{
  "resourceType": "StructureDefinition",
  "id": "Observation",
  "meta": {
    "lastUpdated": "2025-05-02T11:22:43.544+00:00"
  },
  "url": "https://demis.rki.de/fhir/ars/StructureDefinition/Observation",
  "version": "1.0.0",
  "name": "Observation",
  "title": "Labortestung",
  "status": "draft",
  "experimental": false,
  "date": "2025-04-15",
  "publisher": "ARS@rki.de",
  "description": "Dieses Profil beschreibt die durchgeführte mikrobiologische Diagnostik und ihr Ergebnis. Es ist für ARS nur ein Profil für die Labortestung vorgesehen. Besonderheiten unterschiedlicher Verfahren und Ergebnisse werden über die verwendeten Codes abgebildet, siehe hierzu Kapitel 'Semantik' im Implementierungsleitfaden.",
  "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",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta.id",
        "path": "Observation.meta.id",
        "max": "0"
      },
      {
        "id": "Observation.meta.extension",
        "path": "Observation.meta.extension",
        "max": "0"
      },
      {
        "id": "Observation.meta.versionId",
        "path": "Observation.meta.versionId",
        "max": "0"
      },
      {
        "id": "Observation.meta.lastUpdated",
        "path": "Observation.meta.lastUpdated",
        "max": "0"
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "max": "0"
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile:arsProfile",
        "path": "Observation.meta.profile",
        "sliceName": "arsProfile",
        "min": 1,
        "max": "1",
        "patternCanonical": "https://demis.rki.de/fhir/ars/StructureDefinition/Observation",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.security",
        "path": "Observation.meta.security",
        "max": "0"
      },
      {
        "id": "Observation.meta.tag",
        "path": "Observation.meta.tag",
        "max": "0"
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy",
        "path": "Observation.extension",
        "sliceName": "triggeredBy",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension",
        "path": "Observation.extension.extension",
        "max": "2",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation",
        "path": "Observation.extension.extension",
        "sliceName": "observation",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.url",
        "path": "Observation.extension.extension.url",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]",
        "path": "Observation.extension.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]:valueReference",
        "path": "Observation.extension.extension.value[x]",
        "sliceName": "valueReference",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]:valueReference.reference",
        "path": "Observation.extension.extension.value[x].reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]:valueReference.type",
        "path": "Observation.extension.extension.value[x].type",
        "max": "0"
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]:valueReference.identifier",
        "path": "Observation.extension.extension.value[x].identifier",
        "max": "0"
      },
      {
        "id": "Observation.extension:triggeredBy.extension:observation.value[x]:valueReference.display",
        "path": "Observation.extension.extension.value[x].display",
        "max": "0"
      },
      {
        "id": "Observation.extension:triggeredBy.extension:type",
        "path": "Observation.extension.extension",
        "sliceName": "type",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:type.url",
        "path": "Observation.extension.extension.url",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:type.value[x]",
        "path": "Observation.extension.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.extension:type.value[x]:valueCode",
        "path": "Observation.extension.extension.value[x]",
        "sliceName": "valueCode",
        "type": [
          {
            "code": "code"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:triggeredBy.url",
        "path": "Observation.extension.url",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "max": "0"
      },
      {
        "id": "Observation.basedOn",
        "path": "Observation.basedOn",
        "max": "0"
      },
      {
        "id": "Observation.partOf",
        "path": "Observation.partOf",
        "max": "0"
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "max": "0"
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "Frage nach dem durchgeführten Test (LOINC)",
        "definition": "Beschreibt durch einen LOINC-Code die Frage nach dem durchgeführten Test.",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/testLOINC"
        }
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "patternUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.version",
        "path": "Observation.code.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.code.text",
        "path": "Observation.code.text",
        "short": "Originalbezeichnung",
        "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.",
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.subject.reference",
        "path": "Observation.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.subject.type",
        "path": "Observation.subject.type",
        "max": "0"
      },
      {
        "id": "Observation.subject.identifier",
        "path": "Observation.subject.identifier",
        "max": "0"
      },
      {
        "id": "Observation.subject.display",
        "path": "Observation.subject.display",
        "max": "0"
      },
      {
        "id": "Observation.focus",
        "path": "Observation.focus",
        "max": "0"
      },
      {
        "id": "Observation.encounter",
        "path": "Observation.encounter",
        "max": "0"
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "max": "0"
      },
      {
        "id": "Observation.issued",
        "path": "Observation.issued",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.performer",
        "path": "Observation.performer",
        "max": "0"
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "closed"
        },
