PackagesCanonicalsLogsProblems
    Packages
    de.medizininformatikinitiative.kerndatensatz.laborbefund@2026.0.0
    https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab
{
  "description": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "_filename": "StructureDefinition-mii-pr-labor-laboruntersuchung.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.laborbefund",
  "date": null,
  "derivation": "constraint",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "purpose": "Dieses Profil beschreibt ein Laborergebnis in der Medizininformatik-Initiative.",
  "name": "MII_PR_Labor_Laboruntersuchung",
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII PR Labor Laboruntersuchung",
  "_description": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "de-DE"
      }, {
        "url": "content",
        "valueString": "Ergebnis einer Laboruntersuchung"
      } ]
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "Result of a laboratory test"
      } ]
    } ]
  },
  "package_version": "2026.0.0",
  "extension": [ {
    "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
    "valueCodeableConcept": {
      "coding": [ {
        "code": "CC-BY-4.0",
        "system": "http://hl7.org/fhir/spdx-license",
        "display": "Creative Commons Attribution 4.0 International"
      } ]
    }
  } ],
  "status": "active",
  "id": "e745c9dd-95bb-4967-9499-c94b7e4ac536",
  "kind": "resource",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
  "_title": {
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "de-DE"
      }, {
        "url": "content",
        "valueString": "Laboruntersuchung"
      } ]
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/translation",
      "extension": [ {
        "url": "lang",
        "valueCode": "en-US"
      }, {
        "url": "content",
        "valueString": "Laboratory test"
      } ]
    } ]
  },
  "version": "2026.0.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "constraint": [ {
        "key": "mii-lab-2",
        "human": "Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden",
        "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
        "severity": "error",
        "expression": "hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()"
      } ]
    }, {
      "id": "Observation.id",
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.source",
      "path": "Observation.meta.source",
      "mustSupport": true
    }, {
      "id": "Observation.meta.profile",
      "path": "Observation.meta.profile",
      "mustSupport": true
    }, {
      "id": "Observation.modifierExtension",
      "path": "Observation.modifierExtension",
      "mustSupport": true
    }, {
      "path": "Observation.modifierExtension",
      "min": 0,
      "definition": "Beschreibung der interpretationsbeeinflussenden interpretationsbeeinflussendeEigenschaften.",
      "short": "Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Beschreibung der interpretationsbeeinflussenden interpretationsbeeinflussendeEigenschaften."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Description of interpretation-influencing specimen property"
          } ]
        } ]
      },
      "type": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft" ]
      } ],
      "mustSupport": true,
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "interpretation-influencing specimen property"
          } ]
        } ]
      },
      "sliceName": "interpretationsbeeinflussendeEigenschaft",
      "max": "*",
      "id": "Observation.modifierExtension:interpretationsbeeinflussendeEigenschaft"
    }, {
      "path": "Observation.identifier",
      "min": 1,
      "definition": "Kennung/en, unter der/denen diese Laboruntersuchung bekannt ist.",
      "short": "Identifikator",
      "_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."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Eindeutiger und dauerhafter Identifikator für eine Laboruntersuchung."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Unique and persistent identifier for a laboratory observation instance"
          } ]
        } ]
      },
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "type",
          "type": "pattern"
        } ]
      },
      "mustSupport": true,
      "_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"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Analyse-Befund-Code"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Laboratory analysis identifier"
          } ]
        } ]
      },
      "id": "Observation.identifier"
    }, {
      "id": "Observation.identifier:analyseBefundCode",
      "max": "1",
      "min": 1,
      "path": "Observation.identifier",
      "short": "Analyse-Befund-Code",
      "sliceName": "analyseBefundCode",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type",
      "min": 1,
      "path": "Observation.identifier.type",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/ValueSet/mii-vs-labor-identifier-type-codes"
      },
      "mustSupport": true,
      "patternCodeableConcept": {
        "coding": [ {
          "code": "OBI",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding",
      "min": 1,
