{
  "resourceType" : "ConceptMap",
  "id" : "GermanTranslationCM",
  "url" : "https://gematik.de/fhir/epa-laboratory/ConceptMap/GermanTranslationCM",
  "version" : "1.0.0",
  "name" : "GermanTranslationCM",
  "title" : "German Translation ConceptMap",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-09-30",
  "publisher" : "gematik GmbH",
  "contact" : [{
    "name" : "gematik GmbH",
    "telecom" : [{
      "system" : "url",
      "value" : "https://www.gematik.de"
    },
    {
      "system" : "email",
      "value" : "patientteam [ at ] gematik.de"
    }]
  }],
  "description" : "Diese Conceptmap verknüpft die Codes mit deutschen Bezeichnungen.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "DE"
    }]
  }],
  "group" : [{
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    "sourceVersion" : "http://snomed.info/sct/11000274103/version/20260515",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/body-structure-clock-face-position-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
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      "target" : [{
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        "display" : "1-Uhr-Position",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "260322009",
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        "display" : "10-Uhr-Position",
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    },
    {
      "code" : "260324005",
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        "display" : "11-Uhr-Position",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "260326007",
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        "display" : "12-Uhr-Position",
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    },
    {
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    },
    {
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        "display" : "3-Uhr-Position",
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    },
    {
      "code" : "260333007",
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        "display" : "4-Uhr-Position",
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    },
    {
      "code" : "260335000",
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    },
    {
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    },
    {
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    },
    {
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    },
    {
      "code" : "260343005",
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        "display" : "9-Uhr-Position",
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    }]
  },
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    },
    {
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      }]
    },
    {
      "code" : "255495000",
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    },
    {
      "code" : "255497008",
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    },
    {
      "code" : "26216008",
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    },
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    },
    {
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        "display" : "Spitzenwärts",
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    }]
  },
  {
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      }]
    },
    {
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    },
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      }]
    },
    {
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        "display" : "Korrigiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "entered-in-error",
      "display" : "Entered in Error",
      "target" : [{
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      }]
    },
    {
      "code" : "final",
      "display" : "Final",
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        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "partial",
      "display" : "Partial",
      "target" : [{
        "code" : "Nichtvollstaendig",
        "display" : "Nicht vollständig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "preliminary",
      "display" : "Preliminary",
      "target" : [{
        "code" : "Vorlaeufig",
        "display" : "Vorläufig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "registered",
      "display" : "Registered",
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        "code" : "Registriert",
        "display" : "Registriert",
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      }]
    }]
  },
  {
    "source" : "http://snomed.info/sct",
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    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/diagram-type-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "1304163000",
      "display" : "Isoelectric focusing electrophoresis technique",
      "target" : [{
        "code" : "ElektrophoresemitisoelektrischerFokussierung",
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      }]
    },
    {
      "code" : "417965000",
      "display" : "Electrophoresis band",
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        "display" : "Elektrophorese-Band",
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    }]
  },
  {
    "source" : "http://snomed.info/sct",
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    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/extracorporal-device-cs-german",
    "targetVersion" : "1.0.0",
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    },
    {
      "code" : "30968007",
      "display" : "Drainage bag",
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        "display" : "Drainage-Beutel",
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      }]
    },
    {
      "code" : "407744008",
      "display" : "Stoma appliance",
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    },
    {
      "code" : "408861001",
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    },
    {
      "code" : "41323003",
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      }]
    },
    {
      "code" : "464557001",
      "display" : "Parenteral/enteral solution bag",
      "target" : [{
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      }]
    },
    {
      "code" : "701750003",
      "display" : "Subcutaneous glucose sensor",
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      }]
    },
    {
      "code" : "704902005",
      "display" : "Colostomy irrigation bag",
      "target" : [{
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        "display" : "Kolostomie-Spülbeutel",
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      }]
    },
    {
      "code" : "706499002",
      "display" : "Wearable urine collection bag",
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    },
    {
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    },
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      "code" : "736867000",
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    },
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  },
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    },
    {
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    },
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      }]
    },
    {
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    },
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      }]
    },
    {
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      "target" : [{
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        "display" : "wk",
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      }]
    }]
  },
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    "element" : [{