        "short": "Ergebnis des durchgeführten Tests",
        "definition": "Das Ergebnis des durchgeführten Tests kann sowohl als qualitative Angabe (valueCodeableConcept), als auch als quantitative Angabe (valueQuantity) beschrieben werden.",
        "type": [
          {
            "code": "Quantity"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept",
        "path": "Observation.value[x]",
        "sliceName": "valueCodeableConcept",
        "short": "Ergebnis des durchgeführten Tests (SNOMED)",
        "definition": "Als qualitative Angabe des Ergebnisses werden SNOMED-Codes erwartet, die den Nachweis oder nicht-Nachweis eines Analyten, den nachgewiesenen Erreger, das nachgewiesene Gen, Antigen, Toxin, den nachgewiesenen Antikörper etc. beschreiben.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding",
        "path": "Observation.value[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding:snomedCode",
        "path": "Observation.value[x].coding",
        "sliceName": "snomedCode",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/antwortSNOMED"
        }
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding:snomedCode.system",
        "path": "Observation.value[x].coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding:snomedCode.version",
        "path": "Observation.value[x].coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.coding:snomedCode.code",
        "path": "Observation.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueCodeableConcept.text",
        "path": "Observation.value[x].text",
        "short": "Originalbezeichnung",
        "definition": "Originalbezeichnung aus dem Laborinformationssystem (LIS) oder aus dem sendenden System. Diese Angabe wird zum Datenqualitätsmanagement verwendet.",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity",
        "path": "Observation.value[x]",
        "sliceName": "valueQuantity",
        "short": "Ergebnis des durchgeführten Tests (quantitativ, dezimal)",
        "definition": "Hier wird ein quantitatives Ergebnis mit der Einheit nach UCUM erwartet. Es kann dabei bedeutsam sein, einen Referenzbereich für die beschriebenen Werte anzugeben. Dies kann unter Observation.referenceRange erfolgen.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Quantity"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.value",
        "path": "Observation.value[x].value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.comparator",
        "path": "Observation.value[x].comparator",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.system",
        "path": "Observation.value[x].system",
        "min": 1,
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueQuantity.code",
        "path": "Observation.value[x].code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio",
        "path": "Observation.value[x]",
        "sliceName": "valueRatio",
        "short": "Ergebnis des durchgeführten Tests (quantitativ, ratio)",
        "definition": "Hier kann eine Ratios als quantitatives Ergebnis der mikrobiologischen Diagnostik angegeben werden.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Ratio"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.numerator",
        "path": "Observation.value[x].numerator",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.numerator.value",
        "path": "Observation.value[x].numerator.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.numerator.system",
        "path": "Observation.value[x].numerator.system",
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.numerator.code",
        "path": "Observation.value[x].numerator.code",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.denominator",
        "path": "Observation.value[x].denominator",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.denominator.value",
        "path": "Observation.value[x].denominator.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.denominator.system",
        "path": "Observation.value[x].denominator.system",
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRatio.denominator.code",
        "path": "Observation.value[x].denominator.code",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange",
        "path": "Observation.value[x]",
        "sliceName": "valueRange",
        "short": "Ergebnis des durchgeführten Tests (quantitativ, range)",
        "definition": "Hier kann ein Bereich, bestehend aus Low und High, als quantitative Angabe gemacht werden.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Range"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.low",
        "path": "Observation.value[x].low",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.low.value",
        "path": "Observation.value[x].low.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.low.system",
        "path": "Observation.value[x].low.system",
        "min": 1,
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.low.code",
        "path": "Observation.value[x].low.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.high",
        "path": "Observation.value[x].high",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.high.value",
        "path": "Observation.value[x].high.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.high.system",
        "path": "Observation.value[x].high.system",
        "min": 1,
        "patternUri": "http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]:valueRange.high.code",
        "path": "Observation.value[x].high.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "short": "Interpretation des Ergebnisses",
        "definition": "Es wird immer eine Interpretation des Ergebnisses erwartet. Diese kann bei ordinalen qualitativen Angaben unter Observation.valueCodeableConcept dem dort beschriebenen Ergebnis entsprechen. Insbesondere bei quantitativen Angaben zum Ergebnis unter Observation.valueQuantity kann hier allerdings die Bewertung des Ergebnisses angegeben werden. Die Angaben sind als SNOMED-Code oder unter Angabe eines Codes entsprechend dem FHIR-Basisstandard zu machen.",
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding",
        "path": "Observation.interpretation.coding",
