KBV_PR_MIO_LAB_Observation_Laboratory_Study - MIO Laborbefund v1.0.0-update

Resource Profile: KBV_PR_MIO_LAB_Observation_Laboratory_Study

Official URL: https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Observation_Laboratory_Study				Version: 1.0.0-update
Draft as of 2026-06-11				Computable Name: KBV_PR_MIO_LAB_Observation_Laboratory_Study
Copyright/Legal: Im folgenden Profil können Codes aus den Code-Systemen SNOMED CT®, LOINC, Ucum, ATC, ICD-10-GM, ICD-10-WHO, OPS, Alpha-ID/Alpha-ID-SE und ICF enthalten sein, die dem folgenden Urheberrecht unterliegen: This material includes SNOMED CT® Clinical Terms® (SNOMED CT® CT®) which is used by permission of SNOMED CT® International. All rights reserved. SNOMED CT® CT®, was originally created by The College of American Pathologists. SNOMED CT® and SNOMED CT® CT are registered trademarks of SNOMED CT® International. Implementers of these artefacts must have the appropriate SNOMED CT® CT Affiliate license. This material contains content from LOINC (http://LOINC.org). LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://LOINC.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc. This product includes all or a portion of the UCUM table, UCUM codes, and UCUM definitions or is derived from it, subject to a license from Regenstrief Institute, Inc. and The UCUM Organization. Your use of the UCUM table, UCUM codes, UCUM definitions also is subject to this license, a copy of which is available at http://unitsofmeasure.org. The current complete UCUM table, UCUM Specification are available for download at http://unitsofmeasure.org. The UCUM table and UCUM codes are copyright © 1995-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. THE UCUM TABLE (IN ALL FORMATS), UCUM DEFINITIONS, AND SPECIFICATION ARE PROVIDED ‘AS IS.’ ANY EXPRESS OR IMPLIED WARRANTIES ARE DISCLAIMED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Dieses Material enthält Inhalte aus ATC. Die Erstellung erfolgte unter Verwendung der Datenträger der amtlichen Fassung der ATC-Klassifikation mit DDD des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICD-10-GM, ICD-10-WHO, OPS Alpha-ID ans Alpha-ID-SE. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Bundesinstituts für Arzneimittel und Medizinprodukte (BfArM). Dieses Material enthält Inhalte aus ICF. Die Erstellung erfolgt unter Verwendung der maschinenlesbaren Fassung des Deutschen Instituts für Medizinische Dokumentation und Information (DIMDI). ICF-Kodes, -Begriffe und -Texte © Weltgesundheitsorganisation, übersetzt und herausgegeben durch das Deutsche Institut für Medizinische Dokumentation und Information von der International classification of functioning, disability and health - ICF, herausgegeben durch die Weltgesundheitsorganisation.

Dieses Profil bildet eine Laboruntersuchung ab.

Laboruntersuchungen können als Messung oder als Berechnung erfolgen.

Eine Laboruntersuchung als Messung beschreibt die quantitative oder qualitative Untersuchung eines spezifischen Laborparameters in einem definierten Probenmaterial; z. B. die Untersuchung des Hämoglobin-(Hb-)Werts als Konzentration im Blut. Der Bezug zur Probe, anhand derer die Messung vorgenommen wurde, muss erkennbar sein.

Berechnete Laborergebnisse können auf Messungen basieren, z.B. kann die berechnete GFR (glomeruläre Filtrationsrate) auf einem gemessenen Kreatinin-Wert im Serum basieren.

