PackagesCanonicalsLogsProblems
    Packages
    de.medizininformatikinitiative.kerndatensatz.seltene@2026.0.0
    https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/LogicalModel/Seltene
{
  "description": "MII LogicalModel Modul Seltene Erkraknungen",
  "_filename": "StructureDefinition-mii-lm-seltene.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.seltene",
  "date": null,
  "derivation": "specialization",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_LM_SE",
  "mapping": [ {
    "name": "SE LogicalModel FHIR Mapping",
    "identity": "FHIR"
  }, {
    "name": "SE LogicalModel NARSE Mapping",
    "identity": "NARSE"
  }, {
    "name": "SE LogicalModel ERDRI CDS Mapping",
    "identity": "ERDRICDS"
  }, {
    "name": "SE LogicalModel ModellvorhabenGenomsequenzierung Mapping",
    "identity": "ModellvorhabenGenomsequenzierung"
  } ],
  "abstract": false,
  "type": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/LogicalModel/Seltene",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII LM SE",
  "package_version": "2026.0.0",
  "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": "Seltene",
      "min": 0,
      "definition": "MII LogicalModel Modul Seltene Erkraknungen",
      "short": "MII LM SE",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "max": "*",
      "id": "Seltene",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene"
      }
    }, {
      "path": "Seltene.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": "Seltene.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": "Seltene.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": "Seltene.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": "Seltene.AnamneseUndDiagnostik",
      "min": 0,
      "definition": "Diagnose",
      "short": "Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition | Observation | ClinicalImpression",
        "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": "Seltene.AnamneseUndDiagnostik",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik"
      }
    }, {
      "path": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.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": "Seltene.AnamneseUndDiagnostik.Untersuchungsdatum",
      "min": 0,
      "definition": "Datum der durchgeführten Untersuchung eines SE-Patienten.",
      "short": "Untersuchungsdatum",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ClinicalImpression.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt vorhanden; gibt nur Daten für vergangene Diagnostik, Proben, etc.",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Untersuchungsdatum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Untersuchungsdatum"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Untersuchungsanlass",
      "min": 0,
      "definition": "Grund fuer den Besuch des SE-Patienten.",
      "short": "Untersuchungsanlass",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ClinicalImpression.reasonCode",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Untersuchungsanlass",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Untersuchungsanlass"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung",
      "min": 0,
      "definition": "Phaenotypisierung",
      "short": "Phaenotypisierung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://purl.obolibrary.org/obo/hp.owl')) | Condition.where(code.coding.exists(system='http://purl.obolibrary.org/obo/hp.owl')) | Observation (SNOMED CT, ICD-10, LOINC)",
        "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung"
      }
    }, {
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
      "min": 0,
      "definition": "Phaenotypisierung des SE-Patienten mittels HPO-Term (Human Phenotype Ontology) oder anderer Terminologien (SNOMED CT, ICD-10, LOINC).",
      "short": "HPO-Term des Symptoms",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.code | Condition.code",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Phänotyp:HPOTerm",
        "identity": "NARSE"
      }, {
        "map": "Nur beim nicht diagnostiziertem Fall unter Diagnose.NichtDiagnostizierterFall",
        "identity": "ERDRICDS"
      }, {
        "map": "diagnosisRd.phenotypes[].code+text oder followUpRd.phenotypes[].code (Angabe mit code, text, system und display)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOExcluded",
      "min": 0,
      "definition": "Gibt an, ob das HPO-Merkmal explizit ausgeschlossen wurde (negated finding). Abgeleitet aus valueCodeableConcept: LOINC LA9634-2 'Absent' = true, LA9633-4 'Present' = false. Folgt HL7 Phenomics IG Muster.",
      "short": "HPO-Term ausgeschlossen",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueCodeableConcept (true wenn LOINC#LA9634-2 'Absent', false wenn LA9633-4 'Present')",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOExcluded",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOExcluded"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOStatus",
      "min": 0,
      "definition": "Status oder Schweregrad des Phaenotyps (Present/Absent/Severity).",
      "short": "Status HPO-Term",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueCodeableConcept (LOINC Present/Absent oder HPO Severity codes) | Condition.verificationStatus",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOStatus",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOStatus"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOVersion",
      "min": 0,
      "definition": "Kennzeichnung der genutzten Version des ausgewaehlten HPO-Terms.",
      "short": "Version HPO-Term",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.code.coding.version | Condition.code.coding.version",
        "identity": "FHIR"
      }, {
        "map": "Katalog mit vorhanden unter AnamneseUndDiagnostik.Phänotyp:HPOTerm",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Angabe unter system bei phenotypes[].code",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOVersion",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOVersion"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom",
      "min": 0,
      "definition": "Zeitraum des Symptom",
      "short": "Zeitraum des Symptom",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.onset[x] | Observation.effective[x]",
        "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom"
      }
    }, {
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
      "min": 0,
      "definition": "Startdatum und bei Bedarf Periode der ersten Symptome/Anzeichen.",
      "short": "Startdatum des Symptoms",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.onsetDateTime | Condition.onsetPeriod | Observation.effectivePeriod",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiKrankheitsbeginn unter Datum(TT/MM/JJJJ)",
        "identity": "ERDRICDS"
      }, {
        "map": "diagnosisRd.symptomOnsetDate (Monat und Jahr des Beginns des ersten aufgetretenen HPO-kodierten Symptoms)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase",
      "min": 0,
      "definition": "Lebensphase, in der das Symptom aufgetreten ist.",
      "short": "Lebensphase Symptom",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AlterBeiErstenSymptomen:AuswahlDerAltersangabe; allerdings anderes ValueSet",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiKrankheitsbeginn; aber anderes ValueSet",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom",
      "min": 0,
      "definition": "Alter beim Auftreten der ersten Symptome/Anzeichen.",
      "short": "Alter Symptom",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.onsetAge | Observation.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueAge",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.AlterBeiErstenSymptomen:Alter",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "integer"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom",
      "condition": [ "ele-1" ],
      "comment": "32 bit number; for values larger than this, use decimal",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom",
      "min": 0,
      "definition": "Aenderung des Verlaufs des Symptoms seit der vorherigen Untersuchung.",
      "short": "Verlauf Symptom",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-phenotypic-pattern').valueCodeableConcept | Observation.interpretation",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "followUpRd.phenotypes[].change (anderes ValueSet: newlyAdded, improved, degraded, noLongerObserved,unchanged)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose",
      "min": 0,
      "definition": "Zeitraum der klinischen SE-Diagnose",
      "short": "Zeitraum der klinischen SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.where(category.coding.exists(code='clinical'))",
        "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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose"
      }
    }, {
      "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.ZeitpunktKlinischeDia",
      "min": 0,
      "definition": "Auswahl der Altersangabe (Lebensphase) des Zeitpunktes der klinsichen SE-Diagnose.",
      "short": "Zeitpunkt klinische SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AnamneseUndDiagnostikAlterBeiDiagnose:AuswahlDerAltersangabe; allerdings anderes ValueSet",
        "identity": "NARSE"
      }, {
        "map": "Ähnlich zu Krankheitsverlauf.AlterBeiDiagnose; allerdings anderes ValueSet",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.ZeitpunktKlinischeDia",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.ZeitpunktKlinischeDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.FeststellungsdatumKlinischeDia",
      "min": 0,
      "definition": "Datum, an dem die klinische SE-Diagnose festgestellt wurde.",
