<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="mii-pr-molgen-variante" />
  <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/variante" />
  <version value="2027.0.0-ballot.1" />
  <name value="MII_PR_MolGen_Variante" />
  <title value="MII PR MolGen Variante" />
  <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 ermöglicht eine vollständige Beschreibung der gefundenen Variante unter Verwendung von Eigenschaften aus einer Vielzahl von Testmethoden." />
  <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/variant" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.status">
      <path value="Observation.status" />
      <short value="Status">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Status" />
          </extension>
        </extension>
      </short>
      <definition value="Status der Beobachtung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Status der Beobachtung" />
          </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 Varianten-Beobachtung">
        <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 Varianten-Beobachtung" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <short value="Patient oder Proband">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Patient oder Proband" />
          </extension>
        </extension>
      </short>
      <definition value="Der Patient oder die Gruppe auf die sich die Variante bezieht">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Patient oder die Gruppe auf die sich die Variante bezieht" />
          </extension>
        </extension>
      </definition>
      <min value="1" />
      <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.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 oder Zeitraum 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 oder Zeitraum 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 der Beobachtung">
        <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 der Beobachtung" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <short value="Ergebniswert">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Ergebniswert" />
          </extension>
        </extension>
      </short>
      <definition value="Das Ergebnis der Variantenanalyse - vorhanden oder abwesend">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Das Ergebnis der Variantenanalyse - vorhanden oder abwesend" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.method">
      <path value="Observation.method" />
      <short value="Methode">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Methode" />
          </extension>
        </extension>
      </short>
      <definition value="Die verwendete Untersuchungsmethode">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die verwendete Untersuchungsmethode" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <short value="Probe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Probe" />
          </extension>
        </extension>
      </short>
      <definition value="Die untersuchte Probe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die untersuchte Probe" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <short value="Gerät">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Gerät" />
          </extension>
        </extension>
      </short>
      <definition value="Das verwendete Analysegerät">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Das verwendete Analysegerät" />
          </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 oder Schlussfolgerung zur Variante">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Textuelle Zusammenfassung oder Schlussfolgerung zur Variante" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:gene-studied">
      <path value="Observation.component" />
      <sliceName value="gene-studied" />
      <short value="Untersuchtes Gen">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Untersuchtes Gen" />
          </extension>
        </extension>
      </short>
      <definition value="Das untersuchte Gen identifiziert durch HGNC-ID">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Das untersuchte Gen identifiziert durch HGNC-ID" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
      <mapping>
        <identity value="MII-KDS" />
        <map value="mide-dataelement-1400" />
        <comment value="Getestete Gene ID" />
      </mapping>
    </element>
    <element id="Observation.component:cytogenetic-location">
      <path value="Observation.component" />
      <sliceName value="cytogenetic-location" />
      <short value="Zytogenetische Lokalisation">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Zytogenetische Lokalisation" />
          </extension>
        </extension>
      </short>
      <definition value="Chromosomale Position der Variante in Bandennomenklatur">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Chromosomale Position der Variante in Bandennomenklatur" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:reference-sequence-assembly">
      <path value="Observation.component" />
      <sliceName value="reference-sequence-assembly" />
      <short value="Referenzgenom-Assembly">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Referenzgenom-Assembly" />
          </extension>
        </extension>
      </short>
      <definition value="Die verwendete Referenzgenom-Version wie z.B. GRCh37 oder GRCh38">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die verwendete Referenzgenom-Version wie z.B. GRCh37 oder GRCh38" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:chromosome-identifier">
      <path value="Observation.component" />
      <sliceName value="chromosome-identifier" />
      <short value="Chromosom">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Chromosom" />
          </extension>
        </extension>
      </short>
      <definition value="Das betroffene Chromosom">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Das betroffene Chromosom" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:representative-coding-hgvs">
      <path value="Observation.component" />
      <sliceName value="representative-coding-hgvs" />
      <short value="DNA-Änderung c.HGVS">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="DNA-Änderung c.HGVS" />
          </extension>
        </extension>
      </short>
      <definition value="Die cDNA-Änderung in HGVS-Nomenklatur auf Transkriptebene">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die cDNA-Änderung in HGVS-Nomenklatur auf Transkriptebene" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:genomic-hgvs">
      <path value="Observation.component" />
      <sliceName value="genomic-hgvs" />