Usages:

Use this Profile: KBV_PR_MIO_LAB_Bundle
Refer to this Profile: KBV_PR_MIO_LAB_Observation_Image_Attachment, KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group, KBV_PR_MIO_LAB_Observation_Laboratory_Study and KBV_PR_MIO_LAB_Provenance
Examples for this Profile: Observation/035761c3-8934-499f-bf34-3963979afb56, Observation/6a2a44c6-92f8-40cf-a0bc-673404f7ac9b, Observation/96f33ca8-872d-4c8b-972e-b681db27d9df and Observation/c1b00183-b205-48a8-9d07-31fc8b6aa74e

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-code-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service"
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	SΣ	1..1	Quantity	Numerator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
extension:zlog	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	SΣ	0..1	Identifier	Business Identifier for observation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding	SΣ	1..1	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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
identifier:GTIN	SΣ	0..1	Identifier	Business Identifier for observation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding	SΣ	1..1	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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation 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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	SΣ	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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	SΣ	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	SΣ	1..1	instant	Dokumentationszeitpunkt
performer	SΣ	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
numerator	SΣ	1..1	Quantity	Numerator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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]:valueRange	SΣC	0..1	Range	Actual result
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
coding	SΣ	1..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
display	SΣ	1..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	0..*	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
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
coding	SΣ	0..*	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
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣ	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:alternativeResult.extension:value.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.identifier:resultID.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.identifier:GTIN.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
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.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
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()`
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()`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-code-1
meta	S	0..1	Meta	Metadata about the resource
id		0..0		Unique id for inter-element referencing
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
source		0..0		Identifies where the resource comes from
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
text
status		1..1	code	generated \| extensions \| additional \| empty Required Pattern: extensions
contained		0..0		Contained, inline Resources
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
value[x]	S	1..1	Quantity, Range, Ratio	Value of extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit
value	S	1..1	decimal	Numerical value (with implicit 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
code	S	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Numerical value (with implicit 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
code	S	1..1	code	Coded form of the unit
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
value[x]	S	1..1	Range	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
value[x]	S	1..1	decimal	Value of extension
Slices for identifier	S	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	S	0..1	Identifier	Business Identifier for observation
use		0..0		usual \| official \| temp \| secondary \| old (If known)
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	S	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period		0..0		Time period when id is/was valid for use
assigner		0..0		Organization that issued id (may be just text)
identifier:GTIN	S	0..1	Identifier	Business Identifier for observation
use		0..0		usual \| official \| temp \| secondary \| old (If known)
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	S	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period		0..0		Time period when id is/was valid for use
assigner		0..0		Organization that issued id (may be just text)
basedOn		0..0		Fulfills plan, proposal or order
partOf		0..0		Part of referenced event
status	S	1..1	code	registered \| preliminary \| final \| amended +
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
coding	S	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc	S	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	S	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
focus		0..0		What the observation is about, when it is not about the subject of record
encounter		0..0		Healthcare event during which this observation is made
effective[x]	SC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	S	1..1	instant	Dokumentationszeitpunkt
performer	S	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	S	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	S	0..1	Quantity	Actual result Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< \| <= \| >= \| > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:snomed	S	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
value[x]:valueRatio	S	0..1	Ratio	Actual result
numerator	S	1..1	Quantity	Numerator value Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit 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
denominator	S	1..1	Quantity	Denominator value Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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]:valueRange	S	0..1	Range	Actual result
low	S	1..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
high	S	1..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	S	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
coding	S	1..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
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
coding:hl7Interpretation	S	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
coding:snomed	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
author[x]		0..0		Individual responsible for the annotation
time		0..0		When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
bodySite		0..0		Observed body part
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
coding	S	0..*	Coding	Code defined by a terminology system Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	0..*	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
display	S	1..1	string	Representation defined by the system
text	S	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
value[x]	S	1..1	boolean	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
high	S	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier
coding	S	0..*	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
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population
coding	S	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
age		0..0		Applicable age range, if relevant
text	S	0..1	string	Text based reference range in an observation
hasMember		0..0		Related resource that belongs to the Observation group
derivedFrom	S	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
component		0..0		Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.value[x]:valueCodeableConcept.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
Observation.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-code-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
profile	Σ	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".
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated \| extensions \| additional \| empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions
div	C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service"
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	1..1	Quantity	Numerator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
extension:zlog	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	SΣ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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	1..1	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/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
identifier:GTIN	SΣ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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	1..1	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/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation 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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
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	SΣ	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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:loinc	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) 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	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
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
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	SΣ	0..1	Coding	Code defined by a terminology system 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	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	SΣ	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
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	ΣC	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	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	SΣ	1..1	instant	Dokumentationszeitpunkt
performer	SΣ	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
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	1..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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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	Qualitatives Messergebnis (z.B. nominal oder ordinal)
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 value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) 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://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	1..1	Quantity	Numerator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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]:valueRange	SΣC	0..1	Range	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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..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	SΣ	1..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system 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://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) 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 Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
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	1..1	string	Literal reference, Relative, internal or absolute URL
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
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	1..1	string	Literal reference, Relative, internal or absolute URL
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range"
value[x]	S	1..1	CodeableConcept	Value of extension
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
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 Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣ	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
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	1..1	string	Literal reference, Relative, internal or absolute URL
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.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.identifier:resultID.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.identifier:GTIN.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.performer.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.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
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.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG
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
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
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()`
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()`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`
txt-1	error	Observation.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	Observation.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from Observation

