesswert"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Interpretation",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.Lufttemperatur.Interpretation",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Interpretation",
      "mapping": [ {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "CO2 Konzentration",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "CO2 Konzentration in der Patientenumgebung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Status",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Status",
      "type": [ {
        "code": "Coding"
      } ],
      "short": "Status",
      "mapping": [ {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "definition": "Status des Befundberichts."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Kategorie",
      "max": "*",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Kategorie",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Kategorie",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Kategorisierung des Messwerts zur Lungenfunktion."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Code",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Code",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Code",
      "mapping": [ {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "definition": "Code für den spezifischen Lungenfunktionsbericht."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Person",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Person",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient" ]
      } ],
      "short": "Personen-Identifikation",
      "mapping": [ {
        "map": "Observation.subject",
        "identity": "FHIR"
      } ],
      "definition": "Die Person, für die der Lungenfunktionsbericht erstellt wurde. Hier sollte das MII KDS-Modul Person referenziert werden"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Fokus",
      "max": "1",
      "min": 1,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Fokus",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ]
      } ],
      "short": "Fokus",
      "mapping": [ {
        "map": "Observation.focus",
        "identity": "FHIR"
      } ],
      "definition": "Fokus auf den Ort der Messung"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Dokumentationszeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Dokumentationszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Dokumentationszeitpunkt ",
      "mapping": [ {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt an dem der Messwert dokumentiert wurde."
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Messergebnis",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Messergebnis",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Messergebnis",
      "mapping": [ {
        "map": "Observation.value[x]",
        "identity": "FHIR"
      } ],
      "definition": "Messergebnis eines Lungenfunktionsmesswert"
    }, {
      "id": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Interpretation",
      "max": "1",
      "min": 0,
      "path": "Lungenfunktion.Umgebungsvariablen.CO2Konzentration.Interpretation",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Interpretation",
      "mapping": [ {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "definition": "Interpretation der Messergebnisse im Bezug zum Referenzintervall."
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}