{
  "resourceType": "StructureDefinition",
  "id": "ProfileObservationLaboruntersuchung",
  "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab",
  "version": "1.0",
  "name": "ProfileObservationLaboruntersuchung",
  "title": "Profile - Observation - Laboruntersuchung",
  "status": "active",
  "experimental": false,
  "publisher": "https://www.Medizininformatik-Initiative.de",
  "description": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "purpose": "Dieses Profil beschreibt eine Laborergebnis in der Medizininformatik-Initiative.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "constraint": [
          {
            "key": "mii-lab-2",
            "severity": "error",
            "human": "Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden",
            "expression": "value.exists().not() implies dataAbsentReason.exists()"
          }
        ]
      },
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "mustSupport": true
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "type"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode",
        "path": "Observation.identifier",
        "sliceName": "analyseBefundCode",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type",
        "path": "Observation.identifier.type",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
              "code": "OBI"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding",
        "path": "Observation.identifier.type.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2",
        "path": "Observation.identifier.type.coding",
        "sliceName": "observationInstanceV2",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.system",
        "path": "Observation.identifier.type.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/v2-0203",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.type.coding:observationInstanceV2.code",
        "path": "Observation.identifier.type.coding.code",
        "min": 1,
        "fixedCode": "OBI",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.system",
        "path": "Observation.identifier.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.value",
        "path": "Observation.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.identifier:analyseBefundCode.assigner",
        "path": "Observation.identifier.assigner",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "min": 2,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding:loinc-observation",
        "path": "Observation.category.coding",
        "sliceName": "loinc-observation",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "system": "http://loinc.org",
          "code": "26436-6"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding:observation-category",
        "path": "Observation.category.coding",
        "sliceName": "observation-category",
        "min": 1,
        "max": "1",
        "patternCoding": {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true,
        "binding": {
          "strength": "preferred",
          "description": "Intensional Value Set Definition: LOINC {  {    STATUS in {ACTIVE}    CLASSTYPE in {1}    CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*}  } }",
          "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/results-laboratory-observations-uv-ips"
        }
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "min": 1,
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "constraint": [
          {
            "key": "mii-lab-1",
            "severity": "error",
            "human": "Datetime must be at least to day",
            "expression": "($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8",
            "source": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x].extension",
        "path": "Observation.effective[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.effective[x].extension:QuelleKlinischesBezugsdatum",
        "path": "Observation.effective[x].extension",
        "sliceName": "QuelleKlinischesBezugsdatum",
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.value[x]",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.value",
        "path": "Observation.value[x].value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.unit",
        "path": "Observation.value[x].unit",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.system",
        "path": "Observation.value[x].system",
        "min": 1,
        "fixedUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.code",
        "path": "Observation.value[x].code",
        "comment": "The mandatory system is UCUM.",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding",
        "path": "Observation.value[x].coding",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding.system",
        "path": "Observation.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding.code",
        "path": "Observation.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "mustSupport": true
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.reference",
        "path": "Observation.specimen.reference",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.identifier",
        "path": "Observation.specimen.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "mustSupport": true
      }
    ]
  }
}