MII IG Laborbefund - Local Development build (v2027.0.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Inhalt
• Detaillierte Beschreibungen
• Mappings
• Beispiele
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Ressourcenprofil: MII PR Labor Laboruntersuchung

Ergebnis einer Laboruntersuchung

Usages:

• Examples for this Profile: Observation/mii-exa-labor-laborwert-data-absent-reason, Observation/mii-exa-labor-laborwert-range, Observation/mii-exa-labor-laborwert-ratio and Observation/mii-exa-labor-laborwert
• CapabilityStatements using this Profile: MII CPS Labor CapabilityStatement

You can also check for usages in the FHIR IG Statistics

Formale Ansichten des Profilinhalts

Beschreibung von Profilen, Differentials, Snapshots und deren Repräsentationen.

• Schlüsselelemente-Tabelle
• Differential-Tabelle
• Snapshot-Tabelle
• Statistiken/Referenzen
• Alle

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, mii-lab-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	?!S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	SΣ	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	SΣ	1..1	Identifier	Analyse-Befund-Code
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(ServiceRequest)	Basiert auf
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	SΣ	0..1	string	Representation defined by the system
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:loinc	SΣ	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Subjekt
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Fall oder Kontakt
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
issued	SΣ	0..1	instant	Dokumentationsdatum
Slices for value[x]	SΣC	0..1		Messwert Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
value[x]:valueRange	SΣC	0..1	Range	Actual result
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Grund für fehlende Daten Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
method	S	0..1	CodeableConcept	Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
specimen	S	0..1	Reference(Specimen)	Probenmaterial
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
referenceRange	SC	0..*	BackboneElement	Referenzbereich Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:analyseBefundCode.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:observation-category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: mii-lab-2
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for modifierExtension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	S	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	S	1..1	Identifier	Analyse-Befund-Code
type	S	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	S	0..*	Reference(ServiceRequest)	Basiert auf
status	S	1..1	code	Status
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this
category:All Slices				Content/Rules for all slices
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConcept	Code
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:loinc	S	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
subject	S	1..1	Reference(Patient | Group | Device | Location)	Subjekt
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	Fall oder Kontakt
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
issued	S	0..1	instant	Dokumentationsdatum
Slices for value[x]	S	0..1		Messwert Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	S	0..1	Quantity	Actual result
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	S	1..1	decimal	Numerical value (with implicit precision)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
value[x]:valueRange	S	0..1	Range	Actual result
value[x]:valueRatio	S	0..1	Ratio	Actual result
dataAbsentReason	S	0..1	CodeableConcept	Grund für fehlende Daten
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
bodySite		0..0		Observed body part
method	S	0..1	CodeableConcept	Untersuchungsmethode
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
specimen	S	0..1	Reference(Specimen)	Probenmaterial
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
referenceRange	S	0..*	BackboneElement	Referenzbereich
low	S	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	S	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, mii-lab-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for modifierExtension	?!S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	?!S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	SΣ	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	SΣ	1..1	Identifier	Analyse-Befund-Code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(ServiceRequest)	Basiert auf
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Subjekt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Fall oder Kontakt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
value		0..1	dateTime	Primitive value for dateTime
issued	SΣ	0..1	instant	Dokumentationsdatum
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Messwert Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value		0..1	decimal	Primitive value for decimal
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]:valueRange	SΣC	0..1	Range	Actual result
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Grund für fehlende Daten Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
method	S	0..1	CodeableConcept	Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Probenmaterial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
referenceRange	SC	0..*	BackboneElement	Referenzbereich Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:observation-category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.specimen.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.device.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 14 elements(13 nested mandatory elements)
Must-Support: 72 elements
Fixed: 3 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft (Modifier)
• https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
• http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
• http://hl7.org/fhir/StructureDefinition/quantity-precision

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier
• The element 1 is sliced based on the value of Observation.identifier.type.coding
• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.value[x]

