{
  "resourceType": "StructureDefinition",
  "id": "mii-pr-lungenfunktion-widerstand",
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/modul-meta/StructureDefinition/mii-ex-meta-license-codeable",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "CC-BY-4.0",
            "system": "http://hl7.org/fhir/spdx-license",
            "display": "Creative Commons Attribution 4.0 International"
          }
        ]
      }
    }
  ],
  "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/StructureDefinition/mii-pr-lungenfunktion-widerstand",
  "version": "2027.0.0-preview",
  "name": "MII_PR_Lungenfunktion_Widerstand",
  "_name": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "en-US"
          },
          {
            "url": "content",
            "valueString": "MII_PR_Lungfunction_Resistence"
          }
        ]
      }
    ]
  },
  "title": "MII PR Lungenfunktion Widerstand",
  "_title": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "en-US"
          },
          {
            "url": "content",
            "valueString": "MII PR Lungfunction Resistence"
          }
        ]
      }
    ]
  },
  "status": "active",
  "date": "2027-01-01",
  "publisher": "Medizininformatik Initiative",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "https://www.medizininformatik-initiative.de"
        }
      ]
    }
  ],
  "description": "Dieses Beobachtung beschreibt eine Widerstandsmessung.",
  "_description": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/translation",
        "extension": [
          {
            "url": "lang",
            "valueCode": "en-US"
          },
          {
            "url": "content",
            "valueString": "The profile describes a observation for testing of lungfunction."
          }
        ]
      }
    ]
  },
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.id",
        "path": "Observation.id",
        "mustSupport": true
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "mustSupport": true
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "short": "Teil von",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Teil von"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "part of"
                }
              ]
            }
          ]
        },
        "definition": "Teil von einer Lungenfunktionsprozedur",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Teil von einer Lungenfunktionsprozedur"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "part of a respiratory procedure"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "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"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "status"
                }
              ]
            }
          ]
        },
        "definition": "angemeldet | vorläufig | endgültig | geändert | korrigiert | abgebrochen | fehlerhafte Eingabe | unbekannt",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "angemeldet | vorläufig | endgültig | geändert | korrigiert | abgebrochen | fehlerhafte Eingabe | unbekannt"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "registered | preliminary | final | amended | corrected | cancelled | entered-in-error | unknown"
                }
              ]
            }
          ]
        },
        "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"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Category"
                }
              ]
            }
          ]
        },
        "definition": "Klassifikation in diagnostischen Fachbereich und Gruppe",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Klassifikation in diagnostischen Fachbereich und Gruppe"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Classification of the diagnostic service section"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "patternCoding": {
          "code": "procedure",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
        }
      },
      {
        "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"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Code"
                }
              ]
            }
          ]
        },
        "definition": "Ein Code für die zu befundende Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein Code für die zu befundende Beobachtung"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A code identifying the inspected observation"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:sct",
        "path": "Observation.code.coding",
        "sliceName": "sct",
        "short": "SNOMED CT Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "SNOMED CT Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "SNOMED CT code"
                }
              ]
            }
          ]
        },
        "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A reference to a code defined by SNOMED CT"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:sct.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:sct.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-observable"
        }
      },
      {
        "id": "Observation.code.coding:sct.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:loinc",
        "path": "Observation.code.coding",
        "sliceName": "loinc",
        "short": "LOINC Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "LOINC Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "LOINC code"
                }
              ]
            }
          ]
        },
        "definition": "Ein Verweis auf einen vom LOINC definierten Code",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein Verweis auf einen von LOINC definierten Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A reference to a code defined by LOINC"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1"
      },
      {
        "id": "Observation.code.coding:loinc.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding:loinc.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-lnc-observable"
        }
      },
      {
        "id": "Observation.code.coding:loinc.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Person",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Person"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "person"
                }
              ]
            }
          ]
        },
