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: Kategorie _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 _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} index: 18 elements: coding: mustSupport: true index: 19 elements: system: {mustSupport: true, index: 20} code: {mustSupport: true, index: 21} display: {mustSupport: true, index: 22} required: [system, code] slicing: rules: open discriminator: - {path: $this, type: pattern} min: 1 slices: observation-category: match: coding: - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'} schema: short: Labor-Kategorie mustSupport: true _required: true pattern: type: CodeableConcept value: coding: - {code: laboratory, system: 'http://terminology.hl7.org/CodeSystem/observation-category'} index: 23 min: 1 max: 1 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: 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: 88 elements: low: {mustSupport: true, index: 89} high: {mustSupport: true, index: 90} value[x]: elements: coding: mustSupport: true index: 63 elements: system: {mustSupport: true, index: 64} version: {mustSupport: true, index: 65} code: {mustSupport: true, index: 66} required: [system, code] required: [coding] meta: mustSupport: true index: 1 elements: source: {mustSupport: true, index: 2} profile: {mustSupport: true, index: 3} 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} binding: {strength: extensible, valueSet: 'https://www.medizininformatik-initiative.de/fhir/core/modul-labor/ValueSet/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: 74 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: 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 index: 34 elements: reference: {mustSupport: true, index: 35} identifier: {mustSupport: true, index: 36} 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: 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: 77 elements: coding: mustSupport: true index: 78 elements: system: {mustSupport: true, index: 79} code: {mustSupport: true, index: 80} display: {mustSupport: true, index: 81} required: [system, code] 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: 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: 82 elements: reference: {mustSupport: true, index: 83} identifier: {mustSupport: true, index: 84} valueQuantity: type: Quantity mustSupport: true choiceOf: value index: 51 slicing: slices: valueQuantity: match: {} schema: {type: Quantity, mustSupport: true, choiceOf: value, index: 51} min: 0 max: 1 value: mustSupport: true choices: [valueRatio] index: 71 slicing: slices: valueRatio: match: {} schema: mustSupport: true choices: [valueRatio] index: 71 min: 0 max: 1 valueRatio: type: Ratio mustSupport: true choiceOf: value index: 72 slicing: slices: valueRatio: match: {} schema: {type: Ratio, mustSupport: true, choiceOf: value, index: 72} min: 0 max: 1 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: 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: 75 effective[x]: extensions: QuelleKlinischesBezugsdatum: min: 0 short: Quelle klinisches Bezugsdatum index: 41 _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} max: 1 url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum elements: extension: index: 40 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: QuelleKlinischesBezugsdatum: match: {url: null} schema: 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: 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: 41 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 ($this as dateTime).toString().length() >= 8} short: Untersuchungszeitpunkt index: 39 _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Klinischer Bezugszeitpunkt der Laboruntersuchung} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Clinical reference time for the laboratory test.} type: dateTime mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Untersuchungszeitpunkt} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Effective time} choiceOf: effective status: short: Status _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Status} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Status} _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: abgeschlossen} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: completed} mustSupport: true index: 17 effective: constraint: mii-lab-1: {human: Datetime must be at least to day, source: 'https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab', severity: error, expression: ($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8} 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.} mustSupport: true choices: [effectiveDateTime] _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} index: 38 id: {mustSupport: true, index: 0} 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} _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 index: 24 elements: coding: mustSupport: true index: 25 elements: system: {mustSupport: true, index: 26} version: {mustSupport: true, index: 27} code: {mustSupport: true, index: 28} display: {mustSupport: true, index: 29} required: [system, code] slicing: rules: open discriminator: - {path: $this, type: pattern} min: null slices: loinc: match: {system: 'http://loinc.org'} schema: binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-pathology-observations-uv-ips'} mustSupport: true pattern: type: Coding value: {system: 'http://loinc.org'} array: true index: 30 min: 0 identifier: 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} 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} index: 6 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: short: Analyse-Befund-Code mustSupport: true _required: true index: 7 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: 8 elements: coding: mustSupport: true index: 9 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: 10 elements: system: pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v2-0203'} mustSupport: true index: 11 code: pattern: {type: Code, value: OBI} mustSupport: true index: 12 required: [system, code] required: [coding] system: {mustSupport: true, index: 13} value: {mustSupport: true, index: 14} assigner: {mustSupport: true, index: 15} required: [assigner, value, type, system] valueCodeableConcept: type: CodeableConcept mustSupport: true choiceOf: value index: 62 slicing: slices: valueCodeableConcept: match: {} schema: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 62} min: 0 max: 1 bodySite: {index: 76} 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: 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: 42 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: 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 index: 85 elements: reference: {mustSupport: true, index: 86} identifier: {mustSupport: true, index: 87} basedOn: short: Basiert auf _definition: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: 'Bezug zum Laborauftrag, auf dem diese Laboruntersuchung basiert.'} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Reference to the laboratory order on which this laboratory test is based.} refers: ['http://hl7.org/fhir/StructureDefinition/ServiceRequest'] type: Reference mustSupport: true _short: extension: - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: de-DE} - {url: content, valueString: Basiert auf} - url: http://hl7.org/fhir/StructureDefinition/translation extension: - {url: lang, valueCode: en-US} - {url: content, valueString: Based on} index: 16 valueRange: type: Range mustSupport: true choiceOf: value index: 69 slicing: slices: valueRange: match: {} schema: {type: Range, mustSupport: true, choiceOf: value, index: 69} min: 0 max: 1 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: 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 index: 31 elements: reference: {mustSupport: true, index: 32} identifier: {mustSupport: true, index: 33} modifierExtension: mustSupport: true index: 4 slicing: rules: open ordered: false discriminator: - {path: url, type: value} min: null slices: interpretationsbeeinflussendeEigenschaft: match: {url: null} schema: 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: Extension 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} url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft index: 5 min: 0 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: 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: 73 package_version: 2027.0.0-ballot.rc3 class: profile kind: resource url: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab base: http://hl7.org/fhir/StructureDefinition/Observation version: 2027.0.0-ballot.rc3 required: [effectiveDateTime, identifier, subject, category, effective]