PackagesCanonicalsLogsProblems
    Packages
    de.medizininformatikinitiative.kerndatensatz.laborbefund@2025.0.0
    https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/LogicalModel/Laborbefund
{
  "description": "Logische Repräsentation des Basismoduls Labor",
  "_filename": "StructureDefinition-mii-lm-labor.json",
  "package_name": "de.medizininformatikinitiative.kerndatensatz.laborbefund",
  "date": null,
  "derivation": "specialization",
  "publisher": "Medizininformatik Initiative",
  "fhirVersion": "4.0.1",
  "name": "MII_LM_Labor",
  "mapping": [ {
    "name": "Labor LogicalModel FHIR Mapping",
    "identity": "FHIR"
  } ],
  "abstract": false,
  "type": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/LogicalModel/Laborbefund",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MII LM Labor",
  "package_version": "2025.0.0",
  "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": "Laborbefund",
      "min": 0,
      "definition": "Logische Repräsentation des Basismoduls Labor",
      "short": "Das Basismodul Laborbefunde enthält strukturierte Informationen zu Laboruntersuchungen als komplexe diagnostische Maßnahmen.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "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": "Laborbefund",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund"
      }
    }, {
      "path": "Laborbefund.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": "Laborbefund.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": "Laborbefund.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.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": "Laborbefund.Identifikation",
      "min": 1,
      "definition": "Identifikator des Laborbefunds",
      "short": "Identifikator des Laborbefunds",
      "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": "DiagnosticReport.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 1,
        "path": "Laborbefund.Identifikation"
      }
    }, {
      "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": "Laborbefund.Status",
      "min": 1,
      "definition": "vorläufig (noch nicht final validiert, noch Untersuchungen ausstehend, Änderungen sind noch möglich)\r\nfinal (Endbefund, sollte nicht mehr geändert werden.)\r\nfinal korrigiert (nachdem eine finale Version freigegeben wurde, musste trotzdem noch Änderungen vorgenommen werden.)",
      "short": "Status des Laborbefunds:",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "1",
      "id": "Laborbefund.Status",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Laborbefund.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.KlinischerBezugszeitpunkt",
      "min": 1,
      "definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "short": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.effective[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Laborbefund.KlinischerBezugszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 1,
        "path": "Laborbefund.KlinischerBezugszeitpunkt"
      }
    }, {
      "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": "Laborbefund.Dokumentationsdatum",
      "min": 1,
      "definition": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde.",
      "short": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "DiagnosticReport.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Laborbefund.Dokumentationsdatum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 1,
        "path": "Laborbefund.Dokumentationsdatum"
      }
    }, {
      "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": "Laborbefund.Probenmaterial",
      "min": 0,
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen",
        "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": "Laborbefund.Probenmaterial",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial"
      }
    }, {
      "path": "Laborbefund.Probenmaterial.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": "Laborbefund.Probenmaterial.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": "Laborbefund.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.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": "Laborbefund.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.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": "Laborbefund.Probenmaterial.Identifikation",
      "min": 0,
      "definition": "ID der Probe",
      "short": "ID der Probe",
      "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": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Probenmaterial.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.Identifikation"
      }
    }, {
      "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": "Laborbefund.Probenmaterial.EntAbnahmezeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe",
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.collectedDateTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.EntAbnahmezeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.EntAbnahmezeitpunkt"
      }
    }, {
      "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": "Laborbefund.Probenmaterial.Laboreingangszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt des Eingangs der Probe im Labor",
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.Laboreingangszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.Laboreingangszeitpunkt"
      }
    }, {
      "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": "Laborbefund.Probenmaterial.Probenart",
      "min": 0,
      "definition": "Art der Probe",
      "short": "Art der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.Probenart",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.Probenart"
      }
    }, {
      "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": "Laborbefund.Probenmaterial.Koerperstelle",
      "min": 0,
      "definition": "Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde",
      "short": "Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.bodySite",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.Koerperstelle",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.Koerperstelle"
      }
    }, {
      "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": "Laborbefund.Probenmaterial.Kommentar",
      "min": 0,
      "definition": "//type text",
      "short": "freitextlicher Kommentar zur Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.note",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Probenmaterial.Kommentar",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Probenmaterial.Kommentar"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung",
      "min": 0,
      "definition": "Eine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut.",
      "short": "Eine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut.",
      "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": "Laborbefund.Laboruntersuchung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.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": "Laborbefund.Laboruntersuchung.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": "Laborbefund.Laboruntersuchung.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.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": "Laborbefund.Laboruntersuchung.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.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": "Laborbefund.Laboruntersuchung.Code",
