description: Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative. package_name: de.medizininformatikinitiative.kerndatensatz.laborbefund derivation: constraint name: MII_PR_Labor_Laboruntersuchung type: Observation elements: category: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Kategorie} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Category} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Klassifikation in diagnostischen Fachbereich und Gruppe der Laboruntersuchung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Classification of the laboratory test in the diagnostic service section and laboratory group} mustSupport: true index: 15 elements: coding: mustSupport: true array: true min: 2 index: 16 slicing: rules: open discriminator: - {path: $this, type: pattern} min: 2 slices: loinc-observation: match: {code: 26436-6, system: 'http://loinc.org'} schema: mustSupport: true pattern: type: Coding value: {code: 26436-6, system: 'http://loinc.org'} _required: true index: 17 min: 1 max: 1 observation-category: match: {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'} schema: mustSupport: true pattern: type: Coding value: {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'} _required: true index: 18 min: 1 max: 1 referenceRange: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Referenzbereich} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Reference range} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Bereich, in dem der Messwert als normal oder empfohlen betrachtet wird.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Guidance on how to interpret the value by comparison to a normal or recommended range.} mustSupport: true index: 57 value[x]: elements: coding: mustSupport: true index: 45 elements: system: {mustSupport: true, index: 46} code: {mustSupport: true, index: 47} required: [system, code] required: [coding] meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} interpretation: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Interpretation} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Interpretation} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Eine kategorische Bewertung des Messwertes. Zum Beispiel hoch, niedrig, normal.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: 'A categorical assessment of the value. For example, high, low, normal.'} mustSupport: true index: 49 encounter: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Fall oder Kontakt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Encounter} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Fall oder Kontakt, bei dem die Laboruntersuchung durchgeführt wurde.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Encounter during which the laboratory test was performed.} mustSupport: true index: 21 method: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Untersuchungsmethode} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Method} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Konkrete Untersuchungsmethode, wenn der verwendete LOINC-Code für den Laborparameter keine Methode enthält'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: 'Specific examination method, if the LOINC code for the laboratory test does not contain a method'} mustSupport: true index: 52 specimen: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Probenmaterial} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Specimen} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Probe, auf deren Basis die Laboruntersuchungen angefertigt werden'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Specimen on which the laboratory tests are performed} mustSupport: true index: 53 elements: reference: {mustSupport: true, index: 54} identifier: {mustSupport: true, index: 55} valueQuantity: type: Quantity mustSupport: true choiceOf: value index: 35 slicing: slices: valueQuantity: match: {} schema: {type: Quantity, mustSupport: true, choiceOf: value, index: 35} min: 0 max: 1 value: mustSupport: true choices: [valueCodeableConcept] index: 43 slicing: slices: valueCodeableConcept: match: {} schema: mustSupport: true choices: [valueCodeableConcept] index: 43 min: 0 max: 1 valueRatio: type: Ratio _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Messwert} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Value} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Wert der Analyse} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Value of the analysis} mustSupport: true choiceOf: value index: 32 note: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Hinweis} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Note} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zusätzliche Informationen zur Laboruntersuchung als Freitext.} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Additional information about the laboratory test as free text.} mustSupport: true index: 50 effective[x]: extensions: QuelleKlinischesBezugsdatum: url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum min: 0 max: 1 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Datum der Probenentnahme | Datum des Eingangs der Probe im Labor} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Specimen collection date | Date sample received in laboratory} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Quelle klinisches Bezugsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Source of clinical reference date} index: 25 elements: extension: _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Datum der Probenentnahme | Datum des Eingangs der Probe im Labor} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Specimen collection date | Date sample received in laboratory} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Quelle klinisches Bezugsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Source of clinical reference date} url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum index: 25 slicing: slices: QuelleKlinischesBezugsdatum: match: {} schema: _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Datum der Probenentnahme | Datum des Eingangs der Probe im Labor} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Specimen collection date | Date sample received in laboratory} type: Extension mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Quelle klinisches Bezugsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Source of clinical reference date} url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum index: 25 min: 0 max: 1 effectiveDateTime: constraint: mii-lab-1: {human: Datetime must be at least to day, source: 'https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab', severity: error, expression: ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitpunkt des Beginns der Untersuchung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The time at which the observation was made} type: dateTime mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Untersuchungszeitpunkt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Time of observation} choiceOf: effective index: 24 status: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Status} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Status} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: abgeschlossen} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: completed} mustSupport: true index: 14 effective: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Untersuchungszeitpunkt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Time of observation} constraint: mii-lab-1: {human: Datetime must be at least to day, source: 'https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab', severity: error, expression: ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Zeitpunkt des Beginns der Untersuchung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The time at which the observation was made} mustSupport: true choices: [effectiveDateTime] index: 23 id: {mustSupport: true, index: 0} code: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Code} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Code} binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips'} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Ein LOINC Code für den Laborparameter bzw. Labortest, der durchgeführt wurde.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: A LOINC code identifying the laboratory test that was performed.} mustSupport: true index: 19 identifier: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Identifikator} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Identifier} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Kennung/en, unter der/denen diese Laboruntersuchung bekannt ist.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Identifier/s by which this laboratory test is known.} mustSupport: true index: 4 slicing: rules: open discriminator: - {path: type, type: pattern} min: 1 slices: analyseBefundCode: match: type: coding: - {code: OBI, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'} schema: mustSupport: true _required: true index: 5 elements: type: binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-labor/ValueSet/mii-vs-labor-identifier-type-codes'} mustSupport: true pattern: type: CodeableConcept value: coding: - {code: OBI, system: 'http://terminology.hl7.org/CodeSystem/v2-0203'} index: 6 elements: coding: mustSupport: true index: 7 slicing: rules: open discriminator: - {path: system, type: value} min: 1 slices: observationInstanceV2: match: {system: 'http://terminology.hl7.org/CodeSystem/v2-0203'} schema: mustSupport: true _required: true index: 8 elements: system: pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'} mustSupport: true index: 9 code: pattern: {type: Code, value: OBI} mustSupport: true index: 10 required: [system, code] required: [coding] system: {mustSupport: true, index: 11} value: {mustSupport: true, index: 12} assigner: {mustSupport: true, index: 13} required: [assigner, value, type, system] valueCodeableConcept: type: CodeableConcept mustSupport: true choiceOf: value index: 44 slicing: slices: valueCodeableConcept: match: {} schema: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 44} min: 0 max: 1 bodySite: {index: 51} issued: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Dokumentationsdatum} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Issued} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The point in time when the laboratory result was documented} mustSupport: true index: 26 device: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Gerät} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Device} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Das Gerät, das zur Generierung der Messwerte verwendet wurde.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: The device used to generate the test data.} mustSupport: true index: 56 valueRange: type: Range _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Messwert} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Value} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Wert der Analyse} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Value of the analysis} mustSupport: true choiceOf: value index: 31 subject: {mustSupport: true, index: 20} dataAbsentReason: _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Grund für fehlende Daten} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Data absent reason} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: unbekannt | maskiert | nicht anwendbar | Fehler | nicht durchgeführt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: unknown | masked | not-applicable | error | not-performed} mustSupport: true index: 48 package_version: 2025.0.0-alpha1 class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab base: http://hl7.org/fhir/StructureDefinition/Observation version: 2025.0.0 required: [effectiveDateTime, identifier, subject, category, effective]