<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="mii-lm-mikrobio-logical-model" />
  <url value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-lm-mikrobio-logical-model-de" />
  <version value="2027.0.0-alpha.3" />
  <name value="MII_LM_Mikrobio_Logical_Model" />
  <title value="MII LM Mikrobio Logical Model" />
  <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="Logical Model für die grafische Darstellung des Mikrobiologie-Datenmodells 2027 [DE]" />
  <fhirVersion value="4.0.1" />
  <kind value="logical" />
  <abstract value="false" />
  <type value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-lm-mikrobio-logical-model" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" />
  <derivation value="specialization" />
  <snapshot>
    <element id="mii-lm-mikrobio-logical-model">
      <path value="mii-lm-mikrobio-logical-model" />
      <short value="mii lm mikrobio logical model" />
      <definition value="Logical Model für die grafische Darstellung des Mikrobiologie-Datenmodells 2027 [DE]" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model" />
        <min value="0" />
        <max value="*" />
      </base>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.id">
      <path value="mii-lm-mikrobio-logical-model.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.extension">
      <path value="mii-lm-mikrobio-logical-model.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="mii-lm-mikrobio-logical-model.Kultur" />
      <short value="Kultur" />
      <definition value="Kultur" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.id">
      <path value="mii-lm-mikrobio-logical-model.Kultur.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.extension">
      <path value="mii-lm-mikrobio-logical-model.Kultur.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.modifierExtension">
      <path value="mii-lm-mikrobio-logical-model.Kultur.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="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." />
      <requirements value="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](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.AllgemeineKultur">
      <path value="mii-lm-mikrobio-logical-model.Kultur.AllgemeineKultur" />
      <short value="Allgemeine Kultur" />
      <definition value="MII PR Mikrobio Allgemeine Kultur" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.AllgemeineKultur" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-allgemeine-kultur" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Mikroskopie">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Mikroskopie" />
      <short value="Mikroskopie" />
      <definition value="MII PR Mikrobio Mikroskopie" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.Mikroskopie" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mikroskopie" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.BarlettScore">
      <path value="mii-lm-mikrobio-logical-model.Kultur.BarlettScore" />
      <short value="Barlett Score" />
      <definition value="MII PR Mikrobio Barlett Score" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.BarlettScore" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-barlett-score" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.NugentScore">
      <path value="mii-lm-mikrobio-logical-model.Kultur.NugentScore" />
      <short value="Nugent Score" />
      <definition value="MII PR Mikrobio Nugent Score" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.NugentScore" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-nugent-score" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Keimzahl">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Keimzahl" />
      <short value="Keimzahl" />
      <definition value="MII PR Mikrobio Keimzahl" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.Keimzahl" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-keimzahl" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Empfindlichkeit">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Empfindlichkeit" />
      <short value="Empfindlichkeit" />
      <definition value="MII PR Mikrobio Empfindlichkeit" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Kultur.Empfindlichkeit" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-empfindlichkeit" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="mii-lm-mikrobio-logical-model.Bestimmung" />
      <short value="Bestimmung" />
      <definition value="Bestimmung" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Bestimmung" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.id">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.extension">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.modifierExtension">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="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." />
      <requirements value="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](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.AllgemeineBestimmung">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.AllgemeineBestimmung" />
      <short value="Allgemeine Bestimmung" />
      <definition value="MII PR Mikrobio Allgemeine Bestimmung" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Bestimmung.AllgemeineBestimmung" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-allgemeine-bestimmung" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.SpezifischeBestimmung">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.SpezifischeBestimmung" />
      <short value="Spezifische Bestimmung" />
      <definition value="MII PR Mikrobio Spezifische Bestimmung" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Bestimmung.SpezifischeBestimmung" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-spezifische-bestimmung" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.CtWert">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.CtWert" />
      <short value="Ct-Wert" />
      <definition value="MII PR Mikrobio CT Wert" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.Bestimmung.CtWert" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-ct-wert" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften" />
      <short value="Weitere Eigenschaften" />
      <definition value="Weitere Eigenschaften" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.id">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.extension">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.modifierExtension">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="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." />
