MII-Initiative

MII IG Labor DE v2024

Der DiagnosticReportLab bildet einen Laborbefund ab.

Metadaten

CanonicalStatusVersionBasis
https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLabactive2025.0.0http://hl7.org/fhir/StructureDefinition/DiagnosticReport

Inhalt

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
id0..1string
extensionI0..*Extension
useΣ ?!0..1codeBinding
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriFixed Value
versionΣ0..1string
codeS Σ1..1codeFixed Value
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
systemS Σ1..1uri
valueS Σ1..1string
periodΣ I0..1Period
assignerS Σ I1..1MII-Reference(Organization)
basedOnS I1..*MII-Reference(CarePlan | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
statusS Σ ?!1..1codeBinding
id0..1string
extensionI0..*Extension
loinc-labS Σ1..1CodingPattern
diagnostic-service-sectionsS Σ1..1CodingPattern
textΣ0..1string
id0..1string
extensionI0..*Extension
loinc-labReportS Σ1..1CodingPattern
textΣ0..1string
subjectS Σ I1..1MII-Reference(Patient | Group | Device | Location)
encounterS Σ I0..1Reference(Encounter)
effectiveDateTimedateTime
issuedS Σ1..1instant
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierS Σ0..1Identifier
displayΣ0..1string
resultsInterpreterΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam)
id0..1string
extensionI0..*Extension
referenceS Σ I0..1string
typeΣ0..1uriBinding
identifierS Σ0..1Identifier
displayΣ0..1string
resultS I1..*MII-Reference(Observation)
imagingStudyI0..*Reference(ImagingStudy)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
comment0..1string
conclusionS0..1string
conclusionCode0..*CodeableConcept
presentedFormI0..*Attachment
Command 'page' could not render: Page not found.
<StructureDefinition xmlns="http://hl7.org/fhir">
    <id value="mii-pr-labor-laborbefund" />
    <url value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab" />
    <version value="2025.0.0" />
    <name value="MII_PR_Labor_Laborbefund" />
    <title value="MII PR Labor Laborbefund">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Laborbefund" />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Laboratory report" />
            </extension>
        </extension>
    </title>
    <status value="active" />
    <experimental value="false" />
    <publisher value="Medizininformatik Initiative" />
    <contact>
        <telecom>
            <system value="url" />
            <value value="https://www.medizininformatik-initiative.de" />
        </telecom>
    </contact>
    <description value="Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="de-DE" />
            </extension>
            <extension url="content">
                <valueString value="Laborbefund, der die Ergebnisse einer Laboruntersuchung enth&#228;lt." />
            </extension>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
            <extension url="lang">
                <valueCode value="en-US" />
            </extension>
            <extension url="content">
                <valueString value="Laboratory report containing the results of a laboratory test." />
            </extension>
        </extension>
    </description>
    <purpose value="Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative." />
    <fhirVersion value="4.0.1" />
    <kind value="resource" />
    <abstract value="false" />
    <type value="DiagnosticReport" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
    <derivation value="constraint" />
    <differential>
        <element id="DiagnosticReport.id">
            <path value="DiagnosticReport.id" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.meta">
            <path value="DiagnosticReport.meta" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.meta.source">
            <path value="DiagnosticReport.meta.source" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.meta.profile">
            <path value="DiagnosticReport.meta.profile" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier">
            <path value="DiagnosticReport.identifier" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="type" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifikator" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kennung/en, unter der/denen dieser Laborbefund bekannt ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Identifier/s by which this laboratory report is known." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund">
            <path value="DiagnosticReport.identifier" />
            <sliceName value="befund" />
            <min value="1" />
            <max value="1" />
        </element>
        <element id="DiagnosticReport.identifier:befund.type">
            <path value="DiagnosticReport.identifier.type" />
            <min value="1" />
            <patternCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                    <code value="FILL" />
                </coding>
            </patternCodeableConcept>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.type.coding">
            <path value="DiagnosticReport.identifier.type.coding" />
            <slicing>
                <discriminator>
                    <type value="value" />
                    <path value="system" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.type.coding:fillerV2">
            <path value="DiagnosticReport.identifier.type.coding" />
            <sliceName value="fillerV2" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.type.coding:fillerV2.system">
            <path value="DiagnosticReport.identifier.type.coding.system" />
            <min value="1" />
            <fixedUri value="http://terminology.hl7.org/CodeSystem/v2-0203" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.type.coding:fillerV2.code">
            <path value="DiagnosticReport.identifier.type.coding.code" />
            <min value="1" />
            <fixedCode value="FILL" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.system">
            <path value="DiagnosticReport.identifier.system" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.value">
            <path value="DiagnosticReport.identifier.value" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.identifier:befund.assigner">
            <path value="DiagnosticReport.identifier.assigner" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.basedOn">
            <path value="DiagnosticReport.basedOn" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Basiert auf" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Based on" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Bezug zum Laborauftrag, auf dem dieser Laborbefund basiert." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Reference to the laboratory order on which this laboratory report is based." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <type>
                <code value="Reference" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/NutritionOrder" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.status">
            <path value="DiagnosticReport.status" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Status" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="registriert | teilweise | vorl&#228;ufig | final" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="registered | partial | preliminary | final" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.category">
            <path value="DiagnosticReport.category" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Kategorie" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Category" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Klassifikation des Befunds als Laborbefund" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Classification of the report as laboratory report" />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.category.coding">
