<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="mii-pr-molgen-diagnostische-implikation" />
  <meta>
    <extension url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license">
      <valueCode value="CC-BY-4.0" />
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/package-source">
      <extension url="packageId">
        <valueId value="de.medizininformatikinitiative.kerndatensatz.molgen" />
      </extension>
      <extension url="version">
        <valueString value="2027.0.0-ballot.1" />
      </extension>
      <extension url="uri">
        <valueUri value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen" />
      </extension>
    </extension>
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition" />
    <profile value="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="shareable" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability">
    <valueCode value="publishable" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-usage">
    <valueMarkdown value="Use this profile as the technical FHIR representation of the corresponding Medical Informatics Initiative logical model. The profile constrains a base FHIR resource for the MII module context by specifying how elements are used, which elements are required or not used, which extensions and terminology bindings apply, and how the resource maps to the module-specific content model. Implementers should produce and consume resource instances that conform to this profile when exchanging data for the corresponding MII module." />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy">
    <valueCodeableConcept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes" />
        <version value="3.0.0" />
        <code value="package" />
        <display value="Package" />
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-approvalDate">
    <valueDate value="2026-09-15" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-topic">
    <valueCodeableConcept>
      <coding>
        <system value="http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl" />
        <code value="C17457" />
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-author">
    <valueContactDetail>
      <telecom>
        <system value="email" />
        <value value="thomas.debertshaeuser@charite.de" />
      </telecom>
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-editor">
    <valueContactDetail>
      <name value="Taskforce Core Data Set" />
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-reviewer">
    <valueContactDetail>
      <name value="Interoperability Working Group" />
      <telecom>
        <system value="url" />
        <value value="https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group" />
      </telecom>
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-reviewer">
    <valueContactDetail>
      <name value="National Steering Committee" />
      <telecom>
        <system value="url" />
        <value value="https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee" />
      </telecom>
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-endorser">
    <valueContactDetail>
      <name value="Interoperability Working Group" />
      <telecom>
        <system value="url" />
        <value value="https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group" />
      </telecom>
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-endorser">
    <valueContactDetail>
      <name value="National Steering Committee" />
      <telecom>
        <system value="url" />
        <value value="https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee" />
      </telecom>
    </valueContactDetail>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm">
    <valueCoding>
      <system value="http://hl7.org/fhir/version-algorithm" />
      <code value="semver" />
      <display value="SemVer" />
    </valueCoding>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod">
    <valuePeriod>
      <start value="2027" />
    </valuePeriod>
  </extension>
  <url value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/diagnostische-implikation" />
  <version value="2027.0.0-ballot.1" />
  <name value="MII_PR_MolGen_DiagnostischeImplikation" />
  <title value="MII PR MolGen Diagnostische Implikation" />
  <status value="active" />
  <experimental value="false" />
  <publisher value="Medizininformatik-Initiative" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="https://www.medizininformatik-initiative.de" />
    </telecom>
  </contact>
  <description value="Dieses Profil beschreibt den Zusammenhang zwischen einem oder mehreren Genotyp/Haplotyp/Varianten und Beweisen für oder gegen eine bestimmte Krankheit." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="MII-KDS" />
    <name value="MII KDS Mapping" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/diagnostic-implication" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.extension:workflow-relatedArtifact">
      <path value="Observation.extension" />
      <sliceName value="workflow-relatedArtifact" />
      <short value="Verknüpfte Artefakte">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Verknüpfte Artefakte" />
          </extension>
        </extension>
      </short>
      <definition value="Verknüpfte Literatur oder andere Artefakte wie Zitationen">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Verknüpfte Literatur oder andere Artefakte wie Zitationen" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <short value="Kategorie">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Kategorie" />
          </extension>
        </extension>
      </short>
      <definition value="Klassifizierung der Beobachtungsart">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Klassifizierung der Beobachtungsart" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <short value="Code">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Code" />
          </extension>
        </extension>
      </short>