      "min": 0,
      "definition": "Code des Laborparameters (LOINC)",
      "short": "Code des Laborparameters (LOINC)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Code",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Identifikation",
      "min": 0,
      "definition": "Identifikator der Untersuchung",
      "short": "Identifikator der Untersuchung",
      "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": "Observation.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Laboruntersuchung.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Identifikation"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Status",
      "min": 0,
      "definition": "Status der Laboruntersuchung (durchgeführt, offen, storniert)",
      "short": "Status der Laboruntersuchung (durchgeführt, offen, storniert)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Status",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Bereich",
      "min": 0,
      "definition": "Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc.",
      "short": "Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category",
        "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": "Laborbefund.Laboruntersuchung.Bereich",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Bereich"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.Bereich.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": "Laborbefund.Laboruntersuchung.Bereich.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": "Laborbefund.Laboruntersuchung.Bereich.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Bereich.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": "Laborbefund.Laboruntersuchung.Bereich.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Bereich.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": "Laborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches",
      "min": 0,
      "definition": "Kode des Laborbereichs (LOINC)",
      "short": "Kode des Laborbereichs (LOINC)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category.coding.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs",
      "min": 0,
      "definition": "Textuelle Beschreibung des Laborbereichs",
      "short": "Textuelle Beschreibung des Laborbereichs",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category.coding.display",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Gruppe",
      "min": 0,
      "definition": "Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc.",
      "short": "Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category",
        "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": "Laborbefund.Laboruntersuchung.Gruppe",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Gruppe"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.Gruppe.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": "Laborbefund.Laboruntersuchung.Gruppe.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": "Laborbefund.Laboruntersuchung.Gruppe.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Gruppe.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": "Laborbefund.Laboruntersuchung.Gruppe.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Gruppe.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": "Laborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe",
      "min": 0,
      "definition": "Kode der Laborgruppe",
      "short": "Kode der Laborgruppe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category.coding.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe",
      "min": 0,
      "definition": "Textuelle Beschreibung der Laborgruppe",
      "short": "Textuelle Beschreibung der Laborgruppe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.category.coding.display",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Laborparameter",
      "min": 0,
      "definition": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "short": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity",
        "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": "Laborbefund.Laboruntersuchung.Laborparameter",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Laborparameter"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.Laborparameter.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": "Laborbefund.Laboruntersuchung.Laborparameter.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": "Laborbefund.Laboruntersuchung.Laborparameter.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Laborparameter.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": "Laborbefund.Laboruntersuchung.Laborparameter.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Laborparameter.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": "Laborbefund.Laboruntersuchung.Laborparameter.Bezeichnung",
      "min": 0,
      "definition": "Bezeichnung des Laborparameters",
      "short": "Bezeichnung des Laborparameters",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.code.text",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Laborparameter.Bezeichnung",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Laborparameter.Bezeichnung"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "short": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effective[x].extension[QuelleKlinischesBezugsdatum]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "1",
      "id": "Laborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Dokumentationsdatum",
      "min": 0,
      "definition": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde",
      "short": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Dokumentationsdatum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Dokumentationsdatum"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Untersuchungszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt des Beginns der Untersuchung",
      "short": "Zeitpunkt des Beginns der Untersuchung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Untersuchungszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Untersuchungszeitpunkt"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Messwert",
      "min": 0,
      "definition": "Wert der Analyse",
      "short": "Wert der Analyse",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.valueQuantity",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity"
      } ],
      "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": "Laborbefund.Laboruntersuchung.Messwert",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Messwert"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Interpretation",
      "min": 0,
      "definition": "Codierte Bewertung des Ergebnisses. Wird sowohl für Referenzbereichbewertungen als auch für die Codierung der RAST-Klassen verwendet.",
      "short": "Interpretation des Messwerts (Kennzeichen)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Interpretation",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Interpretation"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Kommentar",
      "min": 0,
      "definition": "//type text",
      "short": "Kommentierung der Laboruntersuchung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.note",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Kommentar",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Kommentar"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Untersuchungsmethode",
