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Source1

{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-labor-laboruntersuchung",
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "CC-BY-4.0",
            "system": "http://hl7.org/fhir/spdx-license",
            "display": "Creative Commons Attribution 4.0 International"
          }
        ]
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
  "version": "2026.0.0",
  "name": "MII_PR_Labor_Laboruntersuchung",
  "title": "MII PR Labor Laboruntersuchung",
  "_title": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "de-DE"
          },
          {
            "url": "content",
            "valueString": "Laboruntersuchung"
          }
        ]
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "en-US"
          },
          {
            "url": "content",
            "valueString": "Laboratory test"
          }
        ]
      }
    ]
  },
  "status": "active",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "_description": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "de-DE"
          },
          {
            "url": "content",
            "valueString": "Ergebnis einer Laboruntersuchung"
          }
        ]
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "en-US"
          },
          {
            "url": "content",
            "valueString": "Result of a laboratory test"
          }
        ]
      }
    ]
  },
  "purpose": "Dieses Profil beschreibt ein Laborergebnis in der Medizininformatik-Initiative.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "constraint": [
          {
            "key": "mii-lab-2",
            "severity": "error",
            "human": "Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden",
            "expression": "hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()",
            "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
          }
        ]
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "mustSupport": true
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Observation.modifierExtension",
        "path": "Observation.modifierExtension",
        "mustSupport": true
      },
      {
        "id": "Observation.modifierExtension:interpretationsbeeinflussendeEigenschaft",
        "path": "Observation.modifierExtension",
        "sliceName": "interpretationsbeeinflussendeEigenschaft",
        "short": "Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "interpretation-influencing specimen property"
                }
              ]
            }
          ]
        },
        "definition": "Beschreibung der interpretationsbeeinflussenden interpretationsbeeinflussendeEigenschaften.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Beschreibung der interpretationsbeeinflussenden interpretationsbeeinflussendeEigenschaften."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Description of interpretation-influencing specimen property"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "short": "Identifikator",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Identifikator"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Identifier"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Analyse-Befund-Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Laboratory analysis identifier"
                }
              ]
            }
          ]
        },
        "definition": "Kennung/en, unter der/denen diese Laboruntersuchung bekannt ist.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Kennung/en, unter der/denen diese Laboruntersuchung bekannt ist."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Identifier/s by which this laboratory test is known."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Eindeutiger und dauerhafter Identifikator für eine Laboruntersuchung."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Unique and persistent identifier for a laboratory observation instance"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode",
        "path": "Observation.identifier",
        "sliceName": "analyseBefundCode",
        "short": "Analyse-Befund-Code",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type",
        "path": "Observation.identifier.type",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "OBI",
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
            }
          ]
        },
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/ValueSet/mii-vs-labor-identifier-type-codes"
        }
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding",
        "path": "Observation.identifier.type.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2",
        "path": "Observation.identifier.type.coding",
        "sliceName": "observationInstanceV2",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.system",
        "path": "Observation.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.code",
        "path": "Observation.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "OBI",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.system",
        "path": "Observation.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.value",
        "path": "Observation.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.assigner",
        "path": "Observation.identifier.assigner",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Status",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Status"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Status"
                }
              ]
            }
          ]
        },
        "definition": "abgeschlossen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "abgeschlossen"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "completed"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "short": "Kategorie",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Kategorie"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Category"
                }
              ]
            }
          ]
        },
        "definition": "Klassifikation in diagnostischen Fachbereich und Gruppe der Laboruntersuchung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Klassifikation der Laboruntersuchung im diagnostischen Fachbereich und der Laborgruppe"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Classification of the laboratory test in the diagnostic service section and laboratory group"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 2,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.system",
        "path": "Observation.category.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.display",
        "path": "Observation.category.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding:loinc-observation",
        "path": "Observation.category.coding",
        "sliceName": "loinc-observation",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "26436-6",
          "system": "http://loinc.org"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding:observation-category",
        "path": "Observation.category.coding",
        "sliceName": "observation-category",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "laboratory",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Code"
                }
              ]
            }
          ]
        },
        "definition": "LOINC-Code, der den gemessenen Laborparameter bzw. durchgeführten Labortest beschreibt.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "LOINC-Code, der den gemessenen Laborparameter bzw. durchgeführten Labortest beschreibt."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A LOINC code identifying the laboratory test that was performed."
                }
              ]
            }
          ]
        },
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips",
          "description": "Intensional Value Set Definition: LOINC {  {    STATUS in {ACTIVE}    CLASSTYPE in {1}    CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*}  } }"
        }
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Subjekt",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Subjekt"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Subject"
                }
              ]
            }
          ]
        },
        "definition": "Subjekt auf welches sich die Laboruntersuchung bezieht.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Subjekt auf welches sich die Laboruntersuchung bezieht."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "The subject the laboratory test is about."
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.subject.reference",
        "path": "Observation.subject.reference",
        "mustSupport": true
      },
      {
        "id": "Observation.subject.identifier",
        "path": "Observation.subject.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "short": "Fall oder Kontakt",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Fall oder Kontakt"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Encounter"
                }
              ]
            }
          ]
        },
        "definition": "Fall oder Kontakt, in dem die Laboruntersuchung durchgeführt wurde.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Fall oder Kontakt, in dem die Laboruntersuchung durchgeführt wurde."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Encounter during which the laboratory test was performed."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.encounter.reference",
        "path": "Observation.encounter.reference",
        "mustSupport": true
      },
      {
        "id": "Observation.encounter.identifier",
        "path": "Observation.encounter.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "Untersuchungszeitpunkt",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Untersuchungszeitpunkt"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Effective time"
                }
              ]
            }
          ]
        },
        "definition": "Klinischer Bezugszeitpunkt der Laboruntersuchung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Klinischer Bezugszeitpunkt der Laboruntersuchung"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Clinical reference time for the laboratory test."