      "path": "Observation.identifier.type.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2",
      "max": "1",
      "min": 1,
      "path": "Observation.identifier.type.coding",
      "sliceName": "observationInstanceV2",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.system",
      "min": 1,
      "path": "Observation.identifier.type.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.code",
      "min": 1,
      "path": "Observation.identifier.type.coding.code",
      "fixedCode": "OBI",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.system",
      "min": 1,
      "path": "Observation.identifier.system",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.value",
      "min": 1,
      "path": "Observation.identifier.value",
      "mustSupport": true
    }, {
      "id": "Observation.identifier:analyseBefundCode.assigner",
      "min": 1,
      "path": "Observation.identifier.assigner",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "short": "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": "abgeschlossen",
      "_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
    }, {
      "id": "Observation.category",
      "min": 1,
      "path": "Observation.category",
      "short": "Kategorie",
      "_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": "Klassifikation in diagnostischen Fachbereich und Gruppe der Laboruntersuchung",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Klassifikation der Laboruntersuchung im diagnostischen Fachbereich und der Laborgruppe"
          } ]
        }, {
          "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
    }, {
      "id": "Observation.category.coding",
      "min": 2,
      "path": "Observation.category.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "pattern"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.display",
      "path": "Observation.category.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding:loinc-observation",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "loinc-observation",
      "mustSupport": true,
      "patternCoding": {
        "code": "26436-6",
        "system": "http://loinc.org"
      }
    }, {
      "id": "Observation.category.coding:observation-category",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "sliceName": "observation-category",
      "mustSupport": true,
      "patternCoding": {
        "code": "laboratory",
        "system": "http://terminology.hl7.org/CodeSystem/observation-category"
      }
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "short": "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",
        "description": "Intensional Value Set Definition: LOINC {  {    STATUS in {ACTIVE}    CLASSTYPE in {1}    CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*}  } }"
      },
      "definition": "LOINC-Code, der den gemessenen Laborparameter bzw. durchgeführten Labortest beschreibt.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "LOINC-Code, der den gemessenen Laborparameter bzw. durchgeführten Labortest beschreibt."
          } ]
        }, {
          "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
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.display",
      "path": "Observation.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "short": "Subjekt",
      "_short": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Subjekt"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Subject"
          } ]
        } ]
      },
      "definition": "Subjekt auf welches sich die Laboruntersuchung bezieht.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Subjekt auf welches sich die Laboruntersuchung bezieht."
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "The subject the laboratory test is about."
          } ]
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Observation.subject.reference",
      "path": "Observation.subject.reference",
      "mustSupport": true
    }, {
      "id": "Observation.subject.identifier",
      "path": "Observation.subject.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "short": "Fall oder Kontakt",
      "_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": "Fall oder Kontakt, in dem die Laboruntersuchung durchgeführt wurde.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Fall oder Kontakt, in 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
    }, {
      "id": "Observation.encounter.reference",
      "path": "Observation.encounter.reference",
      "mustSupport": true
    }, {
      "id": "Observation.encounter.identifier",
      "path": "Observation.encounter.identifier",
      "mustSupport": true
    }, {
      "constraint": [ {
        "key": "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"
      } ],
      "path": "Observation.effective[x]",
      "min": 1,
      "definition": "Klinischer Bezugszeitpunkt der Laboruntersuchung",
      "short": "Untersuchungszeitpunkt",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "Klinischer Bezugszeitpunkt der Laboruntersuchung"
          } ]
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "en-US"
          }, {
            "url": "content",
            "valueString": "Clinical reference time for the laboratory test."
