{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-mikrobio-spezifische-bestimmung",
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/spdx-license",
            "code": "CC-BY-4.0",
            "display": "Creative Commons Attribution 4.0 International"
          }
        ]
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-spezifische-bestimmung",
  "version": "2027.0.0-alpha.3",
  "name": "MII_PR_Mikrobio_Spezifische_Bestimmung",
  "title": "MII PR Mikrobio Spezifische Bestimmung",
  "status": "active",
  "experimental": false,
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Spezifische Bestimmung beschreibt den qualitativen Nachweis eines vordefinierten mikrobiellen Ziels in einer Probe, entweder durch kulturbasierte Verfahren (Nachweis durch Wachstum eines Organismus) oder durch direkte molekulare, immunologische oder biochemische Nachweismethoden.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:triggeredBy-r5",
        "path": "Observation.extension",
        "sliceName": "triggeredBy-r5",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy-r5.extension:observation",
        "path": "Observation.extension.extension",
        "sliceName": "observation",
        "short": "Triggering observation."
      },
      {
        "id": "Observation.extension:triggeredBy-r5.extension:type",
        "path": "Observation.extension.extension",
        "sliceName": "type",
        "short": "Beschreibt die Art der Auslösung einer Untersuchung im diagnostischen Zusammenhang; insbesondere kennzeichnet der Wert „reflex“ eine durch das Ergebnis einer vorangegangenen Untersuchung ausgelöste Folgediagnostik."
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.category:mibi-category",
        "path": "Observation.category",
        "sliceName": "mibi-category",
        "short": "Mikrobiologie-Kategorie",
        "definition": "Kategorie-Slice für mikrobiologische Laboruntersuchungen.",
        "min": 1,
        "max": "1",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "MB",
              "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category:mibi-category.coding",
        "path": "Observation.category.coding",
        "min": 3
      },
      {
        "id": "Observation.category:mibi-category.coding:v2-microbiology",
        "path": "Observation.category.coding",
        "sliceName": "v2-microbiology",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "code": "MB",
          "system": "http://terminology.hl7.org/CodeSystem/v2-0074"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category:mibi-category.coding:loinc-microbiology-studies",
        "path": "Observation.category.coding",
        "sliceName": "loinc-microbiology-studies",
        "min": 0,
        "max": "1",
        "patternCoding": {
          "code": "18725-2",
          "system": "http://loinc.org"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Es werden bevorzugt LOINC-Codes ohne präkoordinierte Specimentype-Angabe verwendet (System = XXX); der Specimentype wird separat über Specimen.type kodiert.",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-spezifische-bestimmung-tests-loinc"
        }
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-spezifische-bestimmung-ergebnis-snomed"
        }
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/ValueSet/mii-vs-mikrobio-spezifische-bestimmung-methode-snomed"
        }
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "min": 1
      }
    ]
  }
}