      "short": "Feststellungsdatum klinische SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiDiagnose unter Datum(TT/MM/JJJJ)",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt bei RareDiseasesCase; jedoch allgemein: mainDiagnosis.date oder additionalDiagnoses[].date (Datum der Hauptdiagnose im ISO 8601 Format JJJJ-MM-TT. Wenn Tag unbekannt -> 15. des Monats)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.FeststellungsdatumKlinischeDia",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.FeststellungsdatumKlinischeDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.AlterKlinischeDia",
      "min": 0,
      "definition": "Alter, in dem die klinische SE-Diagnose gestellt wurde.",
      "short": "Alter bei klinischer SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.onsetAge",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.AlterBeiDiagnose:Alter",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "integer"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.AlterKlinischeDia",
      "condition": [ "ele-1" ],
      "comment": "32 bit number; for values larger than this, use decimal",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.AlterKlinischeDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose",
      "min": 0,
      "definition": "Zeitraum der genetischen SE-Diagnose",
      "short": "Zeitraum der genetischen SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.where(category.coding.exists(code='genetic'))",
        "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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose"
      }
    }, {
      "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.ZeitpunktGenDia",
      "min": 0,
      "definition": "Auswahl der Altersangabe (Lebensphase) des Zeitpunktes der genetischen SE-Diagnose.",
      "short": "Zeitpunkt genetische SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AnamneseUndDiagnostikAlterBeiDiagnose:AuswahlDerAltersangabe; allerdings anderes ValueSet und nicht auf genetische Diagnose beschränkt",
        "identity": "NARSE"
      }, {
        "map": "Ähnlich zu Krankheitsverlauf.AlterBeiDiagnose; allerdings anderes ValueSet und nicht auf genetische Diagnose beschränkt",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.ZeitpunktGenDia",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.ZeitpunktGenDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.FeststellungsdatumGenDia",
      "min": 0,
      "definition": "Datum, an dem die genetische SE-Diagnose festgestellt wurde.",
      "short": "Feststellungsdatum genetische SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiDiagnose unter Datum(TT/MM/JJJJ), aber nicht auf genetische Diagnose beschränkt",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt bei RareDiseasesCase; jedoch allgemein: mainDiagnosis.date oder additionalDiagnoses[].date (Datum der Hauptdiagnose im ISO 8601 Format JJJJ-MM-TT. Wenn Tag unbekannt -> 15. des Monats), aber nicht auf genetische Diagnose beschränkt",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.FeststellungsdatumGenDia",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.FeststellungsdatumGenDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.AlterGenDia",
      "min": 0,
      "definition": "Alter, in dem die genetische SE-Diagnose gestellt wurde.",
      "short": "Alter bei genetischer SE-Diagnose",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.onsetAge",
        "identity": "FHIR"
      }, {
        "map": "Kann zu AnamneseUndDiagnostik.AlterBeiDiagnose:Alter zugeordnet werden; im NARSE jedoch nicht auf genetische Diagnose beschränkt",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "integer"
      } ],
      "max": "1",
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.AlterGenDia",
      "condition": [ "ele-1" ],
      "comment": "32 bit number; for values larger than this, use decimal",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.AlterGenDia"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.GenDiaFehlendePenetranz",
      "min": 0,
      "definition": "Gibt an, ob bei einer genetischen Diagnose die Penetranz (Wahrscheinlichkeit Genotyp bildet Phaenotyp aus) fehlt",
      "short": "Genetische Diagnose mit fehlender Penetranz",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.AnamneseUndDiagnostik.GenDiaFehlendePenetranz",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.GenDiaFehlendePenetranz"
      }
    }, {
      "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": "Seltene.AnamneseUndDiagnostik.MethodeDiagnosestellung",
      "min": 0,
      "definition": "Gibt an, welche Methode zur Diagnosestellung verwendet wurde.",
      "short": "Methode der Diagnosestellung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.method",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Diagnosestellung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.AnamneseUndDiagnostik.MethodeDiagnosestellung",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.AnamneseUndDiagnostik.MethodeDiagnosestellung"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung",
      "min": 0,
      "definition": "Körperliche Untersuchung",
      "short": "Körperliche Untersuchung",
      "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": "*",
      "id": "Seltene.KoerperlicheUntersuchung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht",
      "min": 0,
      "definition": "Körpergewicht",
      "short": "Körpergewicht",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='29463-7')) | Profile: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/Koerpergewicht",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.Koerpergewicht",
      "min": 0,
      "definition": "Körpergewicht des SE-Patienten in kg (aus MII ICU Modul).",
      "short": "Körpergewicht in kg",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "decimal"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.Koerpergewicht",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.Koerpergewicht"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.DatumKoerpergewicht",
      "min": 0,
      "definition": "Datum der Körpergewichtsmessung.",
      "short": "Datum Körpergewicht",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.DatumKoerpergewicht",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.DatumKoerpergewicht"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse",
      "min": 0,
      "definition": "Körpergröße",
      "short": "Körpergröße",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='8302-2')) | Profile: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/Koerpergroesse",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.Koerpergroesse",
      "min": 0,
      "definition": "Körpergröße des SE-Patienten in cm (aus MII ICU Modul).",
      "short": "Körpergröße in cm",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "decimal"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.Koerpergroesse",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.Koerpergroesse"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.DatumKoerpergroesse",
      "min": 0,
      "definition": "Datum der Körpergrößenmessung.",
      "short": "Datum Körpergröße",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.DatumKoerpergroesse",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.DatumKoerpergroesse"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.BMI",
      "min": 0,
      "definition": "BMI",
      "short": "BMI",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='39156-5'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.BMI",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.BMI"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.BMI.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": "Seltene.KoerperlicheUntersuchung.BMI.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": "Seltene.KoerperlicheUntersuchung.BMI.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"
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      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
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      },
      "type": [ {
        "code": "Extension"
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      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Seltene.KoerperlicheUntersuchung.BMI.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": "Seltene.KoerperlicheUntersuchung.BMI.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"
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      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Seltene.KoerperlicheUntersuchung.BMI.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": "Seltene.KoerperlicheUntersuchung.BMI.BMI",
      "min": 0,
      "definition": "BMI des SE-Patienten.",
      "short": "BMI SE-Patient",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "decimal"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.BMI.BMI",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.BMI.BMI"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.BMI.DatumBMI",
      "min": 0,
      "definition": "Datum, an dem der BMI (Body Mass Index) berechnet wurde.",
      "short": "Datum des BMI",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.BMI.DatumBMI",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.BMI.DatumBMI"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Kopfumfang",
      "min": 0,
      "definition": "Kopfumfang",
      "short": "Kopfumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='9843-4')) | Profile: http://fhir.de/StructureDefinition/observation-de-vitalsign-kopfumfang",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.Kopfumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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"
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      "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": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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"
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      "slicing": {
        "rules": "open",
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        "discriminator": [ {
          "path": "url",
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      },
      "type": [ {