        "definition": "Person, auf die sich die Beobachtung bezieht",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Person, auf die sich die Beobachtung bezieht"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "person, which this observation is about"
                }
              ]
            }
          ]
        },
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "short": "Dokumentationsdatum",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Dokumentationsdatum"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Issued"
                }
              ]
            }
          ]
        },
        "definition": "Zeitpunkt, an dem die Beobachtung der Untersuchung dokumentiert wurde",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Zeitpunkt, an dem das Ergebnis der Untersuchung dokumentiert wurde"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "The point in time when the result was documented"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "Messwert",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Messwert"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Value"
                }
              ]
            }
          ]
        },
        "definition": "Messwert der Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Messwert der Beobachtung"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Value of the observation"
                }
              ]
            }
          ]
        },
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].value",
        "path": "Observation.value[x].value",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].unit",
        "path": "Observation.value[x].unit",
        "patternString": "kPa/(L/s)",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].system",
        "path": "Observation.value[x].system",
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].code",
        "path": "Observation.value[x].code",
        "patternCode": "kPa/(L/s)",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "Interpretation",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Interpretation"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "interpretation"
                }
              ]
            }
          ]
        },
        "definition": "Interpretation des Messwertes",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Interpretation des Messwertes"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "interpretation of the result"
                }
              ]
            }
          ]
        },
        "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"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "method"
                }
              ]
            }
          ]
        },
        "definition": "Methode, mit der dieser Messwert erfasst wurde",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Methode, mit der dieser Messwert erfasst wurde"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "method of examination"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "Referenzintervall",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Referenzintervall"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "referenceRange"
                }
              ]
            }
          ]
        },
        "definition": "Intervall zur Interpretation des Messwertes",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Intervall zur Interpretation des Messwertes"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "Range for result-interpretation"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.low",
        "path": "Observation.referenceRange.low",
        "short": "LLN",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "LLN"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "LLN"
                }
              ]
            }
          ]
        },
        "definition": "untere Normgrenze",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "untere Normgrenze"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "lower limit of normal"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.high",
        "path": "Observation.referenceRange.high",
        "short": "ULN",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "ULN"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "ULN"
                }
              ]
            }
          ]
        },
        "definition": "obere Normgrenze",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "obere Normgrenze"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "upper limit of normal"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.age",
        "path": "Observation.referenceRange.age",
        "short": "Altersbezug",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Altersbezug"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "reference age"
                }
              ]
            }
          ]
        },
        "definition": "Altersbezug der Normgrenzen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Altersbezug der Normgrenzen"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "reference age of normal"
                }
              ]
            }
          ]
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "short": "weitere Beobachtungen",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "weitere Beobachtungen"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "additional observation"
                }
              ]
            }
          ]
        },
        "definition": "Referenzierung weiterer Beobachtungen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Referenzierung weiterer Beobachtungen"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "reference on additional observations"
                }
              ]
            }
          ]
        },
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Observation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "short": "abgeleitet",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "abgeleitet"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "derived from"
                }
              ]
            }
          ]
        },
        "definition": "Abgeleitet von Messwerten, ect.",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Abgeleitet von Messwerten, ect."
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "derived from measured values, etc."