Summary

Mandatory: 10 elements(90 nested mandatory elements)
Must-Support: 233 elements
Prohibited: 46 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.identifier (Closed)
The element 1 is sliced based on the value of Observation.category (Closed)
The element 1 is sliced based on the value of Observation.category.coding
The element 1 is sliced based on the value of Observation.value[x]
The element 1 is sliced based on the value of Observation.value[x].coding
The element 1 is sliced based on the value of Observation.interpretation.coding

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-code-1
meta	SΣ	0..1	Meta	Metadata about the resource
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service"
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	SΣ	1..1	Quantity	Numerator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
extension:zlog	S	0..1	Extension	Extension
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	SΣ	0..1	Identifier	Business Identifier for observation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding	SΣ	1..1	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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
identifier:GTIN	SΣ	0..1	Identifier	Business Identifier for observation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding	SΣ	1..1	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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation 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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	SΣ	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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	SΣ	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
identifier	SΣ	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
effective[x]	SΣC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	SΣ	1..1	instant	Dokumentationszeitpunkt
performer	SΣ	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) Required Pattern: At least the following
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
numerator	SΣ	1..1	Quantity	Numerator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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]:valueRange	SΣC	0..1	Range	Actual result
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
coding	SΣ	1..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
display	SΣ	1..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) Binding: ObservationMethods (example): Methods for simple observations.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range"
value[x]	S	1..1	CodeableConcept	Value of extension
coding	SΣ	0..*	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
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
coding	SΣ	0..*	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
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
coding	SΣ	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣ	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
reference	SΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Observation.extension:alternativeResult.extension:value.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.identifier:resultID.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.identifier:GTIN.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueCodeableConcept.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
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.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG
Observation.component.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
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()`
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()`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-code-1
meta	S	0..1	Meta	Metadata about the resource
id		0..0		Unique id for inter-element referencing
versionId	S	0..1	id	Version specific identifier
lastUpdated	S	0..1	instant	When the resource version last changed
source		0..0		Identifies where the resource comes from
implicitRules		0..0		A set of rules under which this content was created
language		0..0		Language of the resource content
text
status		1..1	code	generated \| extensions \| additional \| empty Required Pattern: extensions
contained		0..0		Contained, inline Resources
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
value[x]	S	1..1	Quantity, Range, Ratio	Value of extension
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit
value	S	1..1	decimal	Numerical value (with implicit 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
code	S	1..1	code	Coded form of the unit
value[x]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
value[x]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
numerator	S	1..1	Quantity	Numerator value
value	S	1..1	decimal	Numerical value (with implicit 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
code	S	1..1	code	Coded form of the unit
denominator	S	1..1	Quantity	Denominator value
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
value[x]	S	1..1	Range	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
high	S	0..1	SimpleQuantity(4.0.1)	High limit
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
extension:zlog	S	0..1	Extension	Extension
value[x]	S	1..1	decimal	Value of extension
Slices for identifier	S	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	S	0..1	Identifier	Business Identifier for observation
use		0..0		usual \| official \| temp \| secondary \| old (If known)
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	S	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period		0..0		Time period when id is/was valid for use
assigner		0..0		Organization that issued id (may be just text)
