<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="EMDAF-PR-Observation-Laborparameter" />
  <url value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Observation_Laborparameter" />
  <version value="1.3" />
  <name value="EMDAF_PR_Observation_Laborparameter" />
  <title value="eMDAF - Klinische Parameter: Laborparameter" />
  <status value="active" />
  <date value="2022-11-17" />
  <publisher value="gevko GmbH" />
  <description value="Laborparameter - Observation für das elektronische Medikations-Datenaustauschformat (eMDAF)" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.meta">
      <path value="Observation.meta" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.profile">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.meta.profile" />
      <min value="1" />
      <max value="1" />
      <fixedCanonical value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Observation_Laborparameter|1.3" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.implicitRules">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.implicitRules" />
      <max value="0" />
    </element>
    <element id="Observation.language">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.language" />
      <max value="0" />
    </element>
    <element id="Observation.contained">
      <path value="Observation.contained" />
      <max value="0" />
    </element>
    <element id="Observation.extension">
      <path value="Observation.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.extension:Annotation_Comment">
      <path value="Observation.extension" />
      <sliceName value="Annotation_Comment" />
      <short value="Annotation Comment" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Annotation_Comment" />
      </type>
    </element>
    <element id="Observation.extension:Freitext_Parameter">
      <path value="Observation.extension" />
      <sliceName value="Freitext_Parameter" />
      <short value="Freitext Parameter" />
      <min value="0" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Freitext_Parameter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Freitext_Parameter.extension">
      <path value="Observation.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="2" />
    </element>
    <element id="Observation.extension:Freitext_Parameter.extension:Parameter-Freitext">
      <path value="Observation.extension.extension" />
      <sliceName value="Parameter-Freitext" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Freitext_Parameter.extension:Parameter-Freitext.value[x]">
      <path value="Observation.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Freitext_Parameter.extension:Druckkennzeichen">
      <path value="Observation.extension.extension" />
      <sliceName value="Druckkennzeichen" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Freitext_Parameter.extension:Druckkennzeichen.value[x]">
      <path value="Observation.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation">
      <path value="Observation.extension" />
      <sliceName value="Vorhabenspezifische_Erweiterung_Zusatzinformation" />
      <short value="Vorhabenspezifische Erweiterung/Zusatzinformation des Datensatzes" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Zusatzinformation" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension">
      <path value="Observation.extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Text">
      <path value="Observation.extension.extension" />
      <sliceName value="Zusatzinformation_Text" />
      <short value="Der Wert der vorhabenspezifischen Erweiterung/Zusatzinformation" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Text.value[x]">
      <path value="Observation.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Code">
      <path value="Observation.extension.extension" />
      <sliceName value="Zusatzinformation_Code" />
      <short value="Identifikation der Erweiterung/Zusatzinformation in Form einer URI" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Vorhabenspezifische_Erweiterung_Zusatzinformation.extension:Zusatzinformation_Code.value[x]">
      <path value="Observation.extension.extension.value[x]" />
      <type>
        <code value="uri" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Status_Laborparameter">
      <path value="Observation.extension" />
      <sliceName value="Status_Laborparameter" />
      <short value="Status des Laborparameters" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://fhir.gevko.de/StructureDefinition/EMDAF_EX_Laborparameter_Status" />
      </type>
    </element>
    <element id="Observation.extension:Status_Laborparameter.value[x]">
      <path value="Observation.extension.value[x]" />
      <min value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Der Status des Laborparameters muss aus dem Value Set 'http://terminology.hl7.org/ValueSet/v3-ActStatus' gewählt werden." />
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ActStatus" />
      </binding>
    </element>
    <element id="Observation.extension:Status_Laborparameter.value[x].system">
      <path value="Observation.extension.value[x].system" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Status_Laborparameter.value[x].code">
      <path value="Observation.extension.value[x].code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Status_Laborparameter.value[x].display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.extension.value[x].display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.extension:Status_Laborparameter.value[x].userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.extension.value[x].userSelected" />
      <max value="0" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <max value="0" />
    </element>
    <element id="Observation.basedOn">
      <path value="Observation.basedOn" />
      <max value="0" />
    </element>
    <element id="Observation.partOf">
      <path value="Observation.partOf" />
      <max value="0" />
    </element>
    <element id="Observation.status">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.status" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <max value="0" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <short value="Code des Laborwertes" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://loinc.org" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Value Set 1.2.276.0.76.11.431 Laborparameter" />
        <valueSet value="https://fhir.gevko.de/ValueSet/EMDAF_VS_Laborparameter" />
      </binding>
    </element>
    <element id="Observation.code.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.code.coding.code" />
      <short value="Code aus dem Value Set Laborparameter (1.2.276.0.76.11.431 )" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.code.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.code.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Observation.code.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.code.text" />
      <short value="Name des Laborparameters" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://fhir.gevko.de/StructureDefinition/EMDAF_PR_Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject.reference">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.subject.reference" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject.type">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.subject.type" />
      <max value="0" />
    </element>
    <element id="Observation.subject.identifier">
      <path value="Observation.subject.identifier" />
      <max value="0" />
    </element>
    <element id="Observation.subject.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.subject.display" />
      <max value="0" />
    </element>
    <element id="Observation.focus">
      <path value="Observation.focus" />
      <max value="0" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <max value="0" />
    </element>
    <element id="Observation.effective[x]">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.effective[x]" />
      <short value="Zeitpunkt der Messung des Laborwerts" />
      <min value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.issued">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.issued" />
      <max value="0" />
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <max value="0" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <short value="Wert und Einheit des Laborwertes" />
      <min value="1" />
      <type>
        <code value="Quantity" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <description value="Der Code für die Einheit des Laborwertes muss aus dem ValueSet 'http://hl7.org/fhir/ValueSet/ucum-units' gewählt werden." />
        <valueSet value="http://hl7.org/fhir/ValueSet/ucum-units" />
      </binding>
    </element>
    <element id="Observation.value[x].value">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.value[x].value" />
      <short value="Wert des Laborwertes" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].comparator">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.value[x].comparator" />
      <max value="0" />
    </element>
    <element id="Observation.value[x].unit">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.value[x].unit" />
      <short value="Einheit des Laborwertes" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.value[x].system" />
      <min value="1" />
      <fixedUri value="http://unitsofmeasure.org" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.value[x].code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.dataAbsentReason">
      <path value="Observation.dataAbsentReason" />
      <max value="0" />
    </element>
    <element id="Observation.interpretation">
      <path value="Observation.interpretation" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation.coding">
      <path value="Observation.interpretation.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Die qualitative Interpretation des Laborwertes muss aus dem Value Set 'http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation' gewählt werden." />
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-ObservationInterpretation" />
      </binding>
    </element>
    <element id="Observation.interpretation.coding.system">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.interpretation.coding.system" />
      <min value="1" />
      <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation.coding.code">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.interpretation.coding.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.interpretation.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.interpretation.coding.userSelected">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.interpretation.coding.userSelected" />
      <max value="0" />
    </element>
    <element id="Observation.interpretation.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.interpretation.text" />
      <max value="0" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <max value="0" />
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <max value="0" />
    </element>
    <element id="Observation.method">
      <path value="Observation.method" />
      <max value="0" />
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <max value="0" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <max value="0" />
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <short value="Normalwertebereich" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange.low">
      <path value="Observation.referenceRange.low" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.referenceRange.low.value">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="Observation.referenceRange.low.value" />
      <min value="1" />
    </element>
    <element id="Observation.referenceRange.low.unit">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
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