        "code": "Extension"
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      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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"
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      "type": [ {
        "code": "Extension"
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      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.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": "Seltene.KoerperlicheUntersuchung.Kopfumfang.Kopfumfang",
      "min": 0,
      "definition": "Kopfumfang des SE-Patienten in cm.",
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      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
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      "type": [ {
        "code": "decimal"
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      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.Kopfumfang",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang.Kopfumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Kopfumfang.DatumKopfumfang",
      "min": 0,
      "definition": "Datum der Kopfumfangsmessung.",
      "short": "Datum Kopfumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
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      "type": [ {
        "code": "dateTime"
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      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.DatumKopfumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang.DatumKopfumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Bauchumfang",
      "min": 0,
      "definition": "Bauchumfang",
      "short": "Bauchumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='8280-0'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.Bauchumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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"
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      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
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      },
      "type": [ {
        "code": "Extension"
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      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.Bauchumfang",
      "min": 0,
      "definition": "Bauchumfang des SE-Patienten in cm.",
      "short": "Bauchumfang in cm",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "decimal"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang.Bauchumfang",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang.Bauchumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Bauchumfang.DatumBauchumfang",
      "min": 0,
      "definition": "Datum der Bauchumfangsmessung.",
      "short": "Datum Bauchumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang.DatumBauchumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang.DatumBauchumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Hueftumfang",
      "min": 0,
      "definition": "Hüftumfang",
      "short": "Hüftumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='62409-8'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "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": "Seltene.KoerperlicheUntersuchung.Hueftumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang"
      }
    }, {
      "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.Hueftumfang",
      "min": 0,
      "definition": "Hüftumfang des SE-Patienten in cm.",
      "short": "Hüftumfang in cm",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "decimal"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Hueftumfang.Hueftumfang",
      "condition": [ "ele-1" ],
      "comment": "Do not use an IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang.Hueftumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Hueftumfang.DatumHueftumfang",
      "min": 0,
      "definition": "Datum der Hüftumfangsmessung.",
      "short": "Datum Hüftumfang",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Hueftumfang.DatumHueftumfang",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang.DatumHueftumfang"
      }
    }, {
      "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": "Seltene.KoerperlicheUntersuchung.Blutgruppe",
      "min": 0,
      "definition": "Blutgruppe des SE-Patienten (AB0 und Rhesusfaktor).",
      "short": "Blutgruppe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='882-1')).valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.KoerperlicheUntersuchung.Blutgruppe",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.KoerperlicheUntersuchung.Blutgruppe"
      }
    }, {
      "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": "Seltene.PersoenlicheInfosIndexpatient",
      "min": 0,
      "definition": "Persoenliche Informationen des Indexpatienten",
      "short": "Persoenliche Informationen des Indexpatienten",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Patient",
        "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": "Seltene.PersoenlicheInfosIndexpatient",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.PersoenlicheInfosIndexpatient"
      }
    }, {
      "path": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.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": "Seltene.PersoenlicheInfosIndexpatient.Tod",
      "min": 0,
      "definition": "Tod",
      "short": "Tod",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Patient.deceased[x]",
        "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": "Seltene.PersoenlicheInfosIndexpatient.Tod",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.PersoenlicheInfosIndexpatient.Tod"
      }
    }, {
      "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.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": "Seltene.PersoenlicheInfosIndexpatient.Tod.Sterbedatum",
      "min": 0,
      "definition": "Sterbedatum des Indexpatienten.",
      "short": "Sterbedatum",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Patient.deceasedDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht direkt vorhanden, wird im NARSE nur durch PersönlicherUndFamiliärerHintergrund.Sterbealter abgebildet.",
        "identity": "NARSE"
      }, {
        "map": "Patientenstatus.Todeszeitpunkt",
        "identity": "ERDRICDS"
      }, {
        "map": "followUpRd.deathDate (Sterbemonat und Sterbejahr, Datum",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.Sterbedatum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.Sterbedatum"
      }
    }, {
      "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": "Seltene.PersoenlicheInfosIndexpatient.Tod.AnSEVerstorben",
      "min": 0,
      "definition": "Angabe, ob der Indexpatient an der SE verstorben ist.",
      "short": "An der SE verstorben",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate')",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.AnSeVerstorben",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.AnSEVerstorben",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.AnSEVerstorben"
      }
    }, {
      "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": "Seltene.PersoenlicheInfosIndexpatient.Tod.AndereTodesursache",
      "min": 0,
      "definition": "Kodierung der Todesursache soweit bekannt (ICD-10-GM, ORPHAcodes).",
      "short": "Todesursache",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Condition.where(category.coding.exists(code='cause-of-death')).code",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.AndereTodesursache",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.AndereTodesursache",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.AndereTodesursache"
      }
    }, {
      "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": "Seltene.Familienanamnese",
      "min": 0,
      "definition": "Familienanamnese",
      "short": "Familienanamnese",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund",
        "identity": "NARSE"
      } ],
      "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": "Seltene.Familienanamnese",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.Familienanamnese"
      }
    }, {
      "path": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.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": "Seltene.Familienanamnese.Verwandtschaftsverhaeltnis",
      "min": 0,
      "definition": "Biologisches Verwandtschaftsverhaeltnis des Familienmitglieds zum Indexpatienten.",
      "short": "Verwandtschaftsverhaeltnis",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.relationship",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörige:Verwandtschaftsbeziehung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.Familienanamnese.Verwandtschaftsverhaeltnis",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.Familienanamnese.Verwandtschaftsverhaeltnis"
      }
    }, {
      "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": "Seltene.Familienanamnese.Geschlecht",
      "min": 0,
      "definition": "Geschlecht des Familienmitglieds.",
      "short": "Geschlecht",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.sex",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.Familienanamnese.Geschlecht",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.Familienanamnese.Geschlecht"
      }
    }, {
      "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": "Seltene.Familienanamnese.GleicheSE",
      "min": 0,
      "definition": "Gibt an, ob das Familienmitglied an der gleichen SE leidet wie der Indexpatient.",
      "short": "Gleiche SE",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.condition.code",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörige:SelteneErkrankung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.Familienanamnese.GleicheSE",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.Familienanamnese.GleicheSE"
      }
    }, {
      "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": "Seltene.Familienanamnese.AndereSE",
      "min": 0,
      "definition": "Gibt an, ob das Familienmitglied an einer anderen SE leidet als der Indexpatient.",