      <requirements value="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](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Virulenzfaktor">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Virulenzfaktor" />
      <short value="Virulenz" />
      <definition value="MII PR Mikrobio Virulenzfaktor" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Virulenzfaktor" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-virulenzfaktor" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.ResistenzmechanismenDeterminanten">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.ResistenzmechanismenDeterminanten" />
      <short value="Resistenzmechanismus" />
      <definition value="MII PR Mikrobio Resistenzmechanismen Determinanten" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.ResistenzmechanismenDeterminanten" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-resistenzmechanismen-determinanten" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MRGNKlasse">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MRGNKlasse" />
      <short value="MRGN Klasse" />
      <definition value="MII PR Mikrobio MRGN Klasse" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MRGNKlasse" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mrgn-klasse" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.VoraussichtlicheEmpfindlichkeit">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.VoraussichtlicheEmpfindlichkeit" />
      <short value="Voraussichtliche Empfindlichkeit" />
      <definition value="MII PR Mikrobio Voraussichtliche Empfindlichkeit" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.VoraussichtlicheEmpfindlichkeit" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-voraussichtliche-empfindlichkeit" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MREKlasse">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MREKlasse" />
      <short value="MRE Klasse" />
      <definition value="MII PR Mikrobio MRE Klasse" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MREKlasse" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mre-klasse" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Aviditaet">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Aviditaet" />
      <short value="Aviditaet" />
      <definition value="MII PR Mikrobio Aviditaet" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Aviditaet" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-aviditaet" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests" />
      <short value="Quantitative tests" />
      <definition value="Quantitative tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.QuantitativeTests" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.id">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.extension">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.modifierExtension">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="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." />
      <requirements value="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](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.AntigenAntikoerperQuantitativ">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.AntigenAntikoerperQuantitativ" />
      <short value="Antigen Antikoerper Tests" />
      <definition value="MII PR Mikrobio Antigen Antikoerper Quantitativ" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.AntigenAntikoerperQuantitativ" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-antigen-antikoerper-quantitativ" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.Titer">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.Titer" />
      <short value="Titer" />
      <definition value="MII PR Mikrobio Titer" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.Titer" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-titer" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.MolekularePathogenlast">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.MolekularePathogenlast" />
      <short value="Molekulare Pathogenlast" />
      <definition value="MII PR Mikrobio Molekulare Pathogenlast" />
      <comment value="Used for simple observations such as device measurements, laboratory atomic results, vital signs, height, weight, smoking status, comments, etc.  Other resources are used to provide context for observations such as laboratory reports, etc." />
      <alias value="Vital Signs" />
      <alias value="Measurement" />
      <alias value="Results" />
      <alias value="Tests" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.MolekularePathogenlast" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-molekulare-pathogenlast" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="obs-7" />
        <severity value="error" />
        <human value="If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present" />
        <expression value="value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()" />
        <xpath value="not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="obs-6" />
        <severity value="error" />
        <human value="dataAbsentReason SHALL only be present if Observation.value[x] is not present" />
        <expression value="dataAbsentReason.empty() or value.empty()" />
        <xpath value="not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))" />
        <source value="http://hl7.org/fhir/StructureDefinition/Observation" />
      </constraint>
      <constraint>
        <key value="mii-lab-2" />
        <severity value="error" />
        <human value="Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden" />
        <expression value="hasMember.exists() xor value.exists().not() implies dataAbsentReason.exists()" />
        <source value="https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="sct-concept" />
        <map value="&lt; 363787002 |Observable entity|" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="OBX" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie">
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="normative" />
      </extension>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-normative-version">
        <valueCode value="4.0.0" />
      </extension>
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie" />
      <short value="Diagnostic Report" />
      <definition value="Diagnostic Report" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="BackboneElement" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.id">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.id" />
      <representation value="xmlAttr" />