      "min": 0,
      "definition": "konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält",
      "short": "konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.method",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Untersuchungsmethode",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Untersuchungsmethode"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial",
      "min": 0,
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.specimen",
        "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": "Laborbefund.Laboruntersuchung.Probenmaterial",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.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": "Laborbefund.Laboruntersuchung.Probenmaterial.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": "Laborbefund.Laboruntersuchung.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.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": "Laborbefund.Laboruntersuchung.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.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": "Laborbefund.Laboruntersuchung.Probenmaterial.Identifikation",
      "min": 0,
      "definition": "ID der Probe",
      "short": "ID der Probe",
      "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": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Identifikation"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe",
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.collection.collected",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt des Eingangs der Probe im Labor",
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial.Probenart",
      "min": 0,
      "definition": "Art der Probe",
      "short": "Art der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Probenart",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Probenart"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle",
      "min": 0,
      "definition": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "short": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.collection.bodySite",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Probenmaterial.Kommentar",
      "min": 0,
      "definition": "//type text",
      "short": "freitextlicher Kommentar zur Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Kommentar",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Kommentar"
      }
    }, {
      "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": "Laborbefund.Laboruntersuchung.Referenzbereich",
      "min": 0,
      "definition": "Für einen Analyse sind mehrere Referenzbereiche möglich, ein Labor wird einem Patienten anhand von Merkmalen wie Alter und Geschlecht in der Regel aber nur einem Referenzbereich zuordnen. Dieser eine Referenzbereich sollte gespeichert werden. Referenzbereiche geben die Lage der zentralen 95% des Messwerts in einer gesunden Normalbevölkerung wieder. Referenzbereiche sind also  keine Entscheidungsgrenzen sondern können lediglich zur ersten Orientierung dienen.",
      "short": "Referenzbereich der Analyse.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode": "normative"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
        "valueCode": "4.0.0"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Referenzbereich"
      }
    }, {
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.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": "Laborbefund.Laboruntersuchung.Referenzbereich.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": "Laborbefund.Laboruntersuchung.Referenzbereich.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.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": "Laborbefund.Laboruntersuchung.Referenzbereich.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.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": "Laborbefund.Laboruntersuchung.Referenzbereich.Typ",
      "min": 0,
      "definition": "Typ des Referenzbereichs",
      "short": "Typ des Referenzbereichs",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.type",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.Typ",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Typ"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Obergrenze",
      "min": 0,
      "definition": "Obergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze)",
      "short": "Obergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.high",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity"
      } ],
      "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": "Laborbefund.Laboruntersuchung.Referenzbereich.Obergrenze",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Obergrenze"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "qty-3",
        "human": "If a code for the unit is present, the system SHALL also be present",
        "xpath": "not(exists(f:code)) or exists(f:system)",
        "source": "http://hl7.org/fhir/StructureDefinition/Quantity",
        "severity": "error",
        "expression": "code.empty() or system.exists()"
      } ],
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Untergrenze",
      "min": 0,
      "definition": "Untergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze)",
      "short": "Untergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "SN (see also Range) or CQ",
        "identity": "v2"
      }, {
        "map": "PQ, IVL, MO, CO, depending on the values",
        "identity": "rim"
      }, {
        "map": "Observation.referenceRange.low",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "Quantity"
      } ],
      "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": "Laborbefund.Laboruntersuchung.Referenzbereich.Untergrenze",
      "condition": [ "ele-1" ],
      "comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Untergrenze"
      }
    }, {
      "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": "Laborbefund.Laboranforderung",
      "min": 0,
      "definition": "Eine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial.",
      "short": "Eine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest",
        "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": "Laborbefund.Laboranforderung",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung"
      }
    }, {
      "path": "Laborbefund.Laboranforderung.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": "Laborbefund.Laboranforderung.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": "Laborbefund.Laboranforderung.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.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": "Laborbefund.Laboranforderung.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.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": "Laborbefund.Laboranforderung.Identifikation",
      "min": 0,
      "definition": "Identifikator der Laboranforderung",
      "short": "Identifikator der Laboranforderung",
      "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": "ServiceRequest.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Laboranforderung.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Identifikation"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Status",