      "short": "Andere SE",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.condition.code",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.Familienanamnese.AndereSE",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.Familienanamnese.AndereSE"
      }
    }, {
      "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": "Seltene.Familienanamnese.Penetranz",
      "min": 0,
      "definition": "Gibt an, ob bei fehlender klinscher Penetranz (Wahrscheinlichkeit Genotyp bildet Phaenotyp aus) die genetische Diagnose vorliegt.",
      "short": "Penetranz",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.Familienanamnese.Penetranz",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.Familienanamnese.Penetranz"
      }
    }, {
      "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": "Seltene.Familienanamnese.FamilienmitgliedVerstorben",
      "min": 0,
      "definition": "Gibt an, ob das Familienmitglied verstorben ist.",
      "short": "Familienmitglied verstorben",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "FamilyMemberHistory.deceasedBoolean",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörigeVerstorben?",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.Familienanamnese.FamilienmitgliedVerstorben",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.Familienanamnese.FamilienmitgliedVerstorben"
      }
    }, {
      "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": "Seltene.TherapieForschung",
      "min": 0,
      "definition": "Therapie und Forschung",
      "short": "Therapie und Forschung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CarePlan | MedicationRequest | ResearchStudy",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik",
        "identity": "NARSE"
      } ],
      "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": "Seltene.TherapieForschung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung"
      }
    }, {
      "path": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.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": "Seltene.TherapieForschung.OffLabel",
      "min": 0,
      "definition": "Off-Label-Gabe",
      "short": "Off-Label-Gabe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "MedicationRequest.extension",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "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": "Seltene.TherapieForschung.OffLabel",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.OffLabel"
      }
    }, {
      "path": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.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": "Seltene.TherapieForschung.OffLabel.OffLabelGabe",
      "min": 0,
      "definition": "Gibt an, ob eine Off-Label-Gabe vorliegt.",
      "short": "Off-Label-Gabe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "MedicationRequest.extension.where(url='http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal').valueBoolean",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch, aber unter recommendedSystemicTherapies.type (offLabel) möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.TherapieForschung.OffLabel.OffLabelGabe",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.OffLabel.OffLabelGabe"
      }
    }, {
      "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": "Seltene.TherapieForschung.OffLabel.OffLabelMedikament",
      "min": 0,
      "definition": "Gibt an, welches Medikament Off-Label gegeben wurde.",
      "short": "Off-Label-Medikament",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "MedicationRequest.medicationCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch, aber unter recommendedSystemicTherapies.substances[].code/.version möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.TherapieForschung.OffLabel.OffLabelMedikament",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.OffLabel.OffLabelMedikament"
      }
    }, {
      "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": "Seltene.TherapieForschung.Studie",
      "min": 0,
      "definition": "Studie",
      "short": "Studie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ResearchStudy | ServiceRequest.where(code.coding.exists(code='study-enrollment'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "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": "Seltene.TherapieForschung.Studie",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.Studie"
      }
    }, {
      "path": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.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": "Seltene.TherapieForschung.Studie.StudienID",
      "min": 0,
      "definition": "Eindeutige Identifikation der Studie, an der der SE-Patient teilgenommen hat.",
      "short": "Studien-ID",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CX / EI (occasionally, more often EI maps to a resource id or a URL)",
        "identity": "v2"
      }, {
        "map": "II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs.  Also maps to Role[classCode=IDENT]",
        "identity": "rim"
      }, {
        "map": "Identifier",
        "identity": "servd"
      }, {
        "map": "ResearchStudy.identifier",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nur Empfehlung, nicht tatsächliche Studie recommendedStudies.identifier und recommendedStudies.id",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "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": "Seltene.TherapieForschung.Studie.StudienID",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.Studie.StudienID"
      }
    }, {
      "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": "Seltene.TherapieForschung.Studie.StudienStatus",
      "min": 0,
      "definition": "Aktueller Status der Studie, an der der SE-Patient teilgenommen hat (Abgeschlossen, Fortlaufend).",
      "short": "Studienstatus",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ResearchStudy.status",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "recommendedStudies.name",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Seltene.TherapieForschung.Studie.StudienStatus",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.Studie.StudienStatus"
      }
    }, {
      "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": "Seltene.TherapieForschung.Studie.Studienzeitraum",
      "min": 0,
      "definition": "Zeitraum, in dem der SE-Patient an der Studie teilgenommen hat.",
      "short": "Studienzeitraum",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "N/A",
        "identity": "rim"
      }, {
        "map": "ResearchStudy.period",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/organization-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": "Seltene.TherapieForschung.Studie.Studienzeitraum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.Studie.Studienzeitraum"
      }
    }, {
      "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": "Seltene.TherapieForschung.Therapie",
      "min": 0,
      "definition": "Therapie",
      "short": "Therapie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CarePlan",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "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": "Seltene.TherapieForschung.Therapie",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie"
      }
    }, {
      "path": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.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": "Seltene.TherapieForschung.Therapie.Therapieempfehlung",
      "min": 0,
      "definition": "Gibt an, welche Therapieempfehlung vorliegt.",
      "short": "Eine Therapieempfehlung beschreibt eine spezifische Maßnahme oder Strategie. Sie kann eigenständig vorliegen oder referenziert einem Therapieplan zugeordnet werden. Art der Therapieempfehlung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "MedicationRequest | ServiceRequest",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch RareDiseasesPlan.recommendedTherapies.strategy (Anderes ValueSet: systemicMedication, targetedMedication, preventionMedication, geneTherapy, prophylactic, earlyDetection, combination, nutrition, other); Angabe unter recommendedTherapies.strategyOther möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.TherapieForschung.Therapie.Therapieempfehlung",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie.Therapieempfehlung"
      }
    }, {
      "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": "Seltene.TherapieForschung.Therapie.DurchgefuehrteTherapie",
      "min": 0,
      "definition": "Tatsaechlich durchgeführte Therapie des SE-Patienten (mit oder ohne Studie mit heilender Intention).",
      "short": "Durchgefuehrte Therapie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Procedure | MedicationStatement",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Therapiestatus",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "recommendedSystemicTherapies.therapeuticStrategy (Anderes ValueSet)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.TherapieForschung.Therapie.DurchgefuehrteTherapie",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie.DurchgefuehrteTherapie"
      }
    }, {
      "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": "Seltene.TherapieForschung.Therapie.StartdatumTherapie",
      "min": 0,
      "definition": "Datum, an dem die Therapie begonnen hat.",
      "short": "Startdatum Therapie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CarePlan.period.start",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.therapyStartDate (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase (Startdatum der fallrelevante,systemische Vortherapie))",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.TherapieForschung.Therapie.StartdatumTherapie",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie.StartdatumTherapie"
      }
    }, {
      "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": "Seltene.TherapieForschung.Therapie.EnddatumTherapie",
      "min": 0,
