{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-molgen-variante",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablestructuredefinition",
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablestructuredefinition"
    ],
    "extension": [
      {
        "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-license",
        "valueCode": "CC-BY-4.0"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/package-source",
        "extension": [
          {
            "url": "packageId",
            "valueId": "de.medizininformatikinitiative.kerndatensatz.molgen"
          },
          {
            "url": "version",
            "valueString": "2027.0.0-ballot.1"
          },
          {
            "url": "uri",
            "valueUri": "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen"
          }
        ]
      }
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "shareable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability",
      "valueCode": "publishable"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-usage",
      "valueMarkdown": "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."
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "package",
            "system": "http://terminology.hl7.org/CodeSystem/artifact-version-policy-codes",
            "version": "3.0.0",
            "display": "Package"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-approvalDate",
      "valueDate": "2026-09-15"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-topic",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "C17457",
            "system": "http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owl"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-author",
      "valueContactDetail": {
        "telecom": [
          {
            "system": "email",
            "value": "thomas.debertshaeuser@charite.de"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-editor",
      "valueContactDetail": {
        "name": "Taskforce Core Data Set"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-reviewer",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "Interoperability Working Group",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/interoperability-working-group"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-endorser",
      "valueContactDetail": {
        "name": "National Steering Committee",
        "telecom": [
          {
            "system": "url",
            "value": "https://www.medizininformatik-initiative.de/en/collaboration/national-steering-committee"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm",
      "valueCoding": {
        "code": "semver",
        "system": "http://hl7.org/fhir/version-algorithm",
        "display": "SemVer"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
      "valuePeriod": {
        "start": "2027"
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-molgen/StructureDefinition/variante",
  "version": "2027.0.0-ballot.1",
  "name": "MII_PR_MolGen_Variante",
  "title": "MII PR MolGen Variante",
  "status": "active",
  "experimental": false,
  "publisher": "Medizininformatik-Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Dieses Profil ermöglicht eine vollständige Beschreibung der gefundenen Variante unter Verwendung von Eigenschaften aus einer Vielzahl von Testmethoden.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "MII-KDS",
      "name": "MII KDS Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/uv/genomics-reporting/StructureDefinition/variant",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "Status",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Status"
                }
              ]
            }
          ]
        },
        "definition": "Status der Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Status der Beobachtung"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "short": "Kategorie",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Kategorie"
                }
              ]
            }
          ]
        },
        "definition": "Klassifizierung der Beobachtungsart",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Klassifizierung der Beobachtungsart"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Code"
                }
              ]
            }
          ]
        },
        "definition": "Code zur Identifizierung der Varianten-Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Code zur Identifizierung der Varianten-Beobachtung"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Patient oder Proband",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Patient oder Proband"
                }
              ]
            }
          ]
        },
        "definition": "Der Patient oder die Gruppe auf die sich die Variante bezieht",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der Patient oder die Gruppe auf die sich die Variante bezieht"
                }
              ]
            }
          ]
        },
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Group"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "short": "Zeitpunkt der Beobachtung",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Zeitpunkt der Beobachtung"
                }
              ]
            }
          ]
        },
        "definition": "Klinisch relevanter Zeitpunkt oder Zeitraum der Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Klinisch relevanter Zeitpunkt oder Zeitraum der Beobachtung"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "short": "Freigabedatum",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Freigabedatum"
                }
              ]
            }
          ]
        },
        "definition": "Datum und Uhrzeit der Freigabe der Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Datum und Uhrzeit der Freigabe der Beobachtung"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "Ergebniswert",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ergebniswert"