Schlüsselelemente-Ansicht

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, mii-lab-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for modifierExtension	?!S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	?!S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	SΣ	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	SΣ	1..1	Identifier	Analyse-Befund-Code
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(ServiceRequest)	Basiert auf
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
text		0..1	string	Plain text representation of the concept
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
version		0..1	string	Version of the system - if relevant
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	SΣ	0..1	string	Representation defined by the system
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
coding:loinc	SΣ	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
userSelected		0..1	boolean	If this coding was chosen directly by the user
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Subjekt
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
encounter	SΣ	0..1	Reference(Encounter)	Fall oder Kontakt
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
issued	SΣ	0..1	instant	Dokumentationsdatum
Slices for value[x]	SΣC	0..1		Messwert Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
coding	SΣ	1..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
value[x]:valueRange	SΣC	0..1	Range	Actual result
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Grund für fehlende Daten Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
method	S	0..1	CodeableConcept	Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
specimen	S	0..1	Reference(Specimen)	Probenmaterial
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
referenceRange	SC	0..*	BackboneElement	Referenzbereich Constraints: obs-3
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:analyseBefundCode.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:observation-category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential-Ansicht

Diese Struktur ist abgeleitet von Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: mii-lab-2
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
Slices for modifierExtension	S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	S	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	S	1..1	Identifier	Analyse-Befund-Code
type	S	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
Slices for coding	S	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
assigner	S	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	S	0..*	Reference(ServiceRequest)	Basiert auf
status	S	1..1	code	Status
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this
category:All Slices				Content/Rules for all slices
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
code	S	1..1	CodeableConcept	Code
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
coding:loinc	S	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
subject	S	1..1	Reference(Patient | Group | Device | Location)	Subjekt
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
encounter	S	0..1	Reference(Encounter)	Fall oder Kontakt
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
effective[x]	SC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
issued	S	0..1	instant	Dokumentationsdatum
Slices for value[x]	S	0..1		Messwert Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	S	0..1	Quantity	Actual result
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	S	1..1	decimal	Numerical value (with implicit precision)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
comparator	S	0..1	code	< | <= | >= | > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
coding	S	1..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
value[x]:valueRange	S	0..1	Range	Actual result
value[x]:valueRatio	S	0..1	Ratio	Actual result
dataAbsentReason	S	0..1	CodeableConcept	Grund für fehlende Daten
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
bodySite		0..0		Observed body part
method	S	0..1	CodeableConcept	Untersuchungsmethode
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
specimen	S	0..1	Reference(Specimen)	Probenmaterial
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
reference	S	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	S	0..1	Identifier	Logical reference, when literal reference is not known
referenceRange	S	0..*	BackboneElement	Referenzbereich
low	S	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	S	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()