      "definition": "Datum, an dem die Therapie beendet wurde.",
      "short": "Enddatum Therapie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CarePlan.period.end",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.therapyEndDate (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase (Enddatum der fallrelevante,systemische Vortherapie))",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "max": "1",
      "id": "Seltene.TherapieForschung.Therapie.EnddatumTherapie",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie.EnddatumTherapie"
      }
    }, {
      "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": "Seltene.TherapieForschung.Therapie.GrundEndeTherapie",
      "min": 0,
      "definition": "Gibt an, warum die Therapie beendet wurde (z.B. Nebenwirkungen, keine Wirkung).",
      "short": "Grund Ende Therapie",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "CarePlan.activity.outcomeCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.terminationReasonOBDS (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase; ValueSet: E = reguläres Ende; R = reguläres Ende mit Dosisreduktion; W = reguläres Ende mit Substanzwechsel; A = Abbruch wegen Nebenwirkungen; P = Abbruch wegen Progress; S = Abbruch aus sonstigen Gründen; V= Patient verweigert weitere Therapie ;T= Patient verstorben; U = unbekannt)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Seltene.TherapieForschung.Therapie.GrundEndeTherapie",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Seltene.TherapieForschung.Therapie.GrundEndeTherapie"
      }
    } ]
  },
  "status": "active",
  "id": "cf30aa22-67fb-4e94-8fc7-d392a0a47c17",
  "kind": "logical",
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/LogicalModel/Seltene",
  "version": "2026.0.0",
  "differential": {
    "element": [ {
      "id": "Seltene",
      "path": "Seltene",
      "short": "MII LM SE",
      "definition": "MII LogicalModel Modul Seltene Erkraknungen"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Diagnose",
      "mapping": [ {
        "map": "Condition | Observation | ClinicalImpression",
        "identity": "FHIR"
      } ],
      "definition": "Diagnose"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Untersuchungsdatum",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Untersuchungsdatum",
      "type": [ {
        "code": "date"
      } ],
      "short": "Untersuchungsdatum",
      "mapping": [ {
        "map": "ClinicalImpression.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt vorhanden; gibt nur Daten für vergangene Diagnostik, Proben, etc.",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der durchgeführten Untersuchung eines SE-Patienten."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Untersuchungsanlass",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Untersuchungsanlass",
      "type": [ {
        "code": "code"
      } ],
      "short": "Untersuchungsanlass",
      "mapping": [ {
        "map": "ClinicalImpression.reasonCode",
        "identity": "FHIR"
      } ],
      "definition": "Grund fuer den Besuch des SE-Patienten."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Phaenotypisierung",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://purl.obolibrary.org/obo/hp.owl')) | Condition.where(code.coding.exists(system='http://purl.obolibrary.org/obo/hp.owl')) | Observation (SNOMED CT, ICD-10, LOINC)",
        "identity": "FHIR"
      } ],
      "definition": "Phaenotypisierung"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOTerm",
      "type": [ {
        "code": "code"
      } ],
      "short": "HPO-Term des Symptoms",
      "mapping": [ {
        "map": "Observation.code | Condition.code",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Phänotyp:HPOTerm",
        "identity": "NARSE"
      }, {
        "map": "Nur beim nicht diagnostiziertem Fall unter Diagnose.NichtDiagnostizierterFall",
        "identity": "ERDRICDS"
      }, {
        "map": "diagnosisRd.phenotypes[].code+text oder followUpRd.phenotypes[].code (Angabe mit code, text, system und display)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Phaenotypisierung des SE-Patienten mittels HPO-Term (Human Phenotype Ontology) oder anderer Terminologien (SNOMED CT, ICD-10, LOINC)."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOExcluded",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOExcluded",
      "type": [ {
        "code": "boolean"
      } ],
      "short": "HPO-Term ausgeschlossen",
      "mapping": [ {
        "map": "Observation.valueCodeableConcept (true wenn LOINC#LA9634-2 'Absent', false wenn LA9633-4 'Present')",
        "identity": "FHIR"
      } ],
      "definition": "Gibt an, ob das HPO-Merkmal explizit ausgeschlossen wurde (negated finding). Abgeleitet aus valueCodeableConcept: LOINC LA9634-2 'Absent' = true, LA9633-4 'Present' = false. Folgt HL7 Phenomics IG Muster."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOStatus",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOStatus",
      "type": [ {
        "code": "code"
      } ],
      "short": "Status HPO-Term",
      "mapping": [ {
        "map": "Observation.valueCodeableConcept (LOINC Present/Absent oder HPO Severity codes) | Condition.verificationStatus",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Status oder Schweregrad des Phaenotyps (Present/Absent/Severity)."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOVersion",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.HPOVersion",
      "type": [ {
        "code": "code"
      } ],
      "short": "Version HPO-Term",
      "mapping": [ {
        "map": "Observation.code.coding.version | Condition.code.coding.version",
        "identity": "FHIR"
      }, {
        "map": "Katalog mit vorhanden unter AnamneseUndDiagnostik.Phänotyp:HPOTerm",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Angabe unter system bei phenotypes[].code",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Kennzeichnung der genutzten Version des ausgewaehlten HPO-Terms."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Zeitraum des Symptom",
      "mapping": [ {
        "map": "Condition.onset[x] | Observation.effective[x]",
        "identity": "FHIR"
      } ],
      "definition": "Zeitraum des Symptom"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.ZeitraumSymptom",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Startdatum des Symptoms",
      "mapping": [ {
        "map": "Condition.onsetDateTime | Condition.onsetPeriod | Observation.effectivePeriod",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiKrankheitsbeginn unter Datum(TT/MM/JJJJ)",
        "identity": "ERDRICDS"
      }, {
        "map": "diagnosisRd.symptomOnsetDate (Monat und Jahr des Beginns des ersten aufgetretenen HPO-kodierten Symptoms)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Startdatum und bei Bedarf Periode der ersten Symptome/Anzeichen."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.Lebensphase",
      "type": [ {
        "code": "code"
      } ],
      "short": "Lebensphase Symptom",
      "mapping": [ {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AlterBeiErstenSymptomen:AuswahlDerAltersangabe; allerdings anderes ValueSet",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiKrankheitsbeginn; aber anderes ValueSet",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Lebensphase, in der das Symptom aufgetreten ist."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.ZeitraumSymptom.AlterSymptom",
      "type": [ {
        "code": "integer"
      } ],
      "short": "Alter Symptom",
      "mapping": [ {
        "map": "Condition.onsetAge | Observation.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueAge",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.AlterBeiErstenSymptomen:Alter",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Alter beim Auftreten der ersten Symptome/Anzeichen."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.Phaenotypisierung.VerlaufSymptom",
      "type": [ {
        "code": "code"
      } ],
      "short": "Verlauf Symptom",
      "mapping": [ {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-phenotypic-pattern').valueCodeableConcept | Observation.interpretation",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "followUpRd.phenotypes[].change (anderes ValueSet: newlyAdded, improved, degraded, noLongerObserved,unchanged)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Aenderung des Verlaufs des Symptoms seit der vorherigen Untersuchung."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Zeitraum der klinischen SE-Diagnose",
      "mapping": [ {
        "map": "Condition.where(category.coding.exists(code='clinical'))",
        "identity": "FHIR"
      } ],
      "definition": "Zeitraum der klinischen SE-Diagnose"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.ZeitpunktKlinischeDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.ZeitpunktKlinischeDia",
      "type": [ {
        "code": "code"
      } ],
      "short": "Zeitpunkt klinische SE-Diagnose",
      "mapping": [ {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AnamneseUndDiagnostikAlterBeiDiagnose:AuswahlDerAltersangabe; allerdings anderes ValueSet",
        "identity": "NARSE"
      }, {
        "map": "Ähnlich zu Krankheitsverlauf.AlterBeiDiagnose; allerdings anderes ValueSet",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Auswahl der Altersangabe (Lebensphase) des Zeitpunktes der klinsichen SE-Diagnose."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.FeststellungsdatumKlinischeDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.FeststellungsdatumKlinischeDia",
      "type": [ {
        "code": "date"
      } ],
      "short": "Feststellungsdatum klinische SE-Diagnose",