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        "display" : "Rechtliche Verantwortung",
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      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
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    "targetVersion" : "1.0.0",
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    },
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      "target" : [{
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    },
    {
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      "target" : [{
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        "display" : "Wiederauftreten",
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      }]
    },
    {
      "code" : "relapse",
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    },
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    }]
  },
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    "source" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
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    "targetVersion" : "1.0.0",
    "element" : [{
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      "display" : "Confirmed",
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        "display" : "Gesicherte Diagnose",
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      }]
    },
    {
      "code" : "differential",
      "display" : "Differential",
      "target" : [{
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        "display" : "Differentialdiagnose",
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      }]
    },
    {
      "code" : "entered-in-error",
      "display" : "Entered in Error",
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        "display" : "Irrtümliche Eingabe",
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      }]
    },
    {
      "code" : "provisional",
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      "target" : [{
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    },
    {
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    },
    {
      "code" : "unconfirmed",
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        "display" : "Unbestätigte Diagnose",
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      }]
    }]
  },
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    "source" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
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    },
    {
      "code" : "asked-declined",
      "display" : "Asked But Declined",
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        "code" : "Gefragtaberabgelehnt",
        "display" : "Gefragt, aber abgelehnt",
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    },
    {
      "code" : "asked-unknown",
      "display" : "Asked But Unknown",
      "target" : [{
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        "display" : "Gefragt, aber nicht bekannt",
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    },
    {
      "code" : "error",
      "display" : "Error",
      "target" : [{
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    },
    {
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      "target" : [{
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    },
    {
      "code" : "negative-infinity",
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      "target" : [{
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        "display" : "Negative Unendlichkeit",
        "equivalence" : "equivalent"
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    },
    {
      "code" : "not-a-number",
      "display" : "Not a Number (NaN)",
      "target" : [{
        "code" : "KeineZahlNaN",
        "display" : "Keine Zahl (NaN)",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "not-applicable",
      "display" : "Not Applicable",
      "target" : [{
        "code" : "Nichtzutreffend",
        "display" : "Nicht zutreffend",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "not-asked",
      "display" : "Not Asked",
      "target" : [{
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        "display" : "Nicht angefragt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "not-performed",
      "display" : "Not Performed",
      "target" : [{
        "code" : "Wirdnichtausgefuehrt",
        "display" : "Wird nicht ausgeführt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "not-permitted",
      "display" : "Not Permitted",
      "target" : [{
        "code" : "Unzulaessig",
        "display" : "Unzulässig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "positive-infinity",
      "display" : "Positive Infinity (PINF)",
      "target" : [{
        "code" : "PositiveUnendlichkeit",
        "display" : "Positive Unendlichkeit",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "temp-unknown",
      "display" : "Temporarily Unknown",
      "target" : [{
        "code" : "Derzeitunbekannt",
        "display" : "Derzeit unbekannt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "unknown",
      "display" : "Unknown",
      "target" : [{
        "code" : "Unbekannt",
        "display" : "Unbekannt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "unsupported",
      "display" : "Unsupported",
      "target" : [{
        "code" : "Nichtunterstuetzt",
        "display" : "Nicht unterstützt",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://hl7.org/fhir/device-nametype",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/device-name-type-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
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      "display" : "Manufacturer name",
      "target" : [{
        "code" : "Herstellername",
        "display" : "Herstellername",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "model-name",
      "display" : "Model name",
      "target" : [{
        "code" : "Modellname",
        "display" : "Modellname",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "other",
      "display" : "other",
      "target" : [{
        "code" : "Sonstige",
        "display" : "Sonstige",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "patient-reported-name",
      "display" : "Patient Reported name",
      "target" : [{
        "code" : "PatientInberichteterName",
        "display" : "PatientInberichteter Name",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "udi-label-name",
      "display" : "UDI Label name",
      "target" : [{
        "code" : "UDIKennzeichnungsname",
        "display" : "UDI Kennzeichnungsname",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "user-friendly-name",
      "display" : "User Friendly name",
      "target" : [{
        "code" : "BenutzerfreundlicherName",
        "display" : "Benutzerfreundlicher Name",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v2-0916",
    "sourceVersion" : "2.0.0",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/hl7-vs-relevant-clincial-information-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "F",
      "display" : "Patient was fasting prior to the procedure.",
      "target" : [{
        "code" : "Nuechtern",
        "display" : "Nüchtern",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "FNA",
      "display" : "Fasting not asked of the patient at time of procedure.",
      "target" : [{
        "code" : "AufforderungzurNuechternheitnichterfolgt",
        "display" : "Aufforderung zur Nüchternheit nicht erfolgt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NF",
      "display" : "The patient indicated they did not fast prior to the procedure.",
      "target" : [{
        "code" : "Nichtnuechtern",