            <path value="DiagnosticReport.category.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="2" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.category.coding:loinc-lab">
            <path value="DiagnosticReport.category.coding" />
            <sliceName value="loinc-lab" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="http://loinc.org" />
                <code value="26436-6" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.category.coding:diagnostic-service-sections">
            <path value="DiagnosticReport.category.coding" />
            <sliceName value="diagnostic-service-sections" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0074" />
                <code value="LAB" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.code">
            <path value="DiagnosticReport.code" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Code" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ein LOINC Code zur Identifikation des Befunds als Laborbefund." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="A LOINC code identifying the report as laboratory report." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.code.coding">
            <path value="DiagnosticReport.code.coding" />
            <slicing>
                <discriminator>
                    <type value="pattern" />
                    <path value="$this" />
                </discriminator>
                <rules value="open" />
            </slicing>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.code.coding:loinc-labReport">
            <path value="DiagnosticReport.code.coding" />
            <sliceName value="loinc-labReport" />
            <min value="1" />
            <max value="1" />
            <patternCoding>
                <system value="http://loinc.org" />
                <code value="11502-2" />
            </patternCoding>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.subject">
            <path value="DiagnosticReport.subject" />
            <min value="1" />
            <type>
                <code value="Reference" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.encounter">
            <path value="DiagnosticReport.encounter" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fall oder Kontakt" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Encounter" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Fall oder Kontakt, bei dem der Laborbefund erstellt wurde." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Encounter during which the laboratory report was created." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.effective[x]">
            <path value="DiagnosticReport.effective[x]" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Klinisches Bezugsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Clinical reference Date" />
                    </extension>
                </extension>
            </short>
            <definition value="Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutma&#223;lich der Eigenschaft im Patienten entsprach. \nWenn der Zeitpunkt der Probenentnahme angegeben ist, wird meist dieser Zeitpunkt verwendet. \nAndernfalls wird zumeist behelfsm&#228;&#223;ig der Probeneingang im Labor gew&#228;hlt. \nDieses Element ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu k&#246;nnen.">
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial e.g. Analytkonzentration mutma&#223;lich der Eigenschaft im Patienten entsprach." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The time when the measured property in the specimen material e.g. analyte concentration is presumed to pertain to the patient." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <type>
                <code value="dateTime" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.issued">
            <path value="DiagnosticReport.issued" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Dokumentationsdatum" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Issued" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Zeitpunkt, an dem der Laborbefund dokumentiert wurde." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The time when the laboratory report was documented." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.performer">
            <path value="DiagnosticReport.performer" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ausf&#252;hrende*r" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Performer" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Verantwortliche Person oder Organisation, die f&#252;r die Ausstellung des Befunds verantwortlich ist." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="The diagnostic service that is responsible for issuing the report." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.performer.reference">
            <path value="DiagnosticReport.performer.reference" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.performer.identifier">
            <path value="DiagnosticReport.performer.identifier" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.specimen">
            <path value="DiagnosticReport.specimen" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Probenmaterial" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Specimen" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details zu den Bioproben, auf denen dieser Laborbefund basiert." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Details about the specimens on which this diagnostic report is based." />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.specimen.reference">
            <path value="DiagnosticReport.specimen.reference" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.specimen.identifier">
            <path value="DiagnosticReport.specimen.identifier" />
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.result">
            <path value="DiagnosticReport.result" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Ergebnis" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Result" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Laborergebnisse, die Teil dieses Laborbefunds sind." />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Laboratory test results that are part of this diagnostic report." />
                    </extension>
                </extension>
            </definition>
            <min value="1" />
            <type>
                <code value="Reference" />
                <profile value="https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" />
                <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
            </type>
            <mustSupport value="true" />
        </element>
        <element id="DiagnosticReport.conclusion">
            <path value="DiagnosticReport.conclusion" />
            <short>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Schlussfolgerung" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Conclusion" />
                    </extension>
                </extension>
            </short>
            <definition>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="de-DE" />
                    </extension>
                    <extension url="content">
                        <valueString value="Klinische Schlussfolgerung/Interpretation der Testergebnisse" />
                    </extension>
                </extension>
                <extension url="http://hl7.org/fhir/StructureDefinition/translation">
                    <extension url="lang">
                        <valueCode value="en-US" />
                    </extension>
                    <extension url="content">
                        <valueString value="Clinical conclusion/interpretation of test results" />
                    </extension>
                </extension>
            </definition>
            <mustSupport value="true" />
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "id": "mii-pr-labor-laborbefund",
    "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab",