      "mapping": [ {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiDiagnose unter Datum(TT/MM/JJJJ)",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt bei RareDiseasesCase; jedoch allgemein: mainDiagnosis.date oder additionalDiagnoses[].date (Datum der Hauptdiagnose im ISO 8601 Format JJJJ-MM-TT. Wenn Tag unbekannt -> 15. des Monats)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum, an dem die klinische SE-Diagnose festgestellt wurde."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.AlterKlinischeDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.KlinischeDiagnose.AlterKlinischeDia",
      "type": [ {
        "code": "integer"
      } ],
      "short": "Alter bei klinischer SE-Diagnose",
      "mapping": [ {
        "map": "Condition.onsetAge",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.AlterBeiDiagnose:Alter",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Alter, in dem die klinische SE-Diagnose gestellt wurde."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Zeitraum der genetischen SE-Diagnose",
      "mapping": [ {
        "map": "Condition.where(category.coding.exists(code='genetic'))",
        "identity": "FHIR"
      } ],
      "definition": "Zeitraum der genetischen SE-Diagnose"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.ZeitpunktGenDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.ZeitpunktGenDia",
      "type": [ {
        "code": "code"
      } ],
      "short": "Zeitpunkt genetische SE-Diagnose",
      "mapping": [ {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ext-seltene-onset-age').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Ähnlich zu AnamneseUndDiagnostikAlterBeiDiagnose:AuswahlDerAltersangabe; allerdings anderes ValueSet und nicht auf genetische Diagnose beschränkt",
        "identity": "NARSE"
      }, {
        "map": "Ähnlich zu Krankheitsverlauf.AlterBeiDiagnose; allerdings anderes ValueSet und nicht auf genetische Diagnose beschränkt",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Auswahl der Altersangabe (Lebensphase) des Zeitpunktes der genetischen SE-Diagnose."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.FeststellungsdatumGenDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.FeststellungsdatumGenDia",
      "type": [ {
        "code": "date"
      } ],
      "short": "Feststellungsdatum genetische SE-Diagnose",
      "mapping": [ {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate').valueDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Krankheitsverlauf.AlterBeiDiagnose unter Datum(TT/MM/JJJJ), aber nicht auf genetische Diagnose beschränkt",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht direkt bei RareDiseasesCase; jedoch allgemein: mainDiagnosis.date oder additionalDiagnoses[].date (Datum der Hauptdiagnose im ISO 8601 Format JJJJ-MM-TT. Wenn Tag unbekannt -> 15. des Monats), aber nicht auf genetische Diagnose beschränkt",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum, an dem die genetische SE-Diagnose festgestellt wurde."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.AlterGenDia",
      "max": "1",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.GenetischeDiagnose.AlterGenDia",
      "type": [ {
        "code": "integer"
      } ],
      "short": "Alter bei genetischer SE-Diagnose",
      "mapping": [ {
        "map": "Condition.onsetAge",
        "identity": "FHIR"
      }, {
        "map": "Kann zu AnamneseUndDiagnostik.AlterBeiDiagnose:Alter zugeordnet werden; im NARSE jedoch nicht auf genetische Diagnose beschränkt",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Alter, in dem die genetische SE-Diagnose gestellt wurde."
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.GenDiaFehlendePenetranz",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.GenDiaFehlendePenetranz",
      "type": [ {
        "code": "code"
      } ],
      "short": "Genetische Diagnose mit fehlender Penetranz",
      "mapping": [ {
        "map": "Condition.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob bei einer genetischen Diagnose die Penetranz (Wahrscheinlichkeit Genotyp bildet Phaenotyp aus) fehlt"
    }, {
      "id": "Seltene.AnamneseUndDiagnostik.MethodeDiagnosestellung",
      "max": "*",
      "min": 0,
      "path": "Seltene.AnamneseUndDiagnostik.MethodeDiagnosestellung",
      "type": [ {
        "code": "code"
      } ],
      "short": "Methode der Diagnosestellung",
      "mapping": [ {
        "map": "Observation.method",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Diagnosestellung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, welche Methode zur Diagnosestellung verwendet wurde."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Körperliche Untersuchung",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "Körperliche Untersuchung"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergewicht",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Körpergewicht",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='29463-7')) | Profile: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/Koerpergewicht",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Körpergewicht"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.Koerpergewicht",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.Koerpergewicht",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "Körpergewicht in kg",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Körpergewicht des SE-Patienten in kg (aus MII ICU Modul)."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.DatumKoerpergewicht",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergewicht.DatumKoerpergewicht",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum Körpergewicht",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der Körpergewichtsmessung."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergroesse",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Körpergröße",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='8302-2')) | Profile: https://www.medizininformatik-initiative.de/fhir/ext/modul-icu/StructureDefinition/Koerpergroesse",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Körpergröße"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.Koerpergroesse",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.Koerpergroesse",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "Körpergröße in cm",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Körpergröße des SE-Patienten in cm (aus MII ICU Modul)."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.DatumKoerpergroesse",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Koerpergroesse.DatumKoerpergroesse",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum Körpergröße",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der Körpergrößenmessung."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.BMI",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.BMI",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "BMI",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='39156-5'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "BMI"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.BMI.BMI",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.BMI.BMI",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "BMI SE-Patient",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "BMI des SE-Patienten."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.BMI.DatumBMI",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.BMI.DatumBMI",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum des BMI",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum, an dem der BMI (Body Mass Index) berechnet wurde."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Kopfumfang",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='9843-4')) | Profile: http://fhir.de/StructureDefinition/observation-de-vitalsign-kopfumfang",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Kopfumfang"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.Kopfumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang.Kopfumfang",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "Kopfumfang in cm",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Kopfumfang des SE-Patienten in cm."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Kopfumfang.DatumKopfumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Kopfumfang.DatumKopfumfang",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum Kopfumfang",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der Kopfumfangsmessung."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Bauchumfang",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='8280-0'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Bauchumfang"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang.Bauchumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang.Bauchumfang",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "Bauchumfang in cm",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Bauchumfang des SE-Patienten in cm."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Bauchumfang.DatumBauchumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Bauchumfang.DatumBauchumfang",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum Bauchumfang",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der Bauchumfangsmessung."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Hueftumfang",
      "max": "*",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Hüftumfang",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='62409-8'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Hüftumfang"
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Hueftumfang.Hueftumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang.Hueftumfang",
      "type": [ {
        "code": "decimal"
      } ],
      "short": "Hüftumfang in cm",
      "mapping": [ {
        "map": "Observation.valueQuantity.value",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Hüftumfang des SE-Patienten in cm."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Hueftumfang.DatumHueftumfang",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Hueftumfang.DatumHueftumfang",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Datum Hüftumfang",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum der Hüftumfangsmessung."