identifier:GTIN	S	0..1	Identifier	Business Identifier for observation
use		0..0		usual \| official \| temp \| secondary \| old (If known)
type		1..1	CodeableConcept	Description of identifier Required Pattern: At least the following
coding	S	1..1	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	S	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
system	S	0..1	uri	The namespace for the identifier value
value	S	0..1	string	The value that is unique
period		0..0		Time period when id is/was valid for use
assigner		0..0		Organization that issued id (may be just text)
basedOn		0..0		Fulfills plan, proposal or order
partOf		0..0		Part of referenced event
status	S	1..1	code	registered \| preliminary \| final \| amended +
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation Required Pattern: At least the following
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
coding	S	0..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version	S	0..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: laboratory
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:loinc	S	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
code	S	1..1	CodeableConcept	Type of observation (code / type)
Slices for extension				Content/Rules for all slices
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	S	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
identifier	S	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
focus		0..0		What the observation is about, when it is not about the subject of record
encounter		0..0		Healthcare event during which this observation is made
effective[x]	SC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	S	1..1	instant	Dokumentationszeitpunkt
performer	S	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for value[x]	S	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	S	0..1	Quantity	Actual result Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
comparator	S	0..1	code	< \| <= \| >= \| > - how to understand the value
unit	S	1..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code	S	1..1	code	Coded form of the unit
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Qualitatives Messergebnis (z.B. nominal oder ordinal)
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
Slices for coding				Content/Rules for all slices
coding:snomed	S	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
value[x]:valueRatio	S	0..1	Ratio	Actual result
numerator	S	1..1	Quantity	Numerator value Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit 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
denominator	S	1..1	Quantity	Denominator value Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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]:valueRange	S	0..1	Range	Actual result
low	S	1..1	SimpleQuantity(4.0.1)	Low limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
high	S	1..1	SimpleQuantity(4.0.1)	High limit Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	S	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
coding	S	1..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
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text		0..0		Plain text representation of the concept
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
coding:hl7Interpretation	S	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (extensible) Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
coding:snomed	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	S	1..1	string	Version of the system - if relevant
code	S	1..1	code	Symbol in syntax defined by the system
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
author[x]		0..0		Individual responsible for the annotation
time		0..0		When the annotation was made
text	S	1..1	markdown	The annotation - text content (as markdown)
bodySite		0..0		Observed body part
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend)
coding	S	0..*	Coding	Code defined by a terminology system Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
referenceRange	S	0..*	BackboneElement	Provides guide for interpretation
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
value[x]	S	1..1	CodeableConcept	Value of extension
coding	S	0..*	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
display	S	1..1	string	Representation defined by the system
text	S	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
value[x]	S	1..1	boolean	Value of extension
low	S	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
high	S	0..1	SimpleQuantity(4.0.1)	High Range, if relevant Required Pattern: At least the following
value	S	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier
coding	S	0..*	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
display	S	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population
coding	S	0..*	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
userSelected		0..0		If this coding was chosen directly by the user
text	S	0..1	string	Plain text representation of the concept
age		0..0		Applicable age range, if relevant
text	S	0..1	string	Text based reference range in an observation
hasMember		0..0		Related resource that belongs to the Observation group
derivedFrom	S	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
reference	S	1..1	string	Literal reference, Relative, internal or absolute URL
type		0..0		Type the reference refers to (e.g. "Patient")
identifier		0..0		Logical reference, when literal reference is not known
display		0..0		Text alternative for the resource
component		0..0		Component results
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.value[x]:valueCodeableConcept.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
Observation.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`