      "min": 0,
      "definition": "Status der Laboranforderung",
      "short": "Status der Laboranforderung",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.status",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Status",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Status"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.Laboranforderung.Laborparameter",
      "min": 0,
      "definition": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "short": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.code",
        "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": "Laborbefund.Laboranforderung.Laborparameter",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Laborparameter"
      }
    }, {
      "path": "Laborbefund.Laboranforderung.Laborparameter.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": "Laborbefund.Laboranforderung.Laborparameter.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": "Laborbefund.Laboranforderung.Laborparameter.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Laborparameter.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": "Laborbefund.Laboranforderung.Laborparameter.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Laborparameter.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": "Laborbefund.Laboranforderung.Laborparameter.Code",
      "min": 0,
      "definition": "Code des Laborparameters (LOINC)",
      "short": "Code des Laborparameters (LOINC)",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.code.coding.code",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Laborparameter.Code",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Laborparameter.Code"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Laborbefund.Laboranforderung.Laborparameter.Bezeichnung",
      "min": 0,
      "definition": "Bezeichnung des Laborparameters",
      "short": "Bezeichnung des Laborparameters",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.code.text",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Laborparameter.Bezeichnung",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Laborparameter.Bezeichnung"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Anforderungsdatum",
      "min": 0,
      "definition": "Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde.",
      "short": "Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde.",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.authoredOn",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Anforderungsdatum",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Anforderungsdatum"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial",
      "min": 0,
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "ServiceRequest.specimen",
        "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": "Laborbefund.Laboranforderung.Probenmaterial",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial"
      }
    }, {
      "path": "Laborbefund.Laboranforderung.Probenmaterial.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": "Laborbefund.Laboranforderung.Probenmaterial.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": "Laborbefund.Laboranforderung.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.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": "Laborbefund.Laboranforderung.Probenmaterial.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"
      } ],
      "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"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.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": "Laborbefund.Laboranforderung.Probenmaterial.Identifikation",
      "min": 0,
      "definition": "ID der Probe",
      "short": "ID der Probe",
      "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": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "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": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Identifikation",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.Identifikation"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe",
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.collected[x]",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt",
      "min": 0,
      "definition": "Zeitpunkt des Eingangs der Probe im Labor",
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "dateTime"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial.Probenart",
      "min": 0,
      "definition": "Art der Probe",
      "short": "Art der Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Probenart",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.Probenart"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial.Koerperstelle",
      "min": 0,
      "definition": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "short": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "Specimen.collection.bodySite",
        "identity": "FHIR"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Koerperstelle",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.Koerperstelle"
      }
    }, {
      "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": "Laborbefund.Laboranforderung.Probenmaterial.Kommentar",
      "min": 0,
      "definition": "freitextlicher Kommentar zur Probe",
      "short": "freitextlicher Kommentar zur Probe",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Kommentar",
      "condition": [ "ele-1" ],
      "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Laborbefund.Laboranforderung.Probenmaterial.Kommentar"
      }
    } ]
  },
  "status": "active",
  "id": "f214f008-1e2a-411c-beb1-b3fec6e139cc",
  "kind": "logical",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/LogicalModel/Laborbefund",
  "version": "2025.0.0",
  "differential": {
    "element": [ {
      "id": "Laborbefund",
      "path": "Laborbefund",
      "short": "Das Basismodul Laborbefunde enthält strukturierte Informationen zu Laboruntersuchungen als komplexe diagnostische Maßnahmen.",
      "definition": "Logische Repräsentation des Basismoduls Labor"
    }, {
      "id": "Laborbefund.Identifikation",
      "max": "*",
      "min": 1,
      "path": "Laborbefund.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Identifikator des Laborbefunds",
      "mapping": [ {
        "map": "DiagnosticReport.identifier",
        "identity": "FHIR"
      } ],
      "definition": "Identifikator des Laborbefunds"
    }, {
      "id": "Laborbefund.Status",
      "max": "1",
      "min": 1,
      "path": "Laborbefund.Status",
      "type": [ {
        "code": "code"
      } ],
      "short": "Status des Laborbefunds:",
      "mapping": [ {
        "map": "DiagnosticReport.status",
        "identity": "FHIR"
      } ],
      "definition": "vorläufig (noch nicht final validiert, noch Untersuchungen ausstehend, Änderungen sind noch möglich)\r\nfinal (Endbefund, sollte nicht mehr geändert werden.)\r\nfinal korrigiert (nachdem eine finale Version freigegeben wurde, musste trotzdem noch Änderungen vorgenommen werden.)"
    }, {
      "id": "Laborbefund.KlinischerBezugszeitpunkt",
      "max": "1",
      "min": 1,
      "path": "Laborbefund.KlinischerBezugszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "mapping": [ {
        "map": "DiagnosticReport.effective[x]",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können."