    }, {
      "id": "Seltene.KoerperlicheUntersuchung.Blutgruppe",
      "max": "1",
      "min": 0,
      "path": "Seltene.KoerperlicheUntersuchung.Blutgruppe",
      "type": [ {
        "code": "code"
      } ],
      "short": "Blutgruppe",
      "mapping": [ {
        "map": "Observation.where(code.coding.exists(system='http://loinc.org' and code='882-1')).valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Blutgruppe des SE-Patienten (AB0 und Rhesusfaktor)."
    }, {
      "id": "Seltene.PersoenlicheInfosIndexpatient",
      "max": "*",
      "min": 0,
      "path": "Seltene.PersoenlicheInfosIndexpatient",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Persoenliche Informationen des Indexpatienten",
      "mapping": [ {
        "map": "Patient",
        "identity": "FHIR"
      } ],
      "definition": "Persoenliche Informationen des Indexpatienten"
    }, {
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod",
      "max": "1",
      "min": 0,
      "path": "Seltene.PersoenlicheInfosIndexpatient.Tod",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Tod",
      "mapping": [ {
        "map": "Patient.deceased[x]",
        "identity": "FHIR"
      } ],
      "definition": "Tod"
    }, {
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.Sterbedatum",
      "max": "1",
      "min": 0,
      "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.Sterbedatum",
      "type": [ {
        "code": "date"
      } ],
      "short": "Sterbedatum",
      "mapping": [ {
        "map": "Patient.deceasedDateTime",
        "identity": "FHIR"
      }, {
        "map": "Nicht direkt vorhanden, wird im NARSE nur durch PersönlicherUndFamiliärerHintergrund.Sterbealter abgebildet.",
        "identity": "NARSE"
      }, {
        "map": "Patientenstatus.Todeszeitpunkt",
        "identity": "ERDRICDS"
      }, {
        "map": "followUpRd.deathDate (Sterbemonat und Sterbejahr, Datum",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Sterbedatum des Indexpatienten."
    }, {
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.AnSEVerstorben",
      "max": "1",
      "min": 0,
      "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.AnSEVerstorben",
      "type": [ {
        "code": "code"
      } ],
      "short": "An der SE verstorben",
      "mapping": [ {
        "map": "Condition.extension.where(url='http://hl7.org/fhir/StructureDefinition/condition-assertedDate')",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.AnSeVerstorben",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Angabe, ob der Indexpatient an der SE verstorben ist."
    }, {
      "id": "Seltene.PersoenlicheInfosIndexpatient.Tod.AndereTodesursache",
      "max": "*",
      "min": 0,
      "path": "Seltene.PersoenlicheInfosIndexpatient.Tod.AndereTodesursache",
      "type": [ {
        "code": "code"
      } ],
      "short": "Todesursache",
      "mapping": [ {
        "map": "Condition.where(category.coding.exists(code='cause-of-death')).code",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.AndereTodesursache",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Kodierung der Todesursache soweit bekannt (ICD-10-GM, ORPHAcodes)."
    }, {
      "id": "Seltene.Familienanamnese",
      "max": "*",
      "min": 0,
      "path": "Seltene.Familienanamnese",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Familienanamnese",
      "mapping": [ {
        "map": "FamilyMemberHistory",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund",
        "identity": "NARSE"
      } ],
      "definition": "Familienanamnese"
    }, {
      "id": "Seltene.Familienanamnese.Verwandtschaftsverhaeltnis",
      "max": "1",
      "min": 0,
      "path": "Seltene.Familienanamnese.Verwandtschaftsverhaeltnis",
      "type": [ {
        "code": "code"
      } ],
      "short": "Verwandtschaftsverhaeltnis",
      "mapping": [ {
        "map": "FamilyMemberHistory.relationship",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörige:Verwandtschaftsbeziehung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Biologisches Verwandtschaftsverhaeltnis des Familienmitglieds zum Indexpatienten."
    }, {
      "id": "Seltene.Familienanamnese.Geschlecht",
      "max": "1",
      "min": 0,
      "path": "Seltene.Familienanamnese.Geschlecht",
      "type": [ {
        "code": "code"
      } ],
      "short": "Geschlecht",
      "mapping": [ {
        "map": "FamilyMemberHistory.sex",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Geschlecht des Familienmitglieds."
    }, {
      "id": "Seltene.Familienanamnese.GleicheSE",
      "max": "*",
      "min": 0,
      "path": "Seltene.Familienanamnese.GleicheSE",
      "type": [ {
        "code": "code"
      } ],
      "short": "Gleiche SE",
      "mapping": [ {
        "map": "FamilyMemberHistory.condition.code",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörige:SelteneErkrankung",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob das Familienmitglied an der gleichen SE leidet wie der Indexpatient."
    }, {
      "id": "Seltene.Familienanamnese.AndereSE",
      "max": "*",
      "min": 0,
      "path": "Seltene.Familienanamnese.AndereSE",
      "type": [ {
        "code": "code"
      } ],
      "short": "Andere SE",
      "mapping": [ {
        "map": "FamilyMemberHistory.condition.code",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob das Familienmitglied an einer anderen SE leidet als der Indexpatient."
    }, {
      "id": "Seltene.Familienanamnese.Penetranz",
      "max": "1",
      "min": 0,
      "path": "Seltene.Familienanamnese.Penetranz",
      "type": [ {
        "code": "code"
      } ],
      "short": "Penetranz",
      "mapping": [ {
        "map": "FamilyMemberHistory.extension.where(url='https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-ex-seltene-penetrance').valueCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob bei fehlender klinscher Penetranz (Wahrscheinlichkeit Genotyp bildet Phaenotyp aus) die genetische Diagnose vorliegt."
    }, {
      "id": "Seltene.Familienanamnese.FamilienmitgliedVerstorben",
      "max": "1",
      "min": 0,
      "path": "Seltene.Familienanamnese.FamilienmitgliedVerstorben",
      "type": [ {
        "code": "code"
      } ],
      "short": "Familienmitglied verstorben",
      "mapping": [ {
        "map": "FamilyMemberHistory.deceasedBoolean",
        "identity": "FHIR"
      }, {
        "map": "PersönlicherUndFamiliärerHintergrund.BetroffeneFamilienangehörigeVerstorben?",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob das Familienmitglied verstorben ist."