                }
              ]
            }
          ]
        },
        "definition": "Das Ergebnis der Variantenanalyse - vorhanden oder abwesend",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Das Ergebnis der Variantenanalyse - vorhanden oder abwesend"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "Methode",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Methode"
                }
              ]
            }
          ]
        },
        "definition": "Die verwendete Untersuchungsmethode",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die verwendete Untersuchungsmethode"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "short": "Probe",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Probe"
                }
              ]
            }
          ]
        },
        "definition": "Die untersuchte Probe",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die untersuchte Probe"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "short": "Gerät",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Gerät"
                }
              ]
            }
          ]
        },
        "definition": "Das verwendete Analysegerät",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Das verwendete Analysegerät"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:conclusion-string",
        "path": "Observation.component",
        "sliceName": "conclusion-string",
        "short": "Schlussfolgerung - Text",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Schlussfolgerung - Text"
                }
              ]
            }
          ]
        },
        "definition": "Textuelle Zusammenfassung oder Schlussfolgerung zur Variante",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Textuelle Zusammenfassung oder Schlussfolgerung zur Variante"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:gene-studied",
        "path": "Observation.component",
        "sliceName": "gene-studied",
        "short": "Untersuchtes Gen",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Untersuchtes Gen"
                }
              ]
            }
          ]
        },
        "definition": "Das untersuchte Gen identifiziert durch HGNC-ID",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Das untersuchte Gen identifiziert durch HGNC-ID"
                }
              ]
            }
          ]
        },
        "mustSupport": true,
        "mapping": [
          {
            "identity": "MII-KDS",
            "map": "mide-dataelement-1400",
            "comment": "Getestete Gene ID"
          }
        ]
      },
      {
        "id": "Observation.component:cytogenetic-location",
        "path": "Observation.component",
        "sliceName": "cytogenetic-location",
        "short": "Zytogenetische Lokalisation",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Zytogenetische Lokalisation"
                }
              ]
            }
          ]
        },
        "definition": "Chromosomale Position der Variante in Bandennomenklatur",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Chromosomale Position der Variante in Bandennomenklatur"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:reference-sequence-assembly",
        "path": "Observation.component",
        "sliceName": "reference-sequence-assembly",
        "short": "Referenzgenom-Assembly",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Referenzgenom-Assembly"
                }
              ]
            }
          ]
        },
        "definition": "Die verwendete Referenzgenom-Version wie z.B. GRCh37 oder GRCh38",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die verwendete Referenzgenom-Version wie z.B. GRCh37 oder GRCh38"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:chromosome-identifier",
        "path": "Observation.component",
        "sliceName": "chromosome-identifier",
        "short": "Chromosom",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Chromosom"
                }
              ]
            }
          ]
        },
        "definition": "Das betroffene Chromosom",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Das betroffene Chromosom"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:representative-coding-hgvs",
        "path": "Observation.component",
        "sliceName": "representative-coding-hgvs",
        "short": "DNA-Änderung c.HGVS",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "DNA-Änderung c.HGVS"
                }
              ]
            }
          ]
        },
        "definition": "Die cDNA-Änderung in HGVS-Nomenklatur auf Transkriptebene",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die cDNA-Änderung in HGVS-Nomenklatur auf Transkriptebene"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:genomic-hgvs",
        "path": "Observation.component",
        "sliceName": "genomic-hgvs",
        "short": "Genomische DNA-Änderung g.HGVS",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Genomische DNA-Änderung g.HGVS"
                }
              ]
            }
          ]
        },
        "definition": "Die genomische DNA-Änderung in HGVS-Nomenklatur",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die genomische DNA-Änderung in HGVS-Nomenklatur"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:genomic-ref-seq",
        "path": "Observation.component",
        "sliceName": "genomic-ref-seq",
        "short": "Genomische Referenzsequenz",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Genomische Referenzsequenz"
                }
              ]
            }
          ]
        },
        "definition": "Die genomische Referenzsequenz-ID wie z.B. NC_000007.14",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die genomische Referenzsequenz-ID wie z.B. NC_000007.14"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:representative-transcript-ref-seq",