    "version": "2025.0.0",
    "name": "MII_PR_Labor_Laborbefund",
    "title": "MII PR Labor Laborbefund",
    "_title": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Laborbefund"
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Laboratory report"
                    }
                ]
            }
        ]
    },
    "status": "active",
    "experimental": false,
    "publisher": "Medizininformatik Initiative",
    "contact":  [
        {
            "telecom":  [
                {
                    "system": "url",
                    "value": "https://www.medizininformatik-initiative.de"
                }
            ]
        }
    ],
    "description": "Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative.",
    "_description": {
        "extension":  [
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "de-DE"
                    },
                    {
                        "url": "content",
                        "valueString": "Laborbefund, der die Ergebnisse einer Laboruntersuchung enthält."
                    }
                ]
            },
            {
                "url": "http://hl7.org/fhir/StructureDefinition/translation",
                "extension":  [
                    {
                        "url": "lang",
                        "valueCode": "en-US"
                    },
                    {
                        "url": "content",
                        "valueString": "Laboratory report containing the results of a laboratory test."
                    }
                ]
            }
        ]
    },
    "purpose": "Dieses Profil beschreibt einen Laborbefund in der Medizininformatik-Initiative.",
    "fhirVersion": "4.0.1",
    "kind": "resource",
    "abstract": false,
    "type": "DiagnosticReport",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "DiagnosticReport.id",
                "path": "DiagnosticReport.id",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.meta",
                "path": "DiagnosticReport.meta",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.meta.source",
                "path": "DiagnosticReport.meta.source",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.meta.profile",
                "path": "DiagnosticReport.meta.profile",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier",
                "path": "DiagnosticReport.identifier",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "type"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true,
                "_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"
                                }
                            ]
                        }
                    ]
                },
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Kennung/en, unter der/denen dieser Laborbefund bekannt ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Identifier/s by which this laboratory report is known."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.identifier:befund",
                "path": "DiagnosticReport.identifier",
                "sliceName": "befund",
                "min": 1,
                "max": "1"
            },
            {
                "id": "DiagnosticReport.identifier:befund.type",
                "path": "DiagnosticReport.identifier.type",
                "min": 1,
                "patternCodeableConcept": {
                    "coding":  [
                        {
                            "code": "FILL",
                            "system": "http://terminology.hl7.org/CodeSystem/v2-0203"
                        }
                    ]
                },
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.type.coding",
                "path": "DiagnosticReport.identifier.type.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "value",
                            "path": "system"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.type.coding:fillerV2",
                "path": "DiagnosticReport.identifier.type.coding",
                "sliceName": "fillerV2",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.type.coding:fillerV2.system",
                "path": "DiagnosticReport.identifier.type.coding.system",
                "min": 1,
                "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.type.coding:fillerV2.code",
                "path": "DiagnosticReport.identifier.type.coding.code",
                "min": 1,
                "fixedCode": "FILL",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.system",
                "path": "DiagnosticReport.identifier.system",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.value",
                "path": "DiagnosticReport.identifier.value",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.identifier:befund.assigner",
                "path": "DiagnosticReport.identifier.assigner",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
                        ],
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Organization"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.basedOn",
                "path": "DiagnosticReport.basedOn",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
                        ],
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/CarePlan",
                            "http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
                            "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
                            "http://hl7.org/fhir/StructureDefinition/NutritionOrder",
                            "http://hl7.org/fhir/StructureDefinition/ServiceRequest"
                        ]
                    }
                ],
                "mustSupport": true,
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Basiert auf"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Based on"
                                }
                            ]
                        }
                    ]
                },
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Bezug zum Laborauftrag, auf dem dieser Laborbefund basiert."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Reference to the laboratory order on which this laboratory report is based."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.status",
                "path": "DiagnosticReport.status",
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "registriert | teilweise | vorläufig | final"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "registered | partial | preliminary | final"
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.category",
                "path": "DiagnosticReport.category",
                "min": 1,
                "max": "1",
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Klassifikation des Befunds als Laborbefund"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Classification of the report as laboratory report"
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.category.coding",
                "path": "DiagnosticReport.category.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 2,
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.category.coding:loinc-lab",
                "path": "DiagnosticReport.category.coding",
                "sliceName": "loinc-lab",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "code": "26436-6",
                    "system": "http://loinc.org"
                },
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.category.coding:diagnostic-service-sections",
                "path": "DiagnosticReport.category.coding",
                "sliceName": "diagnostic-service-sections",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "code": "LAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
                },
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.code",
                "path": "DiagnosticReport.code",
