Die offizielle und abgenommene Version des Informationsmodells für das Modul Person findet sich auf ArtDecor. Zur Vereinheitlichung der Repräsentation wurde das Informationsmodell zusätzlich als FHIR Logical Model abgebildet:
MII_LM_Labor (Laborbefund) | Element | Element idLaborbefund Das Basismodul Laborbefunde enthält strukturierte Informationen zu Laboruntersuchungen als komplexe diagnostische Maßnahmen. DefinitionLogische Repräsentation des Basismoduls Labor
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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Identifikation | 1..* | Identifier | Element idLaborbefund.Identifikation Identifikator des Laborbefunds DefinitionIdentifikator des Laborbefunds
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Status | 1..1 | code | Element idLaborbefund.Status Status des Laborbefunds: Definitionvorläufig (noch nicht final validiert, noch Untersuchungen ausstehend, Änderungen sind noch möglich) final (Endbefund, sollte nicht mehr geändert werden.) final korrigiert (nachdem eine finale Version freigegeben wurde, musste trotzdem noch Änderungen vorgenommen werden.) Note that FHIR strings SHALL NOT exceed 1MB in size
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KlinischerBezugszeitpunkt | 1..1 | dateTime | Element idLaborbefund.KlinischerBezugszeitpunkt Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das "Gültigkeitsdatum" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können. DefinitionZeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das "Gültigkeitsdatum" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.
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Dokumentationsdatum | 1..1 | dateTime | Element idLaborbefund.Dokumentationsdatum Zeitpunkt, an dem der Laborbefund dokumentiert wurde. DefinitionZeitpunkt, an dem der Laborbefund dokumentiert wurde.
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Probenmaterial | 0..* | BackboneElement | Element idLaborbefund.Probenmaterial Probe, auf deren Basis die Laboruntersuchungen angefertigt werden DefinitionProbe, auf deren Basis die Laboruntersuchungen angefertigt werden
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Probenmaterial.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Probenmaterial.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Probenmaterial.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Identifikation | 0..* | Identifier | Element idLaborbefund.Probenmaterial.Identifikation ID der Probe DefinitionID der Probe
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EntAbnahmezeitpunkt | 0..* | dateTime | Element idLaborbefund.Probenmaterial.EntAbnahmezeitpunkt Zeitpunkt der Ent- / Abnahme der Probe DefinitionZeitpunkt der Ent- / Abnahme der Probe
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Laboreingangszeitpunkt | 0..* | dateTime | Element idLaborbefund.Probenmaterial.Laboreingangszeitpunkt Zeitpunkt des Eingangs der Probe im Labor DefinitionZeitpunkt des Eingangs der Probe im Labor
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Probenart | 0..* | code | Element idLaborbefund.Probenmaterial.Probenart Art der Probe DefinitionArt der Probe Note that FHIR strings SHALL NOT exceed 1MB in size
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Koerperstelle | 0..* | code | Element idLaborbefund.Probenmaterial.Koerperstelle Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde DefinitionLokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde Note that FHIR strings SHALL NOT exceed 1MB in size
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Kommentar | 0..* | string | Element idLaborbefund.Probenmaterial.Kommentar freitextlicher Kommentar zur Probe Definition//type text Note that FHIR strings SHALL NOT exceed 1MB in size
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Laboruntersuchung | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung Eine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut. DefinitionEine Laboruntersuchung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborwerts, z.B. im Bereich der Hämatologie in der Gruppe des kleinen Blutbilds die Untersuchung des Hämoglobin-(Hb-)werts als Konzentration des Hämoglobins im Blut.
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Code | 0..* | code | Element idLaborbefund.Laboruntersuchung.Code Code des Laborparameters (LOINC) DefinitionCode des Laborparameters (LOINC) Note that FHIR strings SHALL NOT exceed 1MB in size
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Identifikation | 0..* | Identifier | Element idLaborbefund.Laboruntersuchung.Identifikation Identifikator der Untersuchung DefinitionIdentifikator der Untersuchung
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Status | 0..* | code | Element idLaborbefund.Laboruntersuchung.Status Status der Laboruntersuchung (durchgeführt, offen, storniert) DefinitionStatus der Laboruntersuchung (durchgeführt, offen, storniert) Note that FHIR strings SHALL NOT exceed 1MB in size
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Bereich | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung.Bereich Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc. DefinitionLaboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc.