Snapshot View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7, obs-code-1
id	Σ	0..1	id	Logical id of this artifact
meta	SΣ	0..1	Meta	Metadata about the resource
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	SΣ	0..1	id	Version specific identifier
lastUpdated	SΣ	0..1	instant	When the resource version last changed
profile	Σ	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".
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status		1..1	code	generated \| extensions \| additional \| empty Binding: NarrativeStatus (required): The status of a resource narrative. Required Pattern: extensions
div	C	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:externalService	S	0..1	(Complex)	Kennzeichen Fremdleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service"
value[x]	S	1..1	boolean	Value of extension
extension:associationService	S	0..1	(Complex)	Kennzeichen Verbundleistung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service"
value[x]	S	1..1	boolean	Value of extension
extension:accreditedService	S	0..1	(Complex)	Kennzeichen Akkreditierte Laboruntersuchung URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service"
value[x]	S	1..1	boolean	Value of extension
extension:zlogValue	S	0..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog"
value[x]	S	1..1	decimal	Value of extension
extension:alternativeResult	S	0..*	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result
id		0..1	string	Unique id for inter-element referencing
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Slices for extension				Content/Rules for all slices
extension:value	S	1..1	Extension	Messergebnis quantitativ mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"value"
Slices for value[x]	S	1..1		Value of extension Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
Slices for value[x]				Content/Rules for all slices
value[x]:valueQuantity	S	0..1	Quantity	Ergebniswert mit Alternativeinheit 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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]:valueRange	S	0..1	Range	Ergebnisbereich mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueRatio	S	0..1	Ratio	Ratio mit Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	1..1	Quantity	Numerator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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
extension:referenceRange	S	0..1	Extension	Richtgrenzen für Alternativeinheit
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"referenceRange"
value[x]	S	1..1	Range	Value of extension
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	0..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	0..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
extension:zlog	S	0..1	Extension	Extension
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"zlog"
value[x]	S	1..1	decimal	Value of extension
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..2	Identifier	Business Identifier for observation Slice: Unordered, Closed by value:type
identifier:resultID	SΣ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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	1..1	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/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: OBI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Observation Instance Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
identifier:GTIN	SΣ	0..1	Identifier	Business Identifier for observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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	1..1	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/v2-0203
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: UDI
display	SΣ	1..1	string	Representation defined by the system Fixed Value: Universal Device Identifier
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	0..1	string	The value that is unique Example General: 123456
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required): Codes providing the status of an observation.
Slices for category	S	1..3	CodeableConcept	Fachliche Bezeichnung für die zugehörige Untersuchungsgruppe, Inhalt identisch zu Observation_Laboratory_Study_Group.category Slice: Unordered, Closed by value:extension.value Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
category:laboratory	S	1..1	CodeableConcept	Classification of type of observation 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
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:laboratory	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: laboratory
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	SΣ	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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:studyType	S	0..1	CodeableConcept	Bezeichnung für Fachbereich, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:studyType Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:studyType	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: studyType
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:loinc	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Laboratory_Specialties_LOINC (1.0.0-update) (example) 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	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
category:testProfile	S	0..1	CodeableConcept	Bezeichnung für fachlich-medizinischen Bezug, unter dem Laboruntersuchungen gruppiert werden, Inhalt identisch zu Observation_Laboratory_Study_Group.category:testProfile Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	1..*	Extension	Extension Slice: Unordered, Closed by value:url