      <short value="Genomische DNA-Änderung g.HGVS">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Genomische DNA-Änderung g.HGVS" />
          </extension>
        </extension>
      </short>
      <definition value="Die genomische DNA-Änderung in HGVS-Nomenklatur">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die genomische DNA-Änderung in HGVS-Nomenklatur" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:genomic-ref-seq">
      <path value="Observation.component" />
      <sliceName value="genomic-ref-seq" />
      <short value="Genomische Referenzsequenz">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Genomische Referenzsequenz" />
          </extension>
        </extension>
      </short>
      <definition value="Die genomische Referenzsequenz-ID wie z.B. NC_000007.14">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die genomische Referenzsequenz-ID wie z.B. NC_000007.14" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:representative-transcript-ref-seq">
      <path value="Observation.component" />
      <sliceName value="representative-transcript-ref-seq" />
      <short value="Transkript-Referenzsequenz">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Transkript-Referenzsequenz" />
          </extension>
        </extension>
      </short>
      <definition value="Die Transkript-Referenzsequenz-ID wie z.B. NM_004333.4">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Transkript-Referenzsequenz-ID wie z.B. NM_004333.4" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:exact-start-end">
      <path value="Observation.component" />
      <sliceName value="exact-start-end" />
      <short value="Exakte Start-End-Position">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Exakte Start-End-Position" />
          </extension>
        </extension>
      </short>
      <definition value="Die exakten genomischen Koordinaten der Variante - Start und Ende">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die exakten genomischen Koordinaten der Variante - Start und Ende" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:inner-start-end">
      <path value="Observation.component" />
      <sliceName value="inner-start-end" />
      <short value="Innere Start-End-Position">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Innere Start-End-Position" />
          </extension>
        </extension>
      </short>
      <definition value="Der innere Bereich bei strukturellen Varianten">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der innere Bereich bei strukturellen Varianten" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:outer-start-end">
      <path value="Observation.component" />
      <sliceName value="outer-start-end" />
      <short value="Äußere Start-End-Position">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Äußere Start-End-Position" />
          </extension>
        </extension>
      </short>
      <definition value="Der äußere Bereich bei strukturellen Varianten">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der äußere Bereich bei strukturellen Varianten" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:ref-allele">
      <path value="Observation.component" />
      <sliceName value="ref-allele" />
      <short value="Referenz-Allel">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Referenz-Allel" />
          </extension>
        </extension>
      </short>
      <definition value="Die Nukleotidsequenz des Referenz-Allels">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Nukleotidsequenz des Referenz-Allels" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:alt-allele">
      <path value="Observation.component" />
      <sliceName value="alt-allele" />
      <short value="Alternatives Allel">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Alternatives Allel" />
          </extension>
        </extension>
      </short>
      <definition value="Die Nukleotidsequenz des alternativen - mutierten - Allels">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Nukleotidsequenz des alternativen - mutierten - Allels" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:coding-change-type">
      <path value="Observation.component" />
      <sliceName value="coding-change-type" />
      <short value="DNA-Änderungstyp">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="DNA-Änderungstyp" />
          </extension>
        </extension>
      </short>
      <definition value="Der Typ der DNA-Änderung wie z.B. Substitution oder Deletion">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Typ der DNA-Änderung wie z.B. Substitution oder Deletion" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:genomic-source-class">
      <path value="Observation.component" />
      <sliceName value="genomic-source-class" />
      <short value="Genomische Herkunftsklasse">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Genomische Herkunftsklasse" />
          </extension>
        </extension>
      </short>
      <definition value="Die Herkunft der Variante wie z.B. somatisch oder Keimbahn">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Herkunft der Variante wie z.B. somatisch oder Keimbahn" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:sample-allelic-frequency">
      <path value="Observation.component" />
      <sliceName value="sample-allelic-frequency" />
      <short value="Allelfrequenz in der Probe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Allelfrequenz in der Probe" />
          </extension>
        </extension>
      </short>
      <definition value="Die Häufigkeit des varianten Allels in der untersuchten Probe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Häufigkeit des varianten Allels in der untersuchten Probe" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:allelic-read-depth">
      <path value="Observation.component" />
      <sliceName value="allelic-read-depth" />
      <short value="Allelische Lesetiefe">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Allelische Lesetiefe" />
          </extension>
        </extension>
      </short>
      <definition value="Die Anzahl der Reads die das Allel unterstützen">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Anzahl der Reads die das Allel unterstützen" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:allelic-state">
      <path value="Observation.component" />
      <sliceName value="allelic-state" />
      <short value="Allelstatus">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Allelstatus" />
          </extension>
        </extension>
      </short>