    }, {
      "id": "Laborbefund.Dokumentationsdatum",
      "max": "1",
      "min": 1,
      "path": "Laborbefund.Dokumentationsdatum",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde.",
      "mapping": [ {
        "map": "DiagnosticReport.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde."
    }, {
      "id": "Laborbefund.Probenmaterial",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "Specimen",
        "identity": "FHIR"
      } ],
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden"
    }, {
      "id": "Laborbefund.Probenmaterial.Identifikation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "ID der Probe",
      "mapping": [ {
        "map": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "definition": "ID der Probe"
    }, {
      "id": "Laborbefund.Probenmaterial.EntAbnahmezeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.EntAbnahmezeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "Specimen.collectedDateTime",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe"
    }, {
      "id": "Laborbefund.Probenmaterial.Laboreingangszeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.Laboreingangszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt des Eingangs der Probe im Labor"
    }, {
      "id": "Laborbefund.Probenmaterial.Probenart",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.Probenart",
      "type": [ {
        "code": "code"
      } ],
      "short": "Art der Probe",
      "mapping": [ {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "definition": "Art der Probe"
    }, {
      "id": "Laborbefund.Probenmaterial.Koerperstelle",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.Koerperstelle",
      "type": [ {
        "code": "code"
      } ],
      "short": "Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "Specimen.bodySite",
        "identity": "FHIR"
      } ],
      "definition": "Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde"
    }, {
      "id": "Laborbefund.Probenmaterial.Kommentar",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Probenmaterial.Kommentar",
      "type": [ {
        "code": "string"
      } ],
      "short": "freitextlicher Kommentar zur Probe",
      "mapping": [ {
        "map": "Specimen.note",
        "identity": "FHIR"
      } ],
      "definition": "//type text"
    }, {
      "id": "Laborbefund.Laboruntersuchung",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Eine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut.",
      "mapping": [ {
        "map": "Observation",
        "identity": "FHIR"
      } ],
      "definition": "Eine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Code",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Code",
      "type": [ {
        "code": "code"
      } ],
      "short": "Code des Laborparameters (LOINC)",
      "mapping": [ {
        "map": "Observation.code",
        "identity": "FHIR"
      } ],
      "definition": "Code des Laborparameters (LOINC)"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Identifikation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Identifikator der Untersuchung",
      "mapping": [ {
        "map": "Observation.identifier",
        "identity": "FHIR"
      } ],
      "definition": "Identifikator der Untersuchung"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Status",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Status",
      "type": [ {
        "code": "code"
      } ],
      "short": "Status der Laboruntersuchung (durchgeführt, offen, storniert)",
      "mapping": [ {
        "map": "Observation.status",
        "identity": "FHIR"
      } ],
      "definition": "Status der Laboruntersuchung (durchgeführt, offen, storniert)"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Bereich",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Bereich",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc.",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches",
      "type": [ {
        "code": "code"
      } ],
      "short": "Kode des Laborbereichs (LOINC)",
      "mapping": [ {
        "map": "Observation.category.coding.code",
        "identity": "FHIR"
      } ],
      "definition": "Kode des Laborbereichs (LOINC)"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs",
      "type": [ {
        "code": "string"
      } ],
      "short": "Textuelle Beschreibung des Laborbereichs",
      "mapping": [ {
        "map": "Observation.category.coding.display",
        "identity": "FHIR"
      } ],
      "definition": "Textuelle Beschreibung des Laborbereichs"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Gruppe",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Gruppe",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc.",
      "mapping": [ {
        "map": "Observation.category",
        "identity": "FHIR"
      } ],
      "definition": "Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe",
      "type": [ {
        "code": "code"
      } ],
      "short": "Kode der Laborgruppe",
      "mapping": [ {
        "map": "Observation.category.coding.code",
        "identity": "FHIR"
      } ],
      "definition": "Kode der Laborgruppe"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe",
      "type": [ {
        "code": "string"
      } ],
      "short": "Textuelle Beschreibung der Laborgruppe",
      "mapping": [ {
        "map": "Observation.category.coding.display",
        "identity": "FHIR"
      } ],
      "definition": "Textuelle Beschreibung der Laborgruppe"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Laborparameter",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Laborparameter",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "mapping": [ {
        "map": "Observation.valueQuantity",
        "identity": "FHIR"
      } ],
      "definition": "in der Laboruntersuchung analysierter / gemessener Laborparameter"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Laborparameter.Bezeichnung",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Laborparameter.Bezeichnung",
      "type": [ {
        "code": "string"
      } ],
      "short": "Bezeichnung des Laborparameters",
      "mapping": [ {
        "map": "Observation.code.text",
        "identity": "FHIR"
      } ],
      "definition": "Bezeichnung des Laborparameters"
    }, {