Slices for extension				Content/Rules for all slices
extension:testProfile	S	1..1	(Complex)	Extension URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator"
value[x]	S	1..1	string	Value of extension Required Pattern: testProfile
coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this Binding: KBV_VS_MIO_LAB_Laboruntersuchungsgruppe (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Type of observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
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
extension:data-absent-reason	S	0..1	(Complex)	Grund für das Nichtvorhandensein eines LOINC®-Codes URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/StructureDefinition/data-absent-reason"
value[x]	S	1..1	code	Value of extension Binding: KBV_VS_MIO_LAB_Data_Absent_Reason (1.0.0-update) (required)
coding	SΣ	0..1	Coding	Code defined by a terminology system 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	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Verwender-spezifische (vom Long Common Name des LOINC®-Codes ggf. abweichende) Bezeichnung für die Laboruntersuchung
subject	SΣ	1..1	Reference(KBV_PR_MIO_LAB_Patient(1.0.0-update))	Zu behandelnde Person
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	ΣC	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	1..1	IdentifierKvid10	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	SΣC	1..1	dateTime	Klinischer Bezugszeitpunkt Constraints: date-1
issued	SΣ	1..1	instant	Dokumentationszeitpunkt
performer	SΣ	1..*	Reference(KBV_PR_MIO_LAB_Practitioner(1.0.0-update) \| KBV_PR_MIO_LAB_PractitionerRole(1.0.0-update) \| KBV_PR_MIO_LAB_Organization(1.0.0-update))	Who is responsible for the observation
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	1..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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Closed by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueRange			Range
valueRatio			Ratio
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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	Qualitatives Messergebnis (z.B. nominal oder ordinal)
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 value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Slices for coding				Content/Rules for all slices
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system Binding: KBV_VS_MIO_LAB_Observation_Laboratory_Study_Value_SNOMED_CT (1.0.0-update) (example) 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://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
value[x]:valueRatio	SΣC	0..1	Ratio	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
numerator	SΣ	1..1	Quantity	Numerator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit 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
denominator	SΣ	1..1	Quantity	Denominator value 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
comparator	?!Σ	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]:valueRange	SΣC	0..1	Range	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
low	SΣ	1..1	SimpleQuantity(4.0.1)	Low limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SΣ	1..1	SimpleQuantity(4.0.1)	High limit 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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]:valueString	SΣC	0..1	string	Ergebnis uncodiert in Textform
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
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..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	SΣ	1..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Medizinische Interpretation des einzelnen Laborergebnisses Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of 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 value:$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	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:hl7Interpretation	SΣ	0..1	Coding	Code defined by a terminology system Binding: ObservationInterpretationCodes (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
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation
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	1..1	string	Representation defined by the system
coding:snomed	SΣ	0..1	Coding	Code defined by a terminology system 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://snomed.info/sct
version	SΣ	1..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
note	S	0..*	Annotation	Comments about the observation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	SΣ	1..1	markdown	The annotation - text content (as markdown)
method	S	0..1	CodeableConcept	Untersuchungsmethode, ergänzende Spezifizierung (z.B. postkoordinierend) 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 Binding: Untersuchungsmethode SNOMED CT® (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
specimen	S	0..1	Reference(KBV_PR_MIO_LAB_Specimen(1.0.0-update))	Specimen used for this observation
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	1..1	string	Literal reference, Relative, internal or absolute URL
device	S	0..1	Reference(KBV_PR_MIO_LAB_Device_Laboratory_Analyzer(1.0.0-update))	Laboranalysegerät
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	1..1	string	Literal reference, Relative, internal or absolute URL
referenceRange	SC	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
Slices for extension	S	0..*	Extension	Extension Slice: Unordered, Closed by value:url
extension:sourceReferenceRange	S	0..1	(Complex)	Quelle der Richtgrenzen URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range"