      <definition value="Der Allelstatus wie z.B. heterozygot oder homozygot">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Allelstatus wie z.B. heterozygot oder homozygot" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:variant-inheritance">
      <path value="Observation.component" />
      <sliceName value="variant-inheritance" />
      <short value="Varianten-Vererbung">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Varianten-Vererbung" />
          </extension>
        </extension>
      </short>
      <definition value="Die Vererbungsart der Variante wie z.B. maternal oder paternal">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Vererbungsart der Variante wie z.B. maternal oder paternal" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:variation-code">
      <path value="Observation.component" />
      <sliceName value="variation-code" />
      <short value="Varianten-Code">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Varianten-Code" />
          </extension>
        </extension>
      </short>
      <definition value="Eindeutiger Identifikator der Variante aus externen Datenbanken wie z.B. ClinVar oder dbSNP">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Eindeutiger Identifikator der Variante aus externen Datenbanken wie z.B. ClinVar oder dbSNP" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:representative-protein-hgvs">
      <path value="Observation.component" />
      <sliceName value="representative-protein-hgvs" />
      <short value="Aminosäure-Änderung p.HGVS">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Aminosäure-Änderung p.HGVS" />
          </extension>
        </extension>
      </short>
      <definition value="Die Aminosäure-Änderung in HGVS-Nomenklatur auf Proteinebene">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Aminosäure-Änderung in HGVS-Nomenklatur auf Proteinebene" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:copy-number">
      <path value="Observation.component" />
      <sliceName value="copy-number" />
      <short value="Kopienzahl">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Kopienzahl" />
          </extension>
        </extension>
      </short>
      <definition value="Die Anzahl der Kopien eines genomischen Abschnitts">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Anzahl der Kopien eines genomischen Abschnitts" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:variant-confidence-status">
      <path value="Observation.component" />
      <sliceName value="variant-confidence-status" />
      <short value="Konfidenzstatus der Variante">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Konfidenzstatus der Variante" />
          </extension>
        </extension>
      </short>
      <definition value="Der Vertrauensstatus der Variantendetektion">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Der Vertrauensstatus der Variantendetektion" />
          </extension>
        </extension>
      </definition>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:dna-region">
      <path value="Observation.component" />
      <sliceName value="dna-region" />
      <short value="DNA-Regionsname">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="DNA-Regionsname" />
          </extension>
        </extension>
      </short>
      <definition value="Ein lesbarer Name für die untersuchte Region. Typischerweise Exon # oder Intron # oder andere.">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Ein lesbarer Name für die untersuchte Region. Typischerweise Exon # oder Intron # oder andere." />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="*" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:dna-region.code">
      <path value="Observation.component.code" />
      <short value="47999-8" />
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org" />
          <code value="47999-8" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:dna-region.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Observation.component:gene-fusion">
      <path value="Observation.component" />
      <sliceName value="gene-fusion" />
      <short value="Genfusion">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Genfusion" />
          </extension>
        </extension>
      </short>
      <definition value="Details zur Genfusion in Blut oder Gewebe mittels molekulargenetischer Methode">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Details zur Genfusion in Blut oder Gewebe mittels molekulargenetischer Methode" />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:gene-fusion.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org" />
          <code value="95123-6" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:gene-fusion.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="HGNC-Format für Genfusionen GENESYMBOL1::GENESYMBOL2 und Readthrough-Transkripte GENESYMBOL1-GENESYMBOL2">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="HGNC-Format für Genfusionen GENESYMBOL1::GENESYMBOL2 und Readthrough-Transkripte GENESYMBOL1-GENESYMBOL2" />
          </extension>
        </extension>
      </short>
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="extensible" />
        <valueSet value="http://hl7.org/fhir/uv/genomics-reporting/ValueSet/hgnc-vs" />
      </binding>
    </element>
    <element id="Observation.component:detection-limit">
      <path value="Observation.component" />
      <sliceName value="detection-limit" />
      <short value="Nachweisgrenze">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Nachweisgrenze" />
          </extension>
        </extension>
      </short>
      <definition value="Die Nachweisgrenze des Laborgeräts">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Die Nachweisgrenze des Laborgeräts" />
          </extension>
        </extension>
      </definition>
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:detection-limit.code">
      <path value="Observation.component.code" />
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org" />
          <code value="87706-8" />
        </coding>
      </patternCodeableConcept>
    </element>
    <element id="Observation.component:detection-limit.value[x]">
      <path value="Observation.component.value[x]" />
      <short value="Wird üblicherweise als Prozentsatz angegeben">
        <extension url="http://hl7.org/fhir/StructureDefinition/translation">
          <extension url="lang">
            <valueCode value="de-DE" />
          </extension>
          <extension url="content">
            <valueString value="Wird üblicherweise als Prozentsatz angegeben" />
          </extension>
        </extension>
      </short>
      <type>
        <code value="Quantity" />
      </type>
    </element>
  </differential>
</StructureDefinition>