          } ]
        } ]
      },
      "type": [ {
        "code": "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": "Effective time"
          } ]
        } ]
      },
      "id": "Observation.effective[x]"
    }, {
      "path": "Observation.effective[x].extension",
      "min": 0,
      "definition": "Datum der Probenentnahme | Datum des Eingangs der Probe im Labor",
      "short": "Quelle klinisches Bezugsdatum",
      "_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": [ {
        "code": "Extension",
        "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum" ]
      } ],
      "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"
          } ]
        } ]
      },
      "sliceName": "QuelleKlinischesBezugsdatum",
      "max": "1",
      "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum"
    }, {
      "id": "Observation.issued",
      "path": "Observation.issued",
      "short": "Dokumentationsdatum",
      "_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": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde",
      "_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
    }, {
      "path": "Observation.value[x]",
      "definition": "Wert der Analyse",
      "short": "Messwert",
      "_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"
          } ]
        } ]
      },
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      },
      "type": [ {
        "code": "Quantity"
      }, {
        "code": "CodeableConcept"
      }, {
        "code": "Range"
      }, {
        "code": "Ratio"
      } ],
      "mustSupport": true,
      "_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"
          } ]
        } ]
      },
      "id": "Observation.value[x]"
    }, {
      "id": "Observation.value[x]:valueQuantity",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Quantity"
      } ],
      "sliceName": "valueQuantity",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.extension:pqTranslation",
      "max": "*",
      "min": 0,
      "path": "Observation.value[x].extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "draft"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "sliceName": "pqTranslation"
    }, {
      "id": "Observation.value[x]:valueQuantity.value",
      "min": 1,
      "path": "Observation.value[x].value",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.value.extension:quantityPrecision",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x].value.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/quantity-precision" ]
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "draft"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "sliceName": "quantityPrecision",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.comparator",
      "path": "Observation.value[x].comparator",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.unit",
      "min": 1,
      "path": "Observation.value[x].unit",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.system",
      "min": 1,
      "path": "Observation.value[x].system",
      "fixedUri": "http://unitsofmeasure.org",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueQuantity.code",
      "min": 1,
      "path": "Observation.value[x].code",
      "comment": "The mandatory system is UCUM.",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding",
      "min": 1,
      "path": "Observation.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueCodeableConcept.coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueRange",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Range"
      } ],
      "sliceName": "valueRange",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]:valueRatio",
      "max": "1",
      "min": 0,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "Ratio"
      } ],
      "sliceName": "valueRatio",
      "mustSupport": true
    }, {
      "id": "Observation.dataAbsentReason",
      "path": "Observation.dataAbsentReason",
      "short": "Grund für fehlende Daten",
      "_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": "unbekannt | maskiert | nicht anwendbar | Fehler | nicht durchgeführt",
      "_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
    }, {
      "id": "Observation.interpretation",
      "path": "Observation.interpretation",
      "short": "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": "Eine kategorische Bewertung des Messwertes. Zum Beispiel hoch, niedrig, normal.",
      "_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
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "short": "Hinweis",
      "_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": "Zusätzliche Informationen zur Laboruntersuchung als Freitext.",
      "_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
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.method",
      "path": "Observation.method",
      "short": "Untersuchungsmethode",
      "_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": "Konkrete Untersuchungsmethode, wenn der verwendete LOINC-Code für den Laborparameter keine Methode enthält.",
      "_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
    }, {
      "id": "Observation.method.coding",
      "path": "Observation.method.coding",
      "mustSupport": true
    }, {
      "id": "Observation.method.coding.system",
      "min": 1,
      "path": "Observation.method.coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.method.coding.code",
      "min": 1,
      "path": "Observation.method.coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.method.coding.display",
      "path": "Observation.method.coding.display",
      "mustSupport": true
    }, {
      "id": "Observation.specimen",
      "path": "Observation.specimen",
      "short": "Probenmaterial",
      "_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": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "_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
    }, {
      "id": "Observation.specimen.reference",
      "path": "Observation.specimen.reference",
      "mustSupport": true
    }, {
      "id": "Observation.specimen.identifier",
      "path": "Observation.specimen.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.device",
      "path": "Observation.device",
      "short": "Gerät",
      "_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": "Gerät, das zur Generierung der Messwerte verwendet wurde.",
      "_definition": {
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/translation",
          "extension": [ {
            "url": "lang",
            "valueCode": "de-DE"
          }, {
            "url": "content",
            "valueString": "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
    }, {
      "id": "Observation.device.reference",
      "path": "Observation.device.reference",
      "mustSupport": true
    }, {
      "id": "Observation.device.identifier",
      "path": "Observation.device.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange",
      "path": "Observation.referenceRange",
      "short": "Referenzbereich",
      "_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": "Bereich, in dem der Messwert als normal oder empfohlen betrachtet wird.",
      "_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
    }, {
      "id": "Observation.referenceRange.low",
      "path": "Observation.referenceRange.low",
      "mustSupport": true
    }, {
      "id": "Observation.referenceRange.high",
      "path": "Observation.referenceRange.high",
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}