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Bereich.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Bereich.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Bereich.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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KodeDesLaborbereiches | 0..* | code | Element idLaborbefund.Laboruntersuchung.Bereich.KodeDesLaborbereiches Kode des Laborbereichs (LOINC) DefinitionKode des Laborbereichs (LOINC) Note that FHIR strings SHALL NOT exceed 1MB in size
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BezeichungDesLaborbereichs | 0..* | string | Element idLaborbefund.Laboruntersuchung.Bereich.BezeichungDesLaborbereichs Textuelle Beschreibung des Laborbereichs DefinitionTextuelle Beschreibung des Laborbereichs Note that FHIR strings SHALL NOT exceed 1MB in size
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Gruppe | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung.Gruppe Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc. DefinitionInnerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc.
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Gruppe.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Gruppe.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Gruppe.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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KodeDerLaborgruppe | 0..* | code | Element idLaborbefund.Laboruntersuchung.Gruppe.KodeDerLaborgruppe Kode der Laborgruppe DefinitionKode der Laborgruppe Note that FHIR strings SHALL NOT exceed 1MB in size
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BezeichnungDerLaborGruppe | 0..* | string | Element idLaborbefund.Laboruntersuchung.Gruppe.BezeichnungDerLaborGruppe Textuelle Beschreibung der Laborgruppe DefinitionTextuelle Beschreibung der Laborgruppe Note that FHIR strings SHALL NOT exceed 1MB in size
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Laborparameter | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung.Laborparameter in der Laboruntersuchung analysierter / gemessener Laborparameter Definitionin der Laboruntersuchung analysierter / gemessener Laborparameter
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Laborparameter.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Laborparameter.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Laborparameter.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Bezeichnung | 0..* | string | Element idLaborbefund.Laboruntersuchung.Laborparameter.Bezeichnung Bezeichnung des Laborparameters DefinitionBezeichnung des Laborparameters Note that FHIR strings SHALL NOT exceed 1MB in size
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KlinischerBezugszeitpunkt | 0..1 | dateTime | Element idLaborbefund.Laboruntersuchung.KlinischerBezugszeitpunkt Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das "Gültigkeitsdatum" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können. DefinitionZeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das "Gültigkeitsdatum" ist wichtig um verschiedene Analysen im Zeitverlauf sortieren zu können.
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Dokumentationsdatum | 0..* | dateTime | Element idLaborbefund.Laboruntersuchung.Dokumentationsdatum Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde DefinitionZeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde
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Untersuchungszeitpunkt | 0..* | dateTime | Element idLaborbefund.Laboruntersuchung.Untersuchungszeitpunkt Zeitpunkt des Beginns der Untersuchung DefinitionZeitpunkt des Beginns der Untersuchung
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Messwert | I | 0..* | Quantity | Element idLaborbefund.Laboruntersuchung.Messwert Wert der Analyse DefinitionWert der Analyse The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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Interpretation | 0..* | code | Element idLaborbefund.Laboruntersuchung.Interpretation Interpretation des Messwerts (Kennzeichen) DefinitionCodierte Bewertung des Ergebnisses. Wird sowohl für Referenzbereichbewertungen als auch für die Codierung der RAST-Klassen verwendet. Note that FHIR strings SHALL NOT exceed 1MB in size
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Kommentar | 0..* | string | Element idLaborbefund.Laboruntersuchung.Kommentar Kommentierung der Laboruntersuchung Definition//type text Note that FHIR strings SHALL NOT exceed 1MB in size