      <short value="Unique id for inter-element referencing" />
      <definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
      <min value="0" />
      <max value="1" />
      <base>
        <path value="Element.id" />
        <min value="0" />
        <max value="1" />
      </base>
      <type>
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string" />
        </extension>
        <code value="http://hl7.org/fhirpath/System.String" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.extension">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <description value="Extensions are always sliced by (at least) url" />
        <rules value="open" />
      </slicing>
      <short value="Additional content defined by implementations" />
      <definition value="May 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." />
      <comment value="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." />
      <alias value="extensions" />
      <alias value="user content" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="Element.extension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.modifierExtension">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.modifierExtension" />
      <short value="Extensions that cannot be ignored even if unrecognized" />
      <definition value="May 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.&#xA;&#xA;Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself)." />
      <comment value="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." />
      <requirements value="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](extensibility.html#modifierExtension)." />
      <alias value="extensions" />
      <alias value="user content" />
      <alias value="modifiers" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="BackboneElement.modifierExtension" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="Extension" />
      </type>
      <condition value="ele-1" />
      <constraint>
        <key value="ele-1" />
        <severity value="error" />
        <human value="All FHIR elements must have a @value or children" />
        <expression value="hasValue() or (children().count() &gt; id.count())" />
        <xpath value="@value|f:*|h:div" />
        <source value="http://hl7.org/fhir/StructureDefinition/Element" />
      </constraint>
      <constraint>
        <key value="ext-1" />
        <severity value="error" />
        <human value="Must have either extensions or value[x], not both" />
        <expression value="extension.exists() != value.exists()" />
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/Extension" />
      </constraint>
      <isModifier value="true" />
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element that contains them" />
      <isSummary value="true" />
      <mapping>
        <identity value="rim" />
        <map value="n/a" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="N/A" />
      </mapping>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.MikrobiologieBericht">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.MikrobiologieBericht" />
      <short value="MII PR Mikrobio Diagnostic Report" />
      <definition value="MII PR Mikrobio Diagnostic Report" />
      <comment value="This is intended to capture a single report and is not suitable for use in displaying summary information that covers multiple reports.  For example, this resource has not been designed for laboratory cumulative reporting formats nor detailed structured reports for sequencing." />
      <alias value="Report" />
      <alias value="Test" />
      <alias value="Result" />
      <alias value="Results" />
      <alias value="Labs" />
      <alias value="Laboratory" />
      <min value="0" />
      <max value="*" />
      <base>
        <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.MikrobiologieBericht" />
        <min value="0" />
        <max value="*" />
      </base>
      <type>
        <code value="DiagnosticReport" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-diagnostic-report" />
      </type>
      <constraint>
        <key value="dom-2" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources" />
        <expression value="contained.contained.empty()" />
        <xpath value="not(parent::f:contained and f:contained)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-4" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated" />
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-3" />
        <severity value="error" />
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource" />
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()" />
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true" />
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." />
        </extension>
        <key value="dom-6" />
        <severity value="warning" />
        <human value="A resource should have narrative for robust management" />
        <expression value="text.`div`.exists()" />
        <xpath value="exists(f:text/h:div)" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <constraint>
        <key value="dom-5" />
        <severity value="error" />
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label" />
        <expression value="contained.meta.security.empty()" />
        <xpath value="not(exists(f:contained/*/f:meta/f:security))" />
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="Entity. Role, or Act" />
      </mapping>
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORU -&gt; OBR" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="Observation[classCode=OBS, moodCode=EVN]" />
      </mapping>
    </element>
  </snapshot>
  <differential>
    <element id="mii-lm-mikrobio-logical-model">
      <path value="mii-lm-mikrobio-logical-model" />
      <short value="mii lm mikrobio logical model" />
      <definition value="Logical Model für die grafische Darstellung des Mikrobiologie-Datenmodells 2027 [DE]" />
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur">
      <path value="mii-lm-mikrobio-logical-model.Kultur" />
      <short value="Kultur" />
      <definition value="Kultur" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.AllgemeineKultur">
      <path value="mii-lm-mikrobio-logical-model.Kultur.AllgemeineKultur" />
      <short value="Allgemeine Kultur" />
      <definition value="MII PR Mikrobio Allgemeine Kultur" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-allgemeine-kultur" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Mikroskopie">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Mikroskopie" />
