<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="sofa-score" />
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Diagnostics" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient" />
  </extension>
  <url value="https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/sofa-score" />
  <version value="1.0.6" />
  <name value="SOFA" />
  <title value="SOFA Score" />
  <status value="active" />
  <experimental value="false" />
  <date value="2022-09-14" />
  <publisher value="Berlin Institute of Health at Charité (BIH)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="https://www.bihealth.org/en/research/core-facilities/interoperability/" />
    </telecom>
  </contact>
  <description value="Observation to capture the SOFA score. Based on: Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine. Intensive Care Med. 1996;22(7):707-710. doi:10.1007/BF01709751" />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="sct-concept" />
    <uri value="http://snomed.info/conceptdomain" />
    <name value="SNOMED CT Concept Domain Binding" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-attr" />
    <uri value="http://snomed.org/attributebinding" />
    <name value="SNOMED CT Attribute Binding" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <constraint>
        <key value="value-1" />
        <severity value="error" />
        <human value="A value or dataAbsentReason SHALL be present." />
        <expression value="value.exists() xor dataAbsentReason.exists()" />
        <source value="https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/sofa-score" />
      </constraint>
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category.coding">
      <path value="Observation.category.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category.coding:survey">
      <path value="Observation.category.coding" />
      <sliceName value="survey" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
        <code value="survey" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.category.coding:survey.system">
      <path value="Observation.category.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.category.coding:survey.code">
      <path value="Observation.category.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding:sofaScore">
      <path value="Observation.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/ecrf-parameter-codes" />
        <code value="06" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding:sofaScore.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding:sofaScore.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding:loinc">
      <path value="Observation.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96790-1" />
      </patternCoding>
    </element>
    <element id="Observation.code.coding:loinc.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.code.coding:loinc.code">
      <path value="Observation.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="integer" />
      </type>
    </element>
    <element id="Observation.value[x]:valueInteger">
      <path value="Observation.value[x]" />
      <sliceName value="valueInteger" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="integer" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]:valueQuantity">
      <path value="Observation.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.value[x]:valueQuantity.system">
      <path value="Observation.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.value[x]:valueQuantity.code">
      <path value="Observation.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="code" />
        </discriminator>
        <rules value="open" />
      </slicing>
    </element>
    <element id="Observation.component:respiratorySystem">
      <path value="Observation.component" />
      <sliceName value="respiratorySystem" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="resp" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="resp" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96823-0" />
      </patternCoding>
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:respiratorySystem.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component:nervousSystem">
      <path value="Observation.component" />
      <sliceName value="nervousSystem" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:nervousSystem.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="ns" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="ns" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96827-1" />
      </patternCoding>
    </element>
    <element id="Observation.component:nervousSystem.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:nervousSystem.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem">
      <path value="Observation.component" />
      <sliceName value="cardiovascularSystem" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="cvs" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="cvs" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96826-3" />
      </patternCoding>
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:cardiovascularSystem.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component:liver">
      <path value="Observation.component" />
      <sliceName value="liver" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:liver.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="liv" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:liver.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:liver.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="liv" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:liver.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96825-5" />
      </patternCoding>
    </element>
    <element id="Observation.component:liver.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:liver.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:liver.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:liver.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:liver.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:liver.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:liver.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component:coagulation">
      <path value="Observation.component" />
      <sliceName value="coagulation" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:coagulation.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="coa" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coagulation.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coagulation.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="coa" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coagulation.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96824-8" />
      </patternCoding>
    </element>
    <element id="Observation.component:coagulation.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coagulation.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:coagulation.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coagulation.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:coagulation.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:coagulation.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:coagulation.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
    <element id="Observation.component:kidneys">
      <path value="Observation.component" />
      <sliceName value="kidneys" />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Observation.component:kidneys.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
          <code value="kid" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:kidneys.code.coding">
      <path value="Observation.component.code.coding" />
      <slicing>
        <discriminator>
          <type value="pattern" />
          <path value="$this" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:kidneys.code.coding:sofaScore">
      <path value="Observation.component.code.coding" />
      <sliceName value="sofaScore" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
        <code value="kid" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:kidneys.code.coding:sofaScore.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.code.coding:sofaScore.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.code.coding:loinc">
      <path value="Observation.component.code.coding" />
      <sliceName value="loinc" />
      <min value="0" />
      <max value="1" />
      <patternCoding>
        <system value="http://loinc.org" />
        <code value="96828-9" />
      </patternCoding>
    </element>
    <element id="Observation.component:kidneys.code.coding:loinc.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.code.coding:loinc.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.value[x]">
      <path value="Observation.component.value[x]" />
      <slicing>
        <discriminator>
          <type value="type" />
          <path value="$this" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <type>
        <code value="Quantity" />
      </type>
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:kidneys.value[x]:valueCodeableConcept">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueCodeableConcept" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/sofa-score" />
      </binding>
    </element>
    <element id="Observation.component:kidneys.value[x]:valueCodeableConcept.coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <patternCoding>
        <system value="https://www.netzwerk-universitaetsmedizin.de/fhir/CodeSystem/sofa-score" />
      </patternCoding>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:kidneys.value[x]:valueCodeableConcept.coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.value[x]:valueCodeableConcept.coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:kidneys.value[x]:valueQuantity">
      <path value="Observation.component.value[x]" />
      <sliceName value="valueQuantity" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Quantity" />
      </type>
    </element>
    <element id="Observation.component:kidneys.value[x]:valueQuantity.system">
      <path value="Observation.component.value[x].system" />
      <patternUri value="http://unitsofmeasure.org" />
    </element>
    <element id="Observation.component:kidneys.value[x]:valueQuantity.code">
      <path value="Observation.component.value[x].code" />
      <patternCode value="1" />
    </element>
  </differential>
</StructureDefinition>