{
  "description": "Der Laborbericht kann mehrere Erregernachweise zu einer Probe enthalten und beinhaltet eine Gesamtbewertung der Ergebnisse aller Einzeltests.",
  "_filename": "StructureDefinition-LaboratoryReport.json",
  "package_name": "rki.demis.laboratory.strict",
  "date": "2025-02-20",
  "derivation": "constraint",
  "publisher": "Robert Koch-Institut",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "DE",
      "system": "urn:iso:std:iso:3166",
      "version": "ALPHA-2"
    } ]
  } ],
  "name": "LaboratoryReport",
  "abstract": true,
  "copyright": "Copyright (C) 2021-2025 Robert Koch-Institut",
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "Laborbericht",
  "package_version": "5.0.0-rc.1",
  "status": "active",
  "id": "f76fa3aa-5015-49fc-97e7-108523588bf4",
  "kind": "resource",
  "url": "https://demis.rki.de/fhir/StructureDefinition/LaboratoryReport",
  "version": "2.0.0",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.extension",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/workflow-reasonCode" ]
      } ],
      "sliceName": "reasonForTesting",
      "isModifier": false
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x]",
      "path": "DiagnosticReport.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ValueSet/reasonForTesting",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "EventReason"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x].coding.system",
      "min": 1,
      "path": "DiagnosticReport.extension.value[x].coding.system",
      "patternUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x].coding.version",
      "min": 1,
      "path": "DiagnosticReport.extension.value[x].coding.version",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x].coding.code",
      "min": 1,
      "path": "DiagnosticReport.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:reasonForTesting.value[x].text",
      "max": "0",
      "path": "DiagnosticReport.extension.value[x].text"
    }, {
      "id": "DiagnosticReport.basedOn",
      "max": "1",
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "referenced" ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/ServiceRequest" ]
      } ],
      "short": "Laborauftragsnummer",
      "definition": "Es ist nicht ein echter ServiceRequest anzugeben, sondern eine logische Variante, die über die Laborauftragsnummer referenziert wird.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn.reference",
      "max": "0",
      "path": "DiagnosticReport.basedOn.reference"
    }, {
      "id": "DiagnosticReport.basedOn.type",
      "min": 1,
      "path": "DiagnosticReport.basedOn.type",
      "fixedUri": "ServiceRequest",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn.identifier",
      "min": 1,
      "path": "DiagnosticReport.basedOn.identifier",
      "short": "Laborauftragsnummer",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn.identifier.type",
      "path": "DiagnosticReport.basedOn.identifier.type",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "FILL",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
        } ]
      }
    }, {
      "id": "DiagnosticReport.basedOn.identifier.system",
      "min": 1,
      "path": "DiagnosticReport.basedOn.identifier.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn.identifier.value",
      "min": 1,
      "path": "DiagnosticReport.basedOn.identifier.value",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "short": "Status der Testergebnisse",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ValueSet/laboratoryReportStatus",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "DiagnosticReportStatus"
        } ],
        "description": "Status des Laborberichts"
      },
      "comment": "Der Status ist szenarienspezifisch folgendermaßen zu belegen.\r\nfinal - bei einer Meldung, bei der kein Bestätigungstest notwendig ist, bei einem erfolgten Bestätigungstest;\r\npreliminary - bei einer Meldung, bei der ein Bestätigungstest notwendig ist;\r\namended/corrected - bei einer Korrekturmeldung",
      "definition": "Status der Testergebnisse",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.category",
      "max": "0",
      "path": "DiagnosticReport.category"
    }, {
      "id": "DiagnosticReport.code",
      "path": "DiagnosticReport.code",
      "short": "Meldetatbestand",
      "definition": "Angabe des Meldetatbestandes. Der jeweils zutreffende Meldetatbestand ist in abgeleiteten erregerspezifischen Laborbericht-Profilen vorgegeben.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ValueSet/notificationCategory",