value[x]	S	1..1	CodeableConcept	Value of extension
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	1..1	string	Plain text representation of the concept
extension:noLinearReferenceRange	S	0..1	(Complex)	Kennzeichen Nicht-linearer Referenzbereich URL: https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range
id		0..1	string	Unique id for inter-element referencing
extension		0..0		Extension Slice: Unordered, Open by value:url
url		1..1	uri	"https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range"
value[x]	S	1..1	boolean	Value of extension
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	SC	0..1	SimpleQuantity(4.0.1)	Low Range, if relevant 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
high	SC	0..1	SimpleQuantity(4.0.1)	High Range, if relevant 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
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
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
type	S	1..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
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	SΣ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
appliesTo	S	0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
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 Binding: KBV_VS_MIO_LAB_EHDSIReferenceRangeAppliesTo (1.0.0-update) (example)
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	1..1	string	Representation defined by the system
text	SΣ	0..1	string	Plain text representation of the concept
text	S	0..1	string	Text based reference range in an observation
derivedFrom	SΣ	0..*	Reference(KBV_PR_MIO_LAB_Observation_Laboratory_Study(1.0.0-update))	Related measurements the observation is made from
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	1..1	string	Literal reference, Relative, internal or absolute URL
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.text.status	Base	required	NarrativeStatus	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueQuantity.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.extension:alternativeResult.extension:value.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.identifier:resultID.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.identifier:GTIN.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Observation.status	Base	required	ObservationStatus	📍4.0.1	FHIR Std.
Observation.category	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:laboratory	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:studyType.coding:loinc	Base	example	Laborbereich LOINC®	📍1.0.0-update	This IG
Observation.category:testProfile	Base	preferred	Observation Category Codes	📍4.0.1	FHIR Std.
Observation.category:testProfile.coding	Base	example	Test-Profil Laboruntersuchungsgruppe	📍1.0.0-update	This IG
Observation.code	Base	example	LOINC Codes	📍4.0.1	FHIR Std.
Observation.code.extension:data-absent-reason.value[x]	Base	required	Nichtvorhandensein LOINC®	📍1.0.0-update	This IG
Observation.subject.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Observation.performer.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.coding:snomed	Base	example	Messergebnis Qualitativ SNOMED CT®	📍1.0.0-update	This IG
Observation.value[x]:valueRatio.numerator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.value[x]:valueRatio.denominator.comparator	Base	required	QuantityComparator	📍4.0.1	FHIR Std.
Observation.dataAbsentReason	Base	extensible	DataAbsentReason	📍4.0.1	FHIR Std.
Observation.interpretation	Base	extensible	Observation Interpretation Codes	📍4.0.1	FHIR Std.
Observation.interpretation.coding:hl7Interpretation	Base	extensible	Observation Interpretation Codes	📦4.0.1	FHIR Std.
Observation.method	Base	example	Observation Methods	📍4.0.1	FHIR Std.
Observation.method.coding	Base	example	Untersuchungsmethode SNOMED CT®	📦1.0.0-update	This IG
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.referenceRange.appliesTo.coding	Base	example	Kollektivbezug	📍1.0.0-update	This IG
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
date-1	error	Observation.effective[x]	Datetime must be at least day, month and year.	`($this as dateTime).toString().length() >= 10`
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()`
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()`
obs-code-1	error	Observation	For Observation.code either a coding or a data absent reason must be provided. When stating a data absent reason, a text for Observation.code must be provided as well.	`code.coding.empty() or code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').empty() and (code.extension('http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists() implies code.text.exists())`
txt-1	error	Observation.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes	`htmlChecks()`
txt-2	error	Observation.text.div	The narrative SHALL have some non-whitespace content	`htmlChecks()`

This structure is derived from Observation

Summary

Mandatory: 10 elements(90 nested mandatory elements)
Must-Support: 233 elements
Prohibited: 46 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.identifier (Closed)
The element 1 is sliced based on the value of Observation.category (Closed)
The element 1 is sliced based on the value of Observation.category.coding
The element 1 is sliced based on the value of Observation.value[x]
The element 1 is sliced based on the value of Observation.value[x].coding
The element 1 is sliced based on the value of Observation.interpretation.coding

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