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        },
        "short": "Bestandteile",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Bestandteile"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "components"
                }
              ]
            }
          ]
        },
        "definition": "detailierte Bestandteile der Beobachtung",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "detailierte Bestandteile der Beobachtung"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "detailed components of this observation"
                }
              ]
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding",
        "path": "Observation.component.code.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "Observation.component.code.coding:sct",
        "path": "Observation.component.code.coding",
        "sliceName": "sct",
        "short": "SNOMED CT Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "SNOMED CT Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "SNOMED CT code"
                }
              ]
            }
          ]
        },
        "definition": "Ein Verweis auf einen von SNOMED CT definierten Code",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein Verweis auf einen von SNOMED CT definierten Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A reference to a code defined by SNOMED CT"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding:sct.code",
        "path": "Observation.component.code.coding.code",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-sct-observable"
        }
      },
      {
        "id": "Observation.component.code.coding:loinc",
        "path": "Observation.component.code.coding",
        "sliceName": "loinc",
        "short": "LOINC Code",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "LOINC Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "LOINC code"
                }
              ]
            }
          ]
        },
        "definition": "Ein Verweis auf einen vom LOINC definierten Code",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Ein Verweis auf einen von LOINC definierten Code"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "A reference to a code defined by LOINC"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component.code.coding:loinc.code",
        "path": "Observation.component.code.coding.code",
        "binding": {
          "strength": "required",
          "valueSet": "https://www.medizininformatik-initiative.de/fhir/ext/modul-lungenfunktion/ValueSet/mii-vs-lufu-lnc-observable"
        }
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.component.value[x]:valueQuantity",
        "path": "Observation.component.value[x]",
        "sliceName": "valueQuantity",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component.value[x]:valueQuantity.value",
        "path": "Observation.component.value[x].value",
        "mustSupport": true
      },
      {
        "id": "Observation.component.value[x]:valueQuantity.unit",
        "path": "Observation.component.value[x].unit",
        "mustSupport": true
      },
      {
        "id": "Observation.component.value[x]:valueQuantity.system",
        "path": "Observation.component.value[x].system",
        "mustSupport": true
      },
      {
        "id": "Observation.component.value[x]:valueQuantity.code",
        "path": "Observation.component.value[x].code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:predicted",
        "path": "Observation.component",
        "sliceName": "predicted",
        "short": "Vorhersage",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Vorhersage"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "prediction"
                }
              ]
            }
          ]
        },
        "definition": "vorhergesagtes Messergebnis",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "vorhergesagtes Messergebnis"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "predicted measured value"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:predicted.value[x]:valueQuantity",
        "path": "Observation.component.value[x]",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:predicted.value[x]:valueQuantity.unit",
        "path": "Observation.component.value[x].unit",
        "patternString": "kPa/(L/s)"
      },
      {
        "id": "Observation.component:predicted.value[x]:valueQuantity.system",
        "path": "Observation.component.value[x].system",
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:predicted.value[x]:valueQuantity.code",
        "path": "Observation.component.value[x].code",
        "patternCode": "kPa/(L/s)"
      },
      {
        "id": "Observation.component:ratio",
        "path": "Observation.component",
        "sliceName": "ratio",
        "short": "Verhältnis",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Verhältnis"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "ratio"
                }
              ]
            }
          ]
        },
        "definition": "Verhältnis von Messwert zu vorhergesagtem Ergebnis",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "Verhältnis von Messwert zu vorhergesagtem Ergebnis"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "ratio of measured value to prediction"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:ratio.value[x]:valueQuantity",
        "path": "Observation.component.value[x]",
        "sliceName": "valueQuantity",
        "type": [
          {
            "code": "Quantity"
          }
        ]
      },
      {
        "id": "Observation.component:ratio.value[x]:valueQuantity.unit",
        "path": "Observation.component.value[x].unit",
        "patternString": "%"
      },
      {
        "id": "Observation.component:ratio.value[x]:valueQuantity.system",
        "path": "Observation.component.value[x].system",
        "patternUri": "http://unitsofmeasure.org"
      },
      {
        "id": "Observation.component:ratio.value[x]:valueQuantity.code",
        "path": "Observation.component.value[x].code",
        "patternCode": "%"
      },
      {
        "id": "Observation.component:z-score",
        "path": "Observation.component",
        "sliceName": "z-score",
        "short": "Z-Score",
        "_short": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "z-Score"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "z-score"
                }
              ]
            }
          ]
        },
        "definition": "Z-Score mit GLI-Referenztabellen",
        "_definition": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "de-DE"
                },
                {
                  "url": "content",
                  "valueString": "z-Score der Messung"
                }
              ]
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/translation",
              "extension": [
                {
                  "url": "lang",
                  "valueCode": "en-US"
                },
                {
                  "url": "content",
                  "valueString": "z-score of measurement"
                }
              ]
            }
          ]
        },
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:z-score.code.coding:sct",
        "path": "Observation.component.code.coding",
        "sliceName": "sct",
        "patternCoding": {
          "code": "1078210003",
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/900000000000207008/version/20240701",
          "display": "Z-score calculation technique (qualifier value)"
        }
      }
    ]
  }
}