        "description": "Meldetatbestand"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding.system",
      "min": 1,
      "path": "DiagnosticReport.code.coding.system",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.code.coding.code",
      "min": 1,
      "path": "DiagnosticReport.code.coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject",
      "min": 1,
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://demis.rki.de/fhir/StructureDefinition/NotifiedPerson", "https://demis.rki.de/fhir/StructureDefinition/NotifiedPersonAnonymous" ]
      } ],
      "short": "Verweis auf die in der Meldung benannte betroffene Person.",
      "definition": "Verweis auf die in der Meldung benannte betroffene Person. Hierbei handelt es sich grundsätzlich um den Verweis auf die in der Erregernachweismeldung als „subject“ referenzierte Patient Ressource.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.subject.reference",
      "min": 1,
      "path": "DiagnosticReport.subject.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.encounter",
      "max": "0",
      "path": "DiagnosticReport.encounter"
    }, {
      "id": "DiagnosticReport.effective[x]",
      "max": "0",
      "path": "DiagnosticReport.effective[x]"
    }, {
      "id": "DiagnosticReport.issued",
      "min": 1,
      "path": "DiagnosticReport.issued",
      "short": "Zeitpunkt der Erstellung/Bearbeitung (der aktuellen Version) des Laborbefundes",
      "definition": "Zeitpunkt der Erstellung/Bearbeitung (der aktuellen Version) des Laborbefundes. Dieser ändert sich entsprechend bei Ergänzungen/Korrekturen.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.performer",
      "max": "0",
      "path": "DiagnosticReport.performer"
    }, {
      "id": "DiagnosticReport.resultsInterpreter",
      "max": "0",
      "path": "DiagnosticReport.resultsInterpreter"
    }, {
      "id": "DiagnosticReport.specimen",
      "max": "0",
      "path": "DiagnosticReport.specimen"
    }, {
      "id": "DiagnosticReport.result",
      "min": 1,
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://demis.rki.de/fhir/StructureDefinition/PathogenDetection" ]
      } ],
      "short": "Erregernachweis",
      "definition": "Referenziert einen Erregernachweis.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.result.reference",
      "min": 1,
      "path": "DiagnosticReport.result.reference",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.imagingStudy",
      "max": "0",
      "path": "DiagnosticReport.imagingStudy"
    }, {
      "id": "DiagnosticReport.media",
      "max": "0",
      "path": "DiagnosticReport.media"
    }, {
      "id": "DiagnosticReport.conclusion",
      "path": "DiagnosticReport.conclusion",
      "short": "Textuelle Zusammenfassung der Testergebnisse",
      "definition": "Fasst die Ergebnisse der Einzeltests in textueller Form zusammen.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.conclusionCode",
      "short": "Kodierte Zusammenfassung der Testergebnisse",
      "slicing": {
        "rules": "closed",
        "discriminator": [ {
          "path": "coding.system",
          "type": "value"
        } ]
      },
      "definition": "Fasst die Ergebnisse der Einzeltests in kodierter Form zusammen und gibt damit an, ob der Meldetatbestand erfüllt ist.",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode:demisConclusionCode",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.conclusionCode",
      "sliceName": "demisConclusionCode",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode:demisConclusionCode.coding",
      "max": "1",
      "min": 1,
      "path": "DiagnosticReport.conclusionCode.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://demis.rki.de/fhir/ValueSet/conclusionCode",
        "description": "Gesamttestergebnis"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode:demisConclusionCode.coding.system",
      "min": 1,
      "path": "DiagnosticReport.conclusionCode.coding.system",
      "fixedUri": "https://demis.rki.de/fhir/CodeSystem/conclusionCode",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.conclusionCode:demisConclusionCode.coding.code",
      "min": 1,
      "path": "DiagnosticReport.conclusionCode.coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.presentedForm",
      "max": "0",
      "path": "DiagnosticReport.presentedForm"
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "demis-support@rki.de",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}