    }, {
      "id": "Seltene.TherapieForschung",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Therapie und Forschung",
      "mapping": [ {
        "map": "CarePlan | MedicationRequest | ResearchStudy",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik",
        "identity": "NARSE"
      } ],
      "definition": "Therapie und Forschung"
    }, {
      "id": "Seltene.TherapieForschung.OffLabel",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.OffLabel",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Off-Label-Gabe",
      "mapping": [ {
        "map": "MedicationRequest.extension",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "definition": "Off-Label-Gabe"
    }, {
      "id": "Seltene.TherapieForschung.OffLabel.OffLabelGabe",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.OffLabel.OffLabelGabe",
      "type": [ {
        "code": "code"
      } ],
      "short": "Off-Label-Gabe",
      "mapping": [ {
        "map": "MedicationRequest.extension.where(url='http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal').valueBoolean",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch, aber unter recommendedSystemicTherapies.type (offLabel) möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, ob eine Off-Label-Gabe vorliegt."
    }, {
      "id": "Seltene.TherapieForschung.OffLabel.OffLabelMedikament",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.OffLabel.OffLabelMedikament",
      "type": [ {
        "code": "code"
      } ],
      "short": "Off-Label-Medikament",
      "mapping": [ {
        "map": "MedicationRequest.medicationCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch, aber unter recommendedSystemicTherapies.substances[].code/.version möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, welches Medikament Off-Label gegeben wurde."
    }, {
      "id": "Seltene.TherapieForschung.Studie",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.Studie",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Studie",
      "mapping": [ {
        "map": "ResearchStudy | ServiceRequest.where(code.coding.exists(code='study-enrollment'))",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "definition": "Studie"
    }, {
      "id": "Seltene.TherapieForschung.Studie.StudienID",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.Studie.StudienID",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Studien-ID",
      "mapping": [ {
        "map": "ResearchStudy.identifier",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nur Empfehlung, nicht tatsächliche Studie recommendedStudies.identifier und recommendedStudies.id",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Eindeutige Identifikation der Studie, an der der SE-Patient teilgenommen hat."
    }, {
      "id": "Seltene.TherapieForschung.Studie.StudienStatus",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.Studie.StudienStatus",
      "type": [ {
        "code": "code"
      } ],
      "short": "Studienstatus",
      "mapping": [ {
        "map": "ResearchStudy.status",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "recommendedStudies.name",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Aktueller Status der Studie, an der der SE-Patient teilgenommen hat (Abgeschlossen, Fortlaufend)."
    }, {
      "id": "Seltene.TherapieForschung.Studie.Studienzeitraum",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.Studie.Studienzeitraum",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/organization-period" ]
      } ],
      "short": "Studienzeitraum",
      "mapping": [ {
        "map": "ResearchStudy.period",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Zeitraum, in dem der SE-Patient an der Studie teilgenommen hat."
    }, {
      "id": "Seltene.TherapieForschung.Therapie",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Therapie",
      "mapping": [ {
        "map": "CarePlan",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      } ],
      "definition": "Therapie"
    }, {
      "id": "Seltene.TherapieForschung.Therapie.Therapieempfehlung",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie.Therapieempfehlung",
      "type": [ {
        "code": "code"
      } ],
      "short": "Eine Therapieempfehlung beschreibt eine spezifische Maßnahme oder Strategie. Sie kann eigenständig vorliegen oder referenziert einem Therapieplan zugeordnet werden. Art der Therapieempfehlung",
      "mapping": [ {
        "map": "MedicationRequest | ServiceRequest",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "Nicht identisch RareDiseasesPlan.recommendedTherapies.strategy (Anderes ValueSet: systemicMedication, targetedMedication, preventionMedication, geneTherapy, prophylactic, earlyDetection, combination, nutrition, other); Angabe unter recommendedTherapies.strategyOther möglich",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, welche Therapieempfehlung vorliegt."
    }, {
      "id": "Seltene.TherapieForschung.Therapie.DurchgefuehrteTherapie",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie.DurchgefuehrteTherapie",
      "type": [ {
        "code": "code"
      } ],
      "short": "Durchgefuehrte Therapie",
      "mapping": [ {
        "map": "Procedure | MedicationStatement",
        "identity": "FHIR"
      }, {
        "map": "AnamneseUndDiagnostik.Therapiestatus",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "recommendedSystemicTherapies.therapeuticStrategy (Anderes ValueSet)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Tatsaechlich durchgeführte Therapie des SE-Patienten (mit oder ohne Studie mit heilender Intention)."
    }, {
      "id": "Seltene.TherapieForschung.Therapie.StartdatumTherapie",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie.StartdatumTherapie",
      "type": [ {
        "code": "date"
      } ],
      "short": "Startdatum Therapie",
      "mapping": [ {
        "map": "CarePlan.period.start",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.therapyStartDate (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase (Startdatum der fallrelevante,systemische Vortherapie))",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum, an dem die Therapie begonnen hat."
    }, {
      "id": "Seltene.TherapieForschung.Therapie.EnddatumTherapie",
      "max": "1",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie.EnddatumTherapie",
      "type": [ {
        "code": "date"
      } ],
      "short": "Enddatum Therapie",
      "mapping": [ {
        "map": "CarePlan.period.end",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.therapyEndDate (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase (Enddatum der fallrelevante,systemische Vortherapie))",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Datum, an dem die Therapie beendet wurde."
    }, {
      "id": "Seltene.TherapieForschung.Therapie.GrundEndeTherapie",
      "max": "*",
      "min": 0,
      "path": "Seltene.TherapieForschung.Therapie.GrundEndeTherapie",
      "type": [ {
        "code": "code"
      } ],
      "short": "Grund Ende Therapie",
      "mapping": [ {
        "map": "CarePlan.activity.outcomeCodeableConcept",
        "identity": "FHIR"
      }, {
        "map": "Nicht vorhanden",
        "identity": "NARSE"
      }, {
        "map": "Nicht vorhanden",
        "identity": "ERDRICDS"
      }, {
        "map": "therapies.terminationReasonOBDS (allerdings unter OncologyFollowUp nicht unter RareDiseasesCase; ValueSet: E = reguläres Ende; R = reguläres Ende mit Dosisreduktion; W = reguläres Ende mit Substanzwechsel; A = Abbruch wegen Nebenwirkungen; P = Abbruch wegen Progress; S = Abbruch aus sonstigen Gründen; V= Patient verweigert weitere Therapie ;T= Patient verstorben; U = unbekannt)",
        "identity": "ModellvorhabenGenomsequenzierung"
      } ],
      "definition": "Gibt an, warum die Therapie beendet wurde (z.B. Nebenwirkungen, keine Wirkung)."
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}