      <definition value="Code zur Identifizierung der diagnostischen Implikation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Code zur Identifizierung der diagnostischen Implikation" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <short value="Patient">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Patient" />
          </extension>
        </extension>
      </short>
      <definition value="Der Patient auf den sich die diagnostische Implikation bezieht">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Patient auf den sich die diagnostische Implikation bezieht" />
          </extension>
        </extension>
      </definition>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <short value="Kontakt">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Kontakt" />
          </extension>
        </extension>
      </short>
      <definition value="Der Kontakt in dessen Rahmen die Beobachtung gemacht wurde">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Kontakt in dessen Rahmen die Beobachtung gemacht wurde" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <short value="Zeitpunkt der Beobachtung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Zeitpunkt der Beobachtung" />
          </extension>
        </extension>
      </short>
      <definition value="Klinisch relevanter Zeitpunkt der Beobachtung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Klinisch relevanter Zeitpunkt der Beobachtung" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued" />
      <short value="Freigabedatum">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Freigabedatum" />
          </extension>
        </extension>
      </short>
      <definition value="Datum und Uhrzeit der Freigabe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Datum und Uhrzeit der Freigabe" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <short value="Abgeleitet von">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Abgeleitet von" />
          </extension>
        </extension>
      </short>
      <definition value="Referenzen zu anderen Beobachtungen von denen diese abgeleitet ist">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Referenzen zu anderen Beobachtungen von denen diese abgeleitet ist" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.derivedFrom:variant">
      <path value="Observation.derivedFrom" />
      <sliceName value="variant" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante" />
      </type>
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <short value="Komponenten">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Komponenten" />
          </extension>
        </extension>
      </short>
      <definition value="Einzelne Komponenten der diagnostischen Implikation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Einzelne Komponenten der diagnostischen Implikation" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:conclusion-string">
      <path value="Observation.component" />
      <sliceName value="conclusion-string" />
      <short value="Schlussfolgerung - Text">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Schlussfolgerung - Text" />
          </extension>
        </extension>
      </short>
      <definition value="Textuelle Zusammenfassung der diagnostischen Implikation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Textuelle Zusammenfassung der diagnostischen Implikation" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:evidence-level">
      <path value="Observation.component" />
      <sliceName value="evidence-level" />
      <short value="Evidenzlevel">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Evidenzlevel" />
          </extension>
        </extension>
      </short>
      <definition value="Das Evidenzlevel für die klinische Signifikanz">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Das Evidenzlevel für die klinische Signifikanz" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
      <mapping>
        <identity value="MII-KDS" />
        <map value="mide-dataelement-1720" />
        <comment value="Clinical Annotation Level Of Evidence" />
      </mapping>
    </element>
    <element id="Observation.component:clinical-significance">
      <path value="Observation.component" />
      <sliceName value="clinical-significance" />
      <short value="Klinische Signifikanz">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Klinische Signifikanz" />
          </extension>
        </extension>
      </short>
      <definition value="Die klinische Signifikanz der Variante wie z.B. pathogen oder benigne">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die klinische Signifikanz der Variante wie z.B. pathogen oder benigne" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
      <mapping>
        <identity value="MII-KDS" />
        <map value="mide-dataelement-2015" />
        <comment value="Klinische Signifikanz" />
      </mapping>
    </element>
    <element id="Observation.component:predicted-phenotype">
      <path value="Observation.component" />
      <sliceName value="predicted-phenotype" />
      <short value="Vorhergesagter Phänotyp">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Vorhergesagter Phänotyp" />
          </extension>
        </extension>
      </short>
      <definition value="Der mit der Variante assoziierte vorhergesagte Phänotyp oder Erkrankung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der mit der Variante assoziierte vorhergesagte Phänotyp oder Erkrankung" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:mode-of-inheritance">
      <path value="Observation.component" />
      <sliceName value="mode-of-inheritance" />
      <short value="Vererbungsmodus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Vererbungsmodus" />
          </extension>
        </extension>
      </short>
      <definition value="Der Vererbungsmodus der assoziierten Erkrankung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Vererbungsmodus der assoziierten Erkrankung" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>