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ein LOINC Code zur Identifikation des Befunds als Laborbefund."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "A LOINC code identifying the report as laboratory report."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.code.coding",
                "path": "DiagnosticReport.code.coding",
                "slicing": {
                    "discriminator":  [
                        {
                            "type": "pattern",
                            "path": "$this"
                        }
                    ],
                    "rules": "open"
                },
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.code.coding:loinc-labReport",
                "path": "DiagnosticReport.code.coding",
                "sliceName": "loinc-labReport",
                "min": 1,
                "max": "1",
                "patternCoding": {
                    "code": "11502-2",
                    "system": "http://loinc.org"
                },
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.subject",
                "path": "DiagnosticReport.subject",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
                        ],
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Patient",
                            "http://hl7.org/fhir/StructureDefinition/Group",
                            "http://hl7.org/fhir/StructureDefinition/Device",
                            "http://hl7.org/fhir/StructureDefinition/Location"
                        ]
                    }
                ],
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.encounter",
                "path": "DiagnosticReport.encounter",
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Fall oder Kontakt, bei dem der Laborbefund erstellt wurde."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Encounter during which the laboratory report was created."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.effective[x]",
                "path": "DiagnosticReport.effective[x]",
                "definition": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. \nWenn der Zeitpunkt der Probenentnahme angegeben ist, wird meist dieser Zeitpunkt verwendet. \nAndernfalls wird zumeist behelfsmäßig der Probeneingang im Labor gewählt. \nDieses Element ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.",
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial e.g. Analytkonzentration mutmaßlich der Eigenschaft im Patienten entsprach."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The time when the measured property in the specimen material e.g. analyte concentration is presumed to pertain to the patient."
                                }
                            ]
                        }
                    ]
                },
                "min": 1,
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mustSupport": true,
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Klinisches Bezugsdatum"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Clinical reference Date"
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.issued",
                "path": "DiagnosticReport.issued",
                "min": 1,
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Zeitpunkt, an dem der Laborbefund dokumentiert wurde."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The time when the laboratory report was documented."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.performer",
                "path": "DiagnosticReport.performer",
                "mustSupport": true,
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ausführende*r"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Performer"
                                }
                            ]
                        }
                    ]
                },
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Verantwortliche Person oder Organisation, die für die Ausstellung des Befunds verantwortlich ist."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "The diagnostic service that is responsible for issuing the report."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.performer.reference",
                "path": "DiagnosticReport.performer.reference",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.performer.identifier",
                "path": "DiagnosticReport.performer.identifier",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.specimen",
                "path": "DiagnosticReport.specimen",
                "mustSupport": true,
                "_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": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details zu den Bioproben, auf denen dieser Laborbefund basiert."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Details about the specimens on which this diagnostic report is based."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.specimen.reference",
                "path": "DiagnosticReport.specimen.reference",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.specimen.identifier",
                "path": "DiagnosticReport.specimen.identifier",
                "mustSupport": true
            },
            {
                "id": "DiagnosticReport.result",
                "path": "DiagnosticReport.result",
                "min": 1,
                "type":  [
                    {
                        "code": "Reference",
                        "profile":  [
                            "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
                        ],
                        "targetProfile":  [
                            "http://hl7.org/fhir/StructureDefinition/Observation"
                        ]
                    }
                ],
                "mustSupport": true,
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Ergebnis"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Result"
                                }
                            ]
                        }
                    ]
                },
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Laborergebnisse, die Teil dieses Laborbefunds sind."
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Laboratory test results that are part of this diagnostic report."
                                }
                            ]
                        }
                    ]
                }
            },
            {
                "id": "DiagnosticReport.conclusion",
                "path": "DiagnosticReport.conclusion",
                "mustSupport": true,
                "_short": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Schlussfolgerung"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Conclusion"
                                }
                            ]
                        }
                    ]
                },
                "_definition": {
                    "extension":  [
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "de-DE"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Klinische Schlussfolgerung/Interpretation der Testergebnisse"
                                }
                            ]
                        },
                        {
                            "url": "http://hl7.org/fhir/StructureDefinition/translation",
                            "extension":  [
                                {
                                    "url": "lang",
                                    "valueCode": "en-US"
                                },
                                {
                                    "url": "content",
                                    "valueString": "Clinical conclusion/interpretation of test results"
                                }
                            ]
                        }
                    ]
                }
            }
        ]
    }
}
MII PR Labor Laborbefund