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Untersuchungsmethode | 0..* | code | Element idLaborbefund.Laboruntersuchung.Untersuchungsmethode konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält Definitionkonkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält Note that FHIR strings SHALL NOT exceed 1MB in size
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Probenmaterial | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung.Probenmaterial Probe, auf deren Basis die Laboruntersuchungen angefertigt werden DefinitionProbe, auf deren Basis die Laboruntersuchungen angefertigt werden
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Probenmaterial.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Probenmaterial.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Probenmaterial.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Identifikation | 0..* | Identifier | Element idLaborbefund.Laboruntersuchung.Probenmaterial.Identifikation ID der Probe DefinitionID der Probe
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EntAbnahmezeitpunkt | 0..* | dateTime | Element idLaborbefund.Laboruntersuchung.Probenmaterial.EntAbnahmezeitpunkt Zeitpunkt der Ent- / Abnahme der Probe DefinitionZeitpunkt der Ent- / Abnahme der Probe
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Laboreingangszeitpunkt | 0..* | dateTime | Element idLaborbefund.Laboruntersuchung.Probenmaterial.Laboreingangszeitpunkt Zeitpunkt des Eingangs der Probe im Labor DefinitionZeitpunkt des Eingangs der Probe im Labor
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Probenart | 0..* | code | Element idLaborbefund.Laboruntersuchung.Probenmaterial.Probenart Art der Probe DefinitionArt der Probe Note that FHIR strings SHALL NOT exceed 1MB in size
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Koerperstelle | 0..* | code | Element idLaborbefund.Laboruntersuchung.Probenmaterial.Koerperstelle Ort am Patienten, an der die Probe entnommen / abgenommen wurde DefinitionOrt am Patienten, an der die Probe entnommen / abgenommen wurde Note that FHIR strings SHALL NOT exceed 1MB in size
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Kommentar | 0..* | string | Element idLaborbefund.Laboruntersuchung.Probenmaterial.Kommentar freitextlicher Kommentar zur Probe Definition//type text Note that FHIR strings SHALL NOT exceed 1MB in size
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Referenzbereich | 0..* | BackboneElement | Element idLaborbefund.Laboruntersuchung.Referenzbereich Referenzbereich der Analyse. DefinitionFür einen Analyse sind mehrere Referenzbereiche möglich, ein Labor wird einem Patienten anhand von Merkmalen wie Alter und Geschlecht in der Regel aber nur einem Referenzbereich zuordnen. Dieser eine Referenzbereich sollte gespeichert werden. Referenzbereiche geben die Lage der zentralen 95% des Messwerts in einer gesunden Normalbevölkerung wieder. Referenzbereiche sind also keine Entscheidungsgrenzen sondern können lediglich zur ersten Orientierung dienen.
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Referenzbereich.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Referenzbereich.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboruntersuchung.Referenzbereich.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Typ | 0..* | code | Element idLaborbefund.Laboruntersuchung.Referenzbereich.Typ Typ des Referenzbereichs DefinitionTyp des Referenzbereichs Note that FHIR strings SHALL NOT exceed 1MB in size
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Obergrenze | I | 0..* | Quantity | Element idLaborbefund.Laboruntersuchung.Referenzbereich.Obergrenze Obergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze) DefinitionObergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Obergrenze) The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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Untergrenze | I | 0..* | Quantity | Element idLaborbefund.Laboruntersuchung.Referenzbereich.Untergrenze Untergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze) DefinitionUntergrenze des Referenzbereichs (optional, bei Referenzbereichen ohne Untergrenze) The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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Laboranforderung | 0..* | BackboneElement | Element idLaborbefund.Laboranforderung Eine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial. DefinitionEine Laboranforderung beschreibt die Leistungsanforderung von Laboruntersuchungen auf Basis von abzunehmenden oder abgenommenem Probenmaterial.