      <short value="Mikroskopie" />
      <definition value="MII PR Mikrobio Mikroskopie" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mikroskopie" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.BarlettScore">
      <path value="mii-lm-mikrobio-logical-model.Kultur.BarlettScore" />
      <short value="Barlett Score" />
      <definition value="MII PR Mikrobio Barlett Score" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-barlett-score" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.NugentScore">
      <path value="mii-lm-mikrobio-logical-model.Kultur.NugentScore" />
      <short value="Nugent Score" />
      <definition value="MII PR Mikrobio Nugent Score" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-nugent-score" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Keimzahl">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Keimzahl" />
      <short value="Keimzahl" />
      <definition value="MII PR Mikrobio Keimzahl" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-keimzahl" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Kultur.Empfindlichkeit">
      <path value="mii-lm-mikrobio-logical-model.Kultur.Empfindlichkeit" />
      <short value="Empfindlichkeit" />
      <definition value="MII PR Mikrobio Empfindlichkeit" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-empfindlichkeit" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung" />
      <short value="Bestimmung" />
      <definition value="Bestimmung" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.AllgemeineBestimmung">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.AllgemeineBestimmung" />
      <short value="Allgemeine Bestimmung" />
      <definition value="MII PR Mikrobio Allgemeine Bestimmung" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-allgemeine-bestimmung" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.SpezifischeBestimmung">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.SpezifischeBestimmung" />
      <short value="Spezifische Bestimmung" />
      <definition value="MII PR Mikrobio Spezifische Bestimmung" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-spezifische-bestimmung" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.Bestimmung.CtWert">
      <path value="mii-lm-mikrobio-logical-model.Bestimmung.CtWert" />
      <short value="Ct-Wert" />
      <definition value="MII PR Mikrobio CT Wert" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-ct-wert" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften" />
      <short value="Weitere Eigenschaften" />
      <definition value="Weitere Eigenschaften" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Virulenzfaktor">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Virulenzfaktor" />
      <short value="Virulenz" />
      <definition value="MII PR Mikrobio Virulenzfaktor" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-virulenzfaktor" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.ResistenzmechanismenDeterminanten">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.ResistenzmechanismenDeterminanten" />
      <short value="Resistenzmechanismus" />
      <definition value="MII PR Mikrobio Resistenzmechanismen Determinanten" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-resistenzmechanismen-determinanten" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MRGNKlasse">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MRGNKlasse" />
      <short value="MRGN Klasse" />
      <definition value="MII PR Mikrobio MRGN Klasse" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mrgn-klasse" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.VoraussichtlicheEmpfindlichkeit">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.VoraussichtlicheEmpfindlichkeit" />
      <short value="Voraussichtliche Empfindlichkeit" />
      <definition value="MII PR Mikrobio Voraussichtliche Empfindlichkeit" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-voraussichtliche-empfindlichkeit" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MREKlasse">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.MREKlasse" />
      <short value="MRE Klasse" />
      <definition value="MII PR Mikrobio MRE Klasse" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mre-klasse" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Aviditaet">
      <path value="mii-lm-mikrobio-logical-model.WeitereEigenschaften.Aviditaet" />
      <short value="Aviditaet" />
      <definition value="MII PR Mikrobio Aviditaet" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-aviditaet" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests" />
      <short value="Quantitative tests" />
      <definition value="Quantitative tests" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.AntigenAntikoerperQuantitativ">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.AntigenAntikoerperQuantitativ" />
      <short value="Antigen Antikoerper Tests" />
      <definition value="MII PR Mikrobio Antigen Antikoerper Quantitativ" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-antigen-antikoerper-quantitativ" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.Titer">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.Titer" />
      <short value="Titer" />
      <definition value="MII PR Mikrobio Titer" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-titer" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.QuantitativeTests.MolekularePathogenlast">
      <path value="mii-lm-mikrobio-logical-model.QuantitativeTests.MolekularePathogenlast" />
      <short value="Molekulare Pathogenlast" />
      <definition value="MII PR Mikrobio Molekulare Pathogenlast" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Observation" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-molekulare-pathogenlast" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie" />
      <short value="Diagnostic Report" />
      <definition value="Diagnostic Report" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="BackboneElement" />
      </type>
    </element>
    <element id="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.MikrobiologieBericht">
      <path value="mii-lm-mikrobio-logical-model.DiagnosticReportKategorie.MikrobiologieBericht" />
      <short value="MII PR Mikrobio Diagnostic Report" />
      <definition value="MII PR Mikrobio Diagnostic Report" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="DiagnosticReport" />
        <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-diagnostic-report" />
      </type>
    </element>
  </differential>
</StructureDefinition>