        "path": "Observation.component",
        "sliceName": "representative-transcript-ref-seq",
        "short": "Transkript-Referenzsequenz",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Transkript-Referenzsequenz"
                }
              ]
            }
          ]
        },
        "definition": "Die Transkript-Referenzsequenz-ID wie z.B. NM_004333.4",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Transkript-Referenzsequenz-ID wie z.B. NM_004333.4"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:exact-start-end",
        "path": "Observation.component",
        "sliceName": "exact-start-end",
        "short": "Exakte Start-End-Position",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Exakte Start-End-Position"
                }
              ]
            }
          ]
        },
        "definition": "Die exakten genomischen Koordinaten der Variante - Start und Ende",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die exakten genomischen Koordinaten der Variante - Start und Ende"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:inner-start-end",
        "path": "Observation.component",
        "sliceName": "inner-start-end",
        "short": "Innere Start-End-Position",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Innere Start-End-Position"
                }
              ]
            }
          ]
        },
        "definition": "Der innere Bereich bei strukturellen Varianten",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der innere Bereich bei strukturellen Varianten"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:outer-start-end",
        "path": "Observation.component",
        "sliceName": "outer-start-end",
        "short": "Äußere Start-End-Position",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Äußere Start-End-Position"
                }
              ]
            }
          ]
        },
        "definition": "Der äußere Bereich bei strukturellen Varianten",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der äußere Bereich bei strukturellen Varianten"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:ref-allele",
        "path": "Observation.component",
        "sliceName": "ref-allele",
        "short": "Referenz-Allel",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Referenz-Allel"
                }
              ]
            }
          ]
        },
        "definition": "Die Nukleotidsequenz des Referenz-Allels",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Nukleotidsequenz des Referenz-Allels"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:alt-allele",
        "path": "Observation.component",
        "sliceName": "alt-allele",
        "short": "Alternatives Allel",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Alternatives Allel"
                }
              ]
            }
          ]
        },
        "definition": "Die Nukleotidsequenz des alternativen - mutierten - Allels",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Nukleotidsequenz des alternativen - mutierten - Allels"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:coding-change-type",
        "path": "Observation.component",
        "sliceName": "coding-change-type",
        "short": "DNA-Änderungstyp",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "DNA-Änderungstyp"
                }
              ]
            }
          ]
        },
        "definition": "Der Typ der DNA-Änderung wie z.B. Substitution oder Deletion",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der Typ der DNA-Änderung wie z.B. Substitution oder Deletion"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:genomic-source-class",
        "path": "Observation.component",
        "sliceName": "genomic-source-class",
        "short": "Genomische Herkunftsklasse",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Genomische Herkunftsklasse"
                }
              ]
            }
          ]
        },
        "definition": "Die Herkunft der Variante wie z.B. somatisch oder Keimbahn",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Herkunft der Variante wie z.B. somatisch oder Keimbahn"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:sample-allelic-frequency",
        "path": "Observation.component",
        "sliceName": "sample-allelic-frequency",
        "short": "Allelfrequenz in der Probe",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Allelfrequenz in der Probe"
                }
              ]
            }
          ]
        },
        "definition": "Die Häufigkeit des varianten Allels in der untersuchten Probe",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Häufigkeit des varianten Allels in der untersuchten Probe"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:allelic-read-depth",
        "path": "Observation.component",
        "sliceName": "allelic-read-depth",
        "short": "Allelische Lesetiefe",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Allelische Lesetiefe"
                }
              ]
            }
          ]
        },
        "definition": "Die Anzahl der Reads die das Allel unterstützen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Anzahl der Reads die das Allel unterstützen"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:allelic-state",
        "path": "Observation.component",
        "sliceName": "allelic-state",
        "short": "Allelstatus",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Allelstatus"
                }
              ]
            }
          ]
        },
        "definition": "Der Allelstatus wie z.B. heterozygot oder homozygot",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der Allelstatus wie z.B. heterozygot oder homozygot"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:variant-inheritance",
        "path": "Observation.component",
        "sliceName": "variant-inheritance",