                }
              ]
            }
          ]
        },
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "mii-lab-1",
            "severity": "error",
            "human": "Datetime must be at least to day",
            "expression": "($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8",
            "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum",
        "path": "Observation.effective[x].extension",
        "sliceName": "QuelleKlinischesBezugsdatum",
        "short": "Quelle klinisches Bezugsdatum",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Quelle klinisches Bezugsdatum"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Source of clinical reference date"
                }
              ]
            }
          ]
        },
        "definition": "Datum der Probenentnahme | Datum des Eingangs der Probe im Labor",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Datum der Probenentnahme | Datum des Eingangs der Probe im Labor"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Specimen collection date | Date sample received in laboratory"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "short": "Dokumentationsdatum",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Dokumentationsdatum"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Issued"
                }
              ]
            }
          ]
        },
        "definition": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "The point in time when the laboratory result was documented."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "short": "Messwert",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Messwert"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Value"
                }
              ]
            }
          ]
        },
        "definition": "Wert der Analyse",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Wert der Analyse"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Value of the analysis"
                }
              ]
            }
          ]
        },
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.value[x]",
        "sliceName": "valueQuantity",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.extension:pqTranslation",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "draft"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].extension",
        "sliceName": "pqTranslation",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/extension-quantity-translation"
            ]
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueQuantity.value",
        "path": "Observation.value[x].value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.value.extension:quantityPrecision",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
            "valueCode": "draft"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version",
            "valueCode": "4.0.0"
          }
        ],
        "path": "Observation.value[x].value.extension",
        "sliceName": "quantityPrecision",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/quantity-precision"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.comparator",
        "path": "Observation.value[x].comparator",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.unit",
        "path": "Observation.value[x].unit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.system",
        "path": "Observation.value[x].system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.code",
        "path": "Observation.value[x].code",
        "comment": "The mandatory system is UCUM.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding",
        "path": "Observation.value[x].coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding.system",
        "path": "Observation.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding.code",
        "path": "Observation.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange",
        "path": "Observation.value[x]",
        "sliceName": "valueRange",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Range"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio",
        "path": "Observation.value[x]",
        "sliceName": "valueRatio",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "short": "Grund für fehlende Daten",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Grund für fehlende Daten"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Data absent reason"
                }
              ]
            }
          ]
        },
        "definition": "unbekannt | maskiert | nicht anwendbar | Fehler | nicht durchgeführt",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "unbekannt | maskiert | nicht anwendbar | Fehler | nicht durchgeführt"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "unknown | masked | not-applicable | error | not-performed"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "Interpretation",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Interpretation"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Interpretation"
                }
              ]
            }
          ]
        },
        "definition": "Eine kategorische Bewertung des Messwertes. Zum Beispiel hoch, niedrig, normal.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Eine kategorische Bewertung des Messwertes. Zum Beispiel hoch, niedrig, normal."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A categorical assessment of the value. For example, high, low, normal."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "short": "Hinweis",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Hinweis"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Note"
                }
              ]
            }
          ]
        },
        "definition": "Zusätzliche Informationen zur Laboruntersuchung als Freitext.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Zusätzliche Informationen zur Laboruntersuchung als Freitext."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Additional information about the laboratory test as free text."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "Untersuchungsmethode",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Untersuchungsmethode"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Method"
                }
              ]
            }
          ]
        },
        "definition": "Konkrete Untersuchungsmethode, wenn der verwendete LOINC-Code für den Laborparameter keine Methode enthält.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Konkrete Untersuchungsmethode, wenn der verwendete LOINC-Code für den Laborparameter keine Methode enthält."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Specific examination method, if the LOINC code for the laboratory test does not contain a method"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding",
        "path": "Observation.method.coding",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.system",
        "path": "Observation.method.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.code",
        "path": "Observation.method.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.display",
        "path": "Observation.method.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "short": "Probenmaterial",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Probenmaterial"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Specimen"
                }
              ]
            }
          ]
        },
        "definition": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Probe, auf deren Basis die Laboruntersuchungen angefertigt werden"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Specimen on which the laboratory tests are performed"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.reference",
        "path": "Observation.specimen.reference",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.identifier",
        "path": "Observation.specimen.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "short": "Gerät",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Gerät"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Device"
                }
              ]
            }
          ]
        },
        "definition": "Gerät, das zur Generierung der Messwerte verwendet wurde.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Gerät, das zur Generierung der Messwerte verwendet wurde."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "The device used to generate the test data."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.device.reference",
        "path": "Observation.device.reference",
        "mustSupport": true
      },
      {
        "id": "Observation.device.identifier",
        "path": "Observation.device.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "Referenzbereich",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Referenzbereich"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Reference range"
                }
              ]
            }
          ]
        },
        "definition": "Bereich, in dem der Messwert als normal oder empfohlen betrachtet wird.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Bereich, in dem der Messwert als normal oder empfohlen betrachtet wird."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Guidance on how to interpret the value by comparison to a normal or recommended range."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "mustSupport": true
      }
    ]
  }
}