      "id": "Laborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt",
      "max": "1",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
      "mapping": [ {
        "map": "Observation.effective[x].extension[QuelleKlinischesBezugsdatum]",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das \"Gültigkeitsdatum\" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Dokumentationsdatum",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Dokumentationsdatum",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde",
      "mapping": [ {
        "map": "Observation.issued",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Untersuchungszeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Untersuchungszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt des Beginns der Untersuchung",
      "mapping": [ {
        "map": "Observation.effectiveDateTime",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt des Beginns der Untersuchung"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Messwert",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Messwert",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Wert der Analyse",
      "mapping": [ {
        "map": "Observation.valueQuantity",
        "identity": "FHIR"
      } ],
      "definition": "Wert der Analyse"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Interpretation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Interpretation",
      "type": [ {
        "code": "code"
      } ],
      "short": "Interpretation des Messwerts (Kennzeichen)",
      "mapping": [ {
        "map": "Observation.interpretation",
        "identity": "FHIR"
      } ],
      "definition": "Codierte Bewertung des Ergebnisses. Wird sowohl für Referenzbereichbewertungen als auch für die Codierung der RAST-Klassen verwendet."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Kommentar",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Kommentar",
      "type": [ {
        "code": "string"
      } ],
      "short": "Kommentierung der Laboruntersuchung",
      "mapping": [ {
        "map": "Observation.note",
        "identity": "FHIR"
      } ],
      "definition": "//type text"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Untersuchungsmethode",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Untersuchungsmethode",
      "type": [ {
        "code": "code"
      } ],
      "short": "konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält",
      "mapping": [ {
        "map": "Observation.method",
        "identity": "FHIR"
      } ],
      "definition": "konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "Observation.specimen",
        "identity": "FHIR"
      } ],
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Identifikation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "ID der Probe",
      "mapping": [ {
        "map": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "definition": "ID der Probe"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "Specimen.collection.collected",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt des Eingangs der Probe im Labor"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Probenart",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Probenart",
      "type": [ {
        "code": "code"
      } ],
      "short": "Art der Probe",
      "mapping": [ {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "definition": "Art der Probe"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle",
      "type": [ {
        "code": "code"
      } ],
      "short": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "Specimen.collection.bodySite",
        "identity": "FHIR"
      } ],
      "definition": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Probenmaterial.Kommentar",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Probenmaterial.Kommentar",
      "type": [ {
        "code": "string"
      } ],
      "short": "freitextlicher Kommentar zur Probe",
      "definition": "//type text"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Referenzbereich der Analyse.",
      "mapping": [ {
        "map": "Observation.referenceRange",
        "identity": "FHIR"
      } ],
      "definition": "Für einen Analyse sind mehrere Referenzbereiche möglich, ein Labor wird einem Patienten anhand von Merkmalen wie Alter und Geschlecht in der Regel aber nur einem Referenzbereich zuordnen. Dieser eine Referenzbereich sollte gespeichert werden. Referenzbereiche geben die Lage der zentralen 95% des Messwerts in einer gesunden Normalbevölkerung wieder. Referenzbereiche sind also  keine Entscheidungsgrenzen sondern können lediglich zur ersten Orientierung dienen."
    }, {
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.Typ",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Typ",
      "type": [ {
        "code": "code"
      } ],
      "short": "Typ des Referenzbereichs",
      "mapping": [ {
        "map": "Observation.referenceRange.type",
        "identity": "FHIR"
      } ],
      "definition": "Typ des Referenzbereichs"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.Obergrenze",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Obergrenze",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Obergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze)",
      "mapping": [ {
        "map": "Observation.referenceRange.high",
        "identity": "FHIR"
      } ],
      "definition": "Obergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze)"
    }, {
      "id": "Laborbefund.Laboruntersuchung.Referenzbereich.Untergrenze",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboruntersuchung.Referenzbereich.Untergrenze",
      "type": [ {
        "code": "Quantity"
      } ],
      "short": "Untergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze)",
      "mapping": [ {
        "map": "Observation.referenceRange.low",
        "identity": "FHIR"
      } ],
      "definition": "Untergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze)"
    }, {
      "id": "Laborbefund.Laboranforderung",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Eine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial.",
      "mapping": [ {
        "map": "ServiceRequest",
        "identity": "FHIR"
      } ],
      "definition": "Eine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial."