        "short": "Varianten-Vererbung",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Varianten-Vererbung"
                }
              ]
            }
          ]
        },
        "definition": "Die Vererbungsart der Variante wie z.B. maternal oder paternal",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Vererbungsart der Variante wie z.B. maternal oder paternal"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:variation-code",
        "path": "Observation.component",
        "sliceName": "variation-code",
        "short": "Varianten-Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Varianten-Code"
                }
              ]
            }
          ]
        },
        "definition": "Eindeutiger Identifikator der Variante aus externen Datenbanken wie z.B. ClinVar oder dbSNP",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Eindeutiger Identifikator der Variante aus externen Datenbanken wie z.B. ClinVar oder dbSNP"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:representative-protein-hgvs",
        "path": "Observation.component",
        "sliceName": "representative-protein-hgvs",
        "short": "Aminosäure-Änderung p.HGVS",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Aminosäure-Änderung p.HGVS"
                }
              ]
            }
          ]
        },
        "definition": "Die Aminosäure-Änderung in HGVS-Nomenklatur auf Proteinebene",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Aminosäure-Änderung in HGVS-Nomenklatur auf Proteinebene"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:copy-number",
        "path": "Observation.component",
        "sliceName": "copy-number",
        "short": "Kopienzahl",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Kopienzahl"
                }
              ]
            }
          ]
        },
        "definition": "Die Anzahl der Kopien eines genomischen Abschnitts",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Anzahl der Kopien eines genomischen Abschnitts"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:variant-confidence-status",
        "path": "Observation.component",
        "sliceName": "variant-confidence-status",
        "short": "Konfidenzstatus der Variante",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Konfidenzstatus der Variante"
                }
              ]
            }
          ]
        },
        "definition": "Der Vertrauensstatus der Variantendetektion",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Der Vertrauensstatus der Variantendetektion"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:dna-region",
        "path": "Observation.component",
        "sliceName": "dna-region",
        "short": "DNA-Regionsname",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "DNA-Regionsname"
                }
              ]
            }
          ]
        },
        "definition": "Ein lesbarer Name für die untersuchte Region. Typischerweise Exon # oder Intron # oder andere.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein lesbarer Name für die untersuchte Region. Typischerweise Exon # oder Intron # oder andere."
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Observation.component:dna-region.code",
        "path": "Observation.component.code",
        "short": "47999-8",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "47999-8",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Observation.component:dna-region.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "Observation.component:gene-fusion",
        "path": "Observation.component",
        "sliceName": "gene-fusion",
        "short": "Genfusion",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Genfusion"
                }
              ]
            }
          ]
        },
        "definition": "Details zur Genfusion in Blut oder Gewebe mittels molekulargenetischer Methode",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Details zur Genfusion in Blut oder Gewebe mittels molekulargenetischer Methode"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:gene-fusion.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "95123-6",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Observation.component:gene-fusion.value[x]",
        "path": "Observation.component.value[x]",
        "short": "HGNC-Format für Genfusionen GENESYMBOL1::GENESYMBOL2 und Readthrough-Transkripte GENESYMBOL1-GENESYMBOL2",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "HGNC-Format für Genfusionen GENESYMBOL1::GENESYMBOL2 und Readthrough-Transkripte GENESYMBOL1-GENESYMBOL2"
                }
              ]
            }
          ]
        },
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs"
        }
      },
      {
        "id": "Observation.component:detection-limit",
        "path": "Observation.component",
        "sliceName": "detection-limit",
        "short": "Nachweisgrenze",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Nachweisgrenze"
                }
              ]
            }
          ]
        },
        "definition": "Die Nachweisgrenze des Laborgeräts",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Die Nachweisgrenze des Laborgeräts"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:detection-limit.code",
        "path": "Observation.component.code",
        "patternCodeableConcept": {
          "coding": [
            {
              "code": "87706-8",
              "system": "http://loinc.org"
            }
          ]
        }
      },
      {
        "id": "Observation.component:detection-limit.value[x]",
        "path": "Observation.component.value[x]",
        "short": "Wird üblicherweise als Prozentsatz angegeben",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Wird üblicherweise als Prozentsatz angegeben"
                }
              ]
            }
          ]
        },
        "type": [
          {
            "code": "Quantity"
          }
        ]
      }
    ]
  }
}