Snapshot-AnsichtView

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, mii-lab-2
id	SΣ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	SΣ	0..1	uri	Identifies where the resource comes from
profile	SΣ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
Slices for modifierExtension	?!S	0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension:interpretationsbeeinflussendeEigenschaft	?!S	0..*	Coding	Interpretationsbeeinflussende interpretationsbeeinflussendeEigenschaft URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft Binding: MII VS Labor Interpretationsbeeinflussende Eigenschaften SNOMEDCT (extensible)
Slices for identifier	SΣ	1..*	Identifier	Identifikator Slice: Unordered, Open by pattern:type
identifier:analyseBefundCode	SΣ	1..1	Identifier	Analyse-Befund-Code
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: MII VS Labor Identifier Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:observationInstanceV2	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
basedOn	SΣ	0..*	Reference(ServiceRequest)	Basiert auf
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	Status Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..*	CodeableConcept	Kategorie Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:observation-category	S	1..1	CodeableConcept	Labor-Kategorie Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Code Binding: LOINCCodes (example): Codes identifying names of simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:loinc	SΣ	0..*	Coding	Code defined by a terminology system Binding: Results Laboratory/Pathology Observation - IPS (extensible): Intensional Value Set Definition: LOINC { { STATUS in {ACTIVE} CLASSTYPE in {1} CLASS exclude {CHALSKIN, H&P.HX.LAB, H&P.HX, NR STATS, PATH.PROTOCOLS.*} } } Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient | Group | Device | Location)	Subjekt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter)	Fall oder Kontakt
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣC	1..1	dateTime	Untersuchungszeitpunkt Constraints: mii-lab-1
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:QuelleKlinischesBezugsdatum	S	0..1	Coding	Quelle klinisches Bezugsdatum URL: https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum Binding: MII VS Labor Quelle klinisches Bezugsdatum (required)
value		0..1	dateTime	Primitive value for dateTime
issued	SΣ	0..1	instant	Dokumentationsdatum
performer	Σ	0..*	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Messwert Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:pqTranslation	D	0..*	Quantity	Same quantity with different units URL: http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:quantityPrecision	SD	0..1	integer	Explicit precision (number of significant decimal places) URL: http://hl7.org/fhir/StructureDefinition/quantity-precision
value		0..1	decimal	Primitive value for decimal
comparator	?!SΣ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	SΣ	1..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	SΣ	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual result Binding: MII VS Labor Laborergebnis Codiert (extensible)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value[x]:valueRange	SΣC	0..1	Range	Actual result
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
dataAbsentReason	SC	0..1	CodeableConcept	Grund für fehlende Daten Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Interpretation Binding: MII VS Labor Interpretation (extensible): Eingeschränkte Auswahl aus HL7 v3 ObservationInterpretation. FHIR bindet dieses Element extensible an das vollständige ValueSet Observation Interpretation Codes; das Modul schränkt auf die im Laborkontext sinnvollen Konzepte ein. Lokale Kodierungen wie -- - N + ++ oder L N H lassen sich darauf abbilden. Da die Bindung extensible ist, dürfen darüber hinaus weitere Codes verwendet werden; praktisch relevant sind die abnormal-Codes HH, LL und AA, etwa für Werte jenseits der Telefongrenze.
note	S	0..*	Annotation	Hinweis
method	S	0..1	CodeableConcept	Untersuchungsmethode Binding: ObservationMethods (example): Methods for simple observations.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(Specimen)	Probenmaterial
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
device	S	0..1	Reference(Device | DeviceMetric)	Gerät
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SΣ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
referenceRange	SC	0..*	BackboneElement	Referenzbereich Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.meta.security	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Observation.meta.tag	Base	example	Common Tags	📍4.0.1	FHIR Std.
Observation.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Observation.identifier:analyseBefundCode.​type	Base	extensible	MII VS Labor Identifier Type Codes	📦2027.0.0-ballot	This IG
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:observation-category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.coding:loinc	Base	extensible	Results Laboratory/Pathology Observation - IPS	📦2.0.1	This IG
Observation.subject.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.encounter.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.value[x]:valueQuantity.​comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept	Base	extensible	MII VS Labor Laborergebnis Codiert	📦2027.0.0-ballot	This IG
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	MII VS Labor Interpretation	📦2027.0.0-ballot	This IG
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.specimen.​type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.device.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.referenceRange.​type	Base	preferred	Observation Reference Range Meaning Codes	📍4.0.1	FHIR Std.
Observation.referenceRange.​appliesTo	Base	example	Observation Reference Range Applies To Codes	📍4.0.1	FHIR Std.
Observation.component.​code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.component.​dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.component.​interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
mii-lab-1	error	Observation.effective[x]	Datetime must be at least to day	($this as dateTime).hasValue() implies ($this as dateTime).toString().length() >= 8
mii-lab-2	error	Observation	Falls kein Laborwert verfügbar ist, muss eine dataAbsentReason angegeben werden	hasMember.exists() or value.exists() or dataAbsentReason.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text	low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present	dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present	value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Diese Struktur ist abgeleitet von Observation

Summary

Mandatory: 14 elements(13 nested mandatory elements)
Must-Support: 72 elements
Fixed: 3 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/InterpretationsbeeinflussendeEigenschaft (Modifier)
• https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum
• http://hl7.org/fhir/StructureDefinition/extension-quantity-translation
• http://hl7.org/fhir/StructureDefinition/quantity-precision

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.identifier
• The element 1 is sliced based on the value of Observation.identifier.type.coding
• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.code.coding
• The element 1 is sliced based on the value of Observation.value[x]