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Identifikation | 0..* | Identifier | Element idLaborbefund.Laboranforderung.Identifikation Identifikator der Laboranforderung DefinitionIdentifikator der Laboranforderung
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Status | 0..* | code | Element idLaborbefund.Laboranforderung.Status Status der Laboranforderung DefinitionStatus der Laboranforderung Note that FHIR strings SHALL NOT exceed 1MB in size
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Laborparameter | 0..* | BackboneElement | Element idLaborbefund.Laboranforderung.Laborparameter in der Laboruntersuchung analysierter / gemessener Laborparameter Definitionin der Laboruntersuchung analysierter / gemessener Laborparameter
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Laborparameter.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Laborparameter.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Laborparameter.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Code | 0..* | code | Element idLaborbefund.Laboranforderung.Laborparameter.Code Code des Laborparameters (LOINC) DefinitionCode des Laborparameters (LOINC) Note that FHIR strings SHALL NOT exceed 1MB in size
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Bezeichnung | 0..* | string | Element idLaborbefund.Laboranforderung.Laborparameter.Bezeichnung Bezeichnung des Laborparameters DefinitionBezeichnung des Laborparameters Note that FHIR strings SHALL NOT exceed 1MB in size
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Anforderungsdatum | 0..* | dateTime | Element idLaborbefund.Laboranforderung.Anforderungsdatum Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde. DefinitionBeschreibt das Datum, zu dem die Laboranforderung erstellt wurde.
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Probenmaterial | 0..* | BackboneElement | Element idLaborbefund.Laboranforderung.Probenmaterial Probe, auf deren Basis die Laboruntersuchungen angefertigt werden DefinitionProbe, auf deren Basis die Laboruntersuchungen angefertigt werden
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id | 0..1 | string | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Probenmaterial.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Probenmaterial.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idLaborbefund.Laboranforderung.Probenmaterial.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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Identifikation | 0..* | Identifier | Element idLaborbefund.Laboranforderung.Probenmaterial.Identifikation ID der Probe DefinitionID der Probe
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EntAbnahmezeitpunkt | 0..* | dateTime | Element idLaborbefund.Laboranforderung.Probenmaterial.EntAbnahmezeitpunkt Zeitpunkt der Ent- / Abnahme der Probe DefinitionZeitpunkt der Ent- / Abnahme der Probe
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Laboreingangszeitpunkt | 0..* | dateTime | Element idLaborbefund.Laboranforderung.Probenmaterial.Laboreingangszeitpunkt Zeitpunkt des Eingangs der Probe im Labor DefinitionZeitpunkt des Eingangs der Probe im Labor
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Probenart | 0..* | code | Element idLaborbefund.Laboranforderung.Probenmaterial.Probenart Art der Probe DefinitionArt der Probe Note that FHIR strings SHALL NOT exceed 1MB in size
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Koerperstelle | 0..* | code | Element idLaborbefund.Laboranforderung.Probenmaterial.Koerperstelle Ort am Patienten, an der die Probe entnommen / abgenommen wurde DefinitionOrt am Patienten, an der die Probe entnommen / abgenommen wurde Note that FHIR strings SHALL NOT exceed 1MB in size
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Kommentar | 0..* | string | Element idLaborbefund.Laboranforderung.Probenmaterial.Kommentar freitextlicher Kommentar zur Probe Definitionfreitextlicher Kommentar zur Probe Note that FHIR strings SHALL NOT exceed 1MB in size
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Es ist zu beachten, dass das Logical Model rein auf die Abbildung der Datenelemente und deren Beschreibung abzielt. Verwendete Datentypen und Kardinalitäten sind nicht als verpflichtend anzusehen. Dies wird abschließend durch die FHIR-Profile festgelegt. Für jedes Element innerhalb des Logical Models existiert ein 1:1 Mapping auf ein Element einer konkreten FHIR Ressource.