Constraints/Invarianten

RestFul API

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MII_CPS_Labor_CapabilityStatement

Mappings

FHIR Element Erklärung
Patient.id Must-support, jedoch optional
Patient.meta Must-support, jedoch optional
DiagnosticReport.identifier Befundnummer, keine Vorgaben zur Kodierung
DiagnosticReport.basedOn Bezug zum initialen ServiceRequest muss stets gegeben sein
DiagnosticReport.status Keine Vorgaben, vorläufige Befunde sind erlaubt
DiagnosticReport.category Verpflichtende LOINC & HL7 v2 Codes, weitere Codings erlaubt
DiagnosticReport.subject Bezug zum Patienten muss stets gegeben sein
DiagnosticReport.effective[x] Zeitpunkt der Probenentnahme (Zeitpunkt zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach). Falls nicht dokumentiert, Laboreingangszeitpunkt als am nächsten liegender Zeitpunkt. Muss identisch sein zu Observation.effective[x].extension:KlinischerBezugszeitpunkt. Die Information wird sowohl im DiagnosticReport als auch in der Observation gespeichert um anschließend Datenauswertungen zu erleichtern. Per Extension 'ExtensionQuelleKlinischesBezugsdatum' kann angegeben werden welches der oben genannten Daten verwendet wird.
DiagnosticReport.issued Zeitpunkt der Freigabe des Befundes
DiagnosticReport.specimen Optionale Referenz, zukünftige Spezifikationen weiterer Kerndatensatzmodule können diesbezüglich Vorgaben ausgestalten.
DiagnosticReport.result DiagnosticReport sollte min. ein Ergebnis in Form eines Laborergebnisses enthalten
DiagnosticReport.conclusion Optional, Textuelle Beschreibung der abschließenden ärztlichen Bewertung des Befundes

FHIR Element Logischer Datensatz
DiagnosticReport.identifier Laborbefund.Identifikation
DiagnosticReport.status Laborbefund.Status
DiagnosticReport.effective[x] Laborbefund.KlinischesBezugsdatum
DiagnosticReport.effective[x] Laborbefund.KlinischerBezugszeitpunkt
DiagnosticReport.issued Laborbefund.Dokumentationsdatum
DiagnosticReport.specimen Laborbefund.Probenmaterial

Beispiele

Beispiel (vollständig):

{
    "resourceType": "DiagnosticReport",
    "id": "mii-exa-labor-laborbefund",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/DiagnosticReportLab"
        ]
    },
    "identifier":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "FILL"
                    }
                ]
            },
            "system": "https://exmple.org/fhir/sid/test-befund",
            "value": "0987654321",
            "assigner": {
                "identifier": {
                    "system": "https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier",
                    "value": "DIZ-ID"
                }
            }
        }
    ],
    "category":  [
        {
            "coding":  [
                {
                    "code": "26436-6",
                    "system": "http://loinc.org",
                    "display": "Laboratory studies (set)"
                },
                {
                    "code": "LAB",
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "code": "11502-2",
                "system": "http://loinc.org",
                "display": "Laboratory report"
            }
        ]
    },
    "basedOn":  [
        {
            "reference": "ServiceRequest/111"
        }
    ],
    "status": "final",
    "subject": {
        "reference": "Patient/111"
    },
    "effectiveDateTime": "2018-11-20T12:05:00+01:00",
    "issued": "2018-03-11T10:28:00+01:00",
    "result":  [
        {
            "reference": "Observation/test"
        }
    ]
}

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