    }, {
      "id": "Laborbefund.Laboranforderung.Identifikation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "Identifikator der Laboranforderung",
      "mapping": [ {
        "map": "ServiceRequest.identifier",
        "identity": "FHIR"
      } ],
      "definition": "Identifikator der Laboranforderung"
    }, {
      "id": "Laborbefund.Laboranforderung.Status",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Status",
      "type": [ {
        "code": "code"
      } ],
      "short": "Status der Laboranforderung",
      "mapping": [ {
        "map": "ServiceRequest.status",
        "identity": "FHIR"
      } ],
      "definition": "Status der Laboranforderung"
    }, {
      "id": "Laborbefund.Laboranforderung.Laborparameter",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Laborparameter",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "in der Laboruntersuchung analysierter / gemessener Laborparameter",
      "mapping": [ {
        "map": "ServiceRequest.code",
        "identity": "FHIR"
      } ],
      "definition": "in der Laboruntersuchung analysierter / gemessener Laborparameter"
    }, {
      "id": "Laborbefund.Laboranforderung.Laborparameter.Code",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Laborparameter.Code",
      "type": [ {
        "code": "code"
      } ],
      "short": "Code des Laborparameters (LOINC)",
      "mapping": [ {
        "map": "ServiceRequest.code.coding.code",
        "identity": "FHIR"
      } ],
      "definition": "Code des Laborparameters (LOINC)"
    }, {
      "id": "Laborbefund.Laboranforderung.Laborparameter.Bezeichnung",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Laborparameter.Bezeichnung",
      "type": [ {
        "code": "string"
      } ],
      "short": "Bezeichnung des Laborparameters",
      "mapping": [ {
        "map": "ServiceRequest.code.text",
        "identity": "FHIR"
      } ],
      "definition": "Bezeichnung des Laborparameters"
    }, {
      "id": "Laborbefund.Laboranforderung.Anforderungsdatum",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Anforderungsdatum",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde.",
      "mapping": [ {
        "map": "ServiceRequest.authoredOn",
        "identity": "FHIR"
      } ],
      "definition": "Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde."
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
      "mapping": [ {
        "map": "ServiceRequest.specimen",
        "identity": "FHIR"
      } ],
      "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Identifikation",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.Identifikation",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "ID der Probe",
      "mapping": [ {
        "map": "Specimen.identifier",
        "identity": "FHIR"
      } ],
      "definition": "ID der Probe"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt der Ent- / Abnahme der Probe",
      "mapping": [ {
        "map": "Specimen.collected[x]",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt der Ent- / Abnahme der Probe"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt",
      "type": [ {
        "code": "dateTime"
      } ],
      "short": "Zeitpunkt des Eingangs der Probe im Labor",
      "mapping": [ {
        "map": "Specimen.receivedTime",
        "identity": "FHIR"
      } ],
      "definition": "Zeitpunkt des Eingangs der Probe im Labor"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Probenart",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.Probenart",
      "type": [ {
        "code": "code"
      } ],
      "short": "Art der Probe",
      "mapping": [ {
        "map": "Specimen.type",
        "identity": "FHIR"
      } ],
      "definition": "Art der Probe"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Koerperstelle",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.Koerperstelle",
      "type": [ {
        "code": "code"
      } ],
      "short": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde",
      "mapping": [ {
        "map": "Specimen.collection.bodySite",
        "identity": "FHIR"
      } ],
      "definition": "Ort am Patienten, an der die Probe entnommen / abgenommen wurde"
    }, {
      "id": "Laborbefund.Laboranforderung.Probenmaterial.Kommentar",
      "max": "*",
      "min": 0,
      "path": "Laborbefund.Laboranforderung.Probenmaterial.Kommentar",
      "type": [ {
        "code": "string"
      } ],
      "short": "freitextlicher Kommentar zur Probe",
      "definition": "freitextlicher Kommentar zur Probe"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "https://www.medizininformatik-initiative.de",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Element"
}