Logischer Datensatz | Beschreibung |
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Laborbefund.Identifikation | Identifikator des Laborbefunds |
Laborbefund.Status | Status des Laborbefunds |
Laborbefund.KlinischesBezugsdatum | Zeitpunkt, zu dem die gemessene Eigenschaft im Probenmaterial (e.g. Analytkonzentration) mutmaßlich der Eigenschaft im Patienten entsprach. Wenn der Zeitpunkt der Probenentnahme angegeben ist, wird dieses Datum verwendet. Andernfalls wird behelfsmäßig der Probeneingang im Labor gewählt. Das "Gültigkeitsdatum" ist wichtig, um verschiedene Analysen im Zeitverlauf sortieren zu können. |
Laborbefund.KlinischesBezugszeitpunkt | Identisch zu Laborbefund.KlinischesBezugsdatum, jedoch konnte im FHIR Logical Model der Name "Laborbefund.Klinisches/r Bezugsdatum/-zeitpunkt nicht abgebildelt werden (Constraint in ElementDefinition.path erlaubt '/' nicht), sodass das Elemente aufgeteilt werden musste." |
Laborbefund.Dokumentationsdatum | Zeitpunkt, an dem der Laborbefund dokumentiert (verifiziert und freigegeben) wurde. |
Logischer Datensatz | Beschreibung |
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Probenmaterial.Identifikation | ID der Probe |
Probenmaterial.Ent-Abnahmezeitpunkt | Zeitpunkt der Ent-/Abnahme der Probe |
Probenmaterial.Laboreingangszeitpunkt | Zeitpunkt des Eingangs der Probe im Labor |
Probenmaterial.Probenart | Art der Probe |
Probenmaterial.Koerperstelle | Lokalisation der Körperstelle am Patienten, an der die Probe entnommen / abgenommen wurde |
Probenmaterial.Kommentar | Freitextlicher Kommentar zur Probe |
Logischer Datensatz | Beschreibung |
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Laboruntersuchung.Code | Code des Laborparameters (LOINC) |
Laboruntersuchung.Identifikation | Identifikator der Untersuchung |
Laboruntersuchung.Status | Status der Laboruntersuchung (durchgeführt, offen, storniert) |
Laboruntersuchung.Bereich | Laboruntersuchungen werden in diagnostische Fachbereiche gruppiert, z.B. Hämatologie, Mikrobiologie, Pathologie etc. |
Laboruntersuchung.Bereich.KodeDesLaborbereiches | Kode des Laborbereichs (LOINC) |
Laboruntersuchung.Bereich.BezeichungDesLaborbereiches | Textuelle Beschreibung des Laborbereiches |
Laboruntersuchung.Gruppe | Innerhalb der Fachbereiche werden Laboruntersuchungen in Gruppen zusammengefasst, z.B. gibt es in der Hämatologie die Gruppen kleines Blutbild, Differentialblutbild, großes Blutbild, Leberwerte, Nierenwerte etc. |
Laboruntersuchung.Gruppe.KodeDerLaborgruppe | Kode der Laborgruppe (Frei wählbar) |
Laboruntersuchung.Gruppe.BezeichnungDerLaborgruppe | Textuelle Beschreibung de Laborgruppe |
Laboruntersuchung.Laborparameter | in der Laboruntersuchung analysierter/gemessener Laborparameter |
Laboruntersuchung.Laborparameter.Code | Bezeichnung des Laborparameters |
Laboruntersuchung.Untersuchungszeitpunkt | Zeitpunkt des Beginns der Untersuchung |
Laboruntersuchung.Dokumentationsdatum | Zeitpunkt, an dem das Ergebnis der Laboruntersuchung dokumentiert wurde |
Laboruntersuchung.Messwert | Wert der Analyse |
Laboruntersuchung.Interpretation | Interpretation des Messwerts (Kennzeichen) |
Laboruntersuchung.Kommentar | Kommentierung der Laboruntersuchung |
Laboruntersuchung.Untersuchungsmethode | konkrete Untersuchungsmethode, wenn ein verwendeter LOINC-Code für den Laborparameter keine Methode enthält |
Laboruntersuchung.Referenzbereich | Referenzbereich der Analyse. |
Logischer Datensatz | Beschreibung |
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Laboranforderung.Identifikation | Identifikator der Laboranforderung |
Laboranforderung.Status | Status der Laboranforderung |
Laboranforderung.Anforderungsdatum | Beschreibt das Datum, zu dem die Laboranforderung erstellt wurde. |
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