        "slicing": {
          "discriminator": [
            {
              "type": "pattern",
              "path": "system"
            }
          ],
          "rules": "closed"
        },
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:hl7Interpretation",
        "path": "Observation.interpretation.coding",
        "sliceName": "hl7Interpretation",
        "min": 0,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://hl7.org/fhir/ValueSet/observation-interpretation"
        }
      },
      {
        "id": "Observation.interpretation.coding:hl7Interpretation.system",
        "path": "Observation.interpretation.coding.system",
        "min": 1,
        "patternUri": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:hl7Interpretation.version",
        "path": "Observation.interpretation.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:hl7Interpretation.code",
        "path": "Observation.interpretation.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:snomedInterpretation",
        "path": "Observation.interpretation.coding",
        "sliceName": "snomedInterpretation",
        "min": 0,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/interpretationSNOMED"
        }
      },
      {
        "id": "Observation.interpretation.coding:snomedInterpretation.system",
        "path": "Observation.interpretation.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:snomedInterpretation.version",
        "path": "Observation.interpretation.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.coding:snomedInterpretation.code",
        "path": "Observation.interpretation.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.interpretation.text",
        "path": "Observation.interpretation.text",
        "max": "0"
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "max": "0"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "max": "0"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "short": "Labormethode",
        "definition": "Die verwendete Labormethode wird als SNOMED-Code erwartet.",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding",
        "path": "Observation.method.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://demis.rki.de/fhir/ars/ValueSet/methodeSNOMED"
        }
      },
      {
        "id": "Observation.method.coding.system",
        "path": "Observation.method.coding.system",
        "min": 1,
        "patternUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.version",
        "path": "Observation.method.coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.code",
        "path": "Observation.method.coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.method.text",
        "path": "Observation.method.text",
        "mustSupport": true
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Specimen"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.reference",
        "path": "Observation.specimen.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.specimen.type",
        "path": "Observation.specimen.type",
        "max": "0"
      },
      {
        "id": "Observation.specimen.identifier",
        "path": "Observation.specimen.identifier",
        "max": "0"
      },
      {
        "id": "Observation.specimen.display",
        "path": "Observation.specimen.display",
        "max": "0"
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "max": "0"
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "short": "Referenzwerte und Norm",
        "definition": "Angabe von Referenzwerten, die zur Interpretation eines quantitativen Testergebnisses herangezogen wurden. Die Referenzwerte sind häufig Testkit-spezifisch. Insbesondere soll unter der extension 'norm' auch die Angabe der Norm, nachdem das Ergebnis der phänotypischen Empfindlichkeitsprüfung bewertet wurde angegeben werden.",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension",
        "path": "Observation.referenceRange.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm",
        "path": "Observation.referenceRange.extension",
        "sliceName": "norm",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Norm"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.url",
        "path": "Observation.referenceRange.extension.url",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x]",
        "path": "Observation.referenceRange.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x].coding",
        "path": "Observation.referenceRange.extension.value[x].coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x].coding.system",
        "path": "Observation.referenceRange.extension.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x].coding.version",
        "path": "Observation.referenceRange.extension.value[x].coding.version",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x].coding.code",
        "path": "Observation.referenceRange.extension.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.extension:norm.value[x].text",
        "path": "Observation.referenceRange.extension.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Observation.referenceRange.text",
        "path": "Observation.referenceRange.text",
        "comment": "Eine Angabe in 'referenceRange' muss mindestens eines der Felder 'low', 'high' oder 'text' enthalten. Bei Bedarf kann an dieser Stelle für ARS ein Dummy-Text eingefügt werden, z.B. 'nur Angabe Norm'.",
        "mustSupport": true
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://demis.rki.de/fhir/ars/StructureDefinition/Observation"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.hasMember.reference",
        "path": "Observation.hasMember.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.hasMember.type",
        "path": "Observation.hasMember.type",
        "max": "0"
      },
      {
        "id": "Observation.hasMember.identifier",
        "path": "Observation.hasMember.identifier",
        "max": "0"
      },
      {
        "id": "Observation.hasMember.display",
        "path": "Observation.hasMember.display",
        "max": "0"
      },
      {
        "id": "Observation.derivedFrom",
        "path": "Observation.derivedFrom",
        "max": "0"
      }
    ]
  }
}