        "display" : "Nicht nüchtern",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NG",
      "display" : "Not Given - Patient was not asked at the time of the procedure.",
      "target" : [{
        "code" : "Nuechternstatusnichtabgefragt",
        "display" : "Nüchternstatus nicht abgefragt",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://snomed.info/sct",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/lab-specimen-additive-eu-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "115281000146102",
      "display" : "Sodium formate",
      "target" : [{
        "code" : "Natriumformiat",
        "display" : "Natriumformiat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "1256100007",
      "display" : "Edetate dipotassium",
      "target" : [{
        "code" : "Dikaliumedetat",
        "display" : "Dikaliumedetat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "1256101006",
      "display" : "Edetate tripotassium",
      "target" : [{
        "code" : "Kaliumtriphosphat",
        "display" : "Kaliumtriphosphat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "1256102004",
      "display" : "Heparin lithium",
      "target" : [{
        "code" : "Lithiumheparin",
        "display" : "Lithiumheparin",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "1259913003",
      "display" : "Heparin ammonium",
      "target" : [{
        "code" : "HeparinAmmonium",
        "display" : "Heparin-Ammonium",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "21611007",
      "display" : "Boric acid",
      "target" : [{
        "code" : "Borsaeure",
        "display" : "Borsäure",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "27763000",
      "display" : "Hydrochloric acid",
      "target" : [{
        "code" : "Salzsaeure",
        "display" : "Salzsäure",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "29725000",
      "display" : "Heparin calcium",
      "target" : [{
        "code" : "HeparinCalcium",
        "display" : "Heparin-Calcium",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "30531001",
      "display" : "Calcium oxalate",
      "target" : [{
        "code" : "Calciumoxalat",
        "display" : "Calciumoxalat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "372628006",
      "display" : "Edetate",
      "target" : [{
        "code" : "Ethylendiamintetraessigsaeure",
        "display" : "Ethylendiamintetraessigsäure",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "387418006",
      "display" : "Edetate disodium",
      "target" : [{
        "code" : "Dinatriumedetat",
        "display" : "Dinatriumedetat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "50045009",
      "display" : "Heparin sodium",
      "target" : [{
        "code" : "Natriumheparin",
        "display" : "Natriumheparin",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "50306007",
      "display" : "Sodium tetraborate",
      "target" : [{
        "code" : "Natriumtetraborat",
        "display" : "Natriumtetraborat",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "6910009",
      "display" : "Sodium fluoride",
      "target" : [{
        "code" : "Natriumfluorid",
        "display" : "Natriumfluorid",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "69519002",
      "display" : "Edetic acid",
      "target" : [{
        "code" : "Edetinsaeure",
        "display" : "Edetinsäure",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/observation-interpretation-codes-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "<",
      "display" : "Off scale low",
      "target" : [{
        "code" : "UnterhalbderanalytischenGrenze",
        "display" : "Unterhalb der analytischen Grenze",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : ">",
      "display" : "Off scale high",
      "target" : [{
        "code" : "OberhalbderanalytischenGrenze",
        "display" : "Oberhalb der analytischen Grenze",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "AA",
      "display" : "Critical abnormal",
      "target" : [{
        "code" : "Kritischabnormal",
        "display" : "Kritisch abnormal",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "AC",
      "display" : "Anti-complementary substances present",
      "target" : [{
        "code" : "VorhandeneantikomplementaereSubstanzen",
        "display" : "Vorhandene antikomplementäre Substanzen",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "B",
      "display" : "Better",
      "target" : [{
        "code" : "Besser",
        "display" : "Besser",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "CAR",
      "display" : "Carrier",
      "target" : [{
        "code" : "Anlagetraeger",
        "display" : "Anlageträger",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "Carrier",
      "display" : "Carrier",
      "target" : [{
        "code" : "Anlagetraeger",
        "display" : "Anlageträger",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "D",
      "display" : "Significant change down",
      "target" : [{
        "code" : "SignifikanterRueckgang",
        "display" : "Signifikanter Rückgang",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "DET",
      "display" : "Detected",
      "target" : [{
        "code" : "Nachgewiesen",
        "display" : "Nachgewiesen",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "E",
      "display" : "Equivocal",
      "target" : [{
        "code" : "Uneindeutig",
        "display" : "Uneindeutig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "EX",
      "display" : "outside threshold",
      "target" : [{
        "code" : "InterpretationausserhalbdesGrenzwertes",
        "display" : "Interpretation außerhalb des Grenzwertes",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "EXP",
      "display" : "Expected",
      "target" : [{
        "code" : "Erwartet",
        "display" : "Erwartet",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "H",
      "display" : "High",
      "target" : [{
        "code" : "Erhoeht",
        "display" : "Erhöht",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "H>",
      "display" : "Significantly high",
      "target" : [{
        "code" : "Signifikanterhoeht",
        "display" : "Signifikant erhöht",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HH",
      "display" : "Critical high",
      "target" : [{
        "code" : "Kritischerhoeht",
        "display" : "Kritisch erhöht",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HM",
      "display" : "Hold for Medical Review",
      "target" : [{
        "code" : "ZurmedizinischenUeberpruefungzurueckhalten",
        "display" : "Zur medizinischen Überprüfung zurückhalten",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HU",
      "display" : "Significantly high",
      "target" : [{
        "code" : "Signifikanterhoeht",
        "display" : "Signifikant erhöht",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HX",
      "display" : "above high threshold",
      "target" : [{
        "code" : "OberhalbdesoberenGrenzwert",
        "display" : "Oberhalb des oberen Grenzwert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "I",
      "display" : "Intermediate",
      "target" : [{
        "code" : "MittlereEmpfindlichkeit",
        "display" : "Mittlere Empfindlichkeit",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "IE",
      "display" : "Insufficient evidence",
      "target" : [{
        "code" : "Evidenzunzureichend",
        "display" : "Evidenz unzureichend",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "IND",
      "display" : "Indeterminate",
      "target" : [{
        "code" : "Unbestimmbar",
        "display" : "Unbestimmbar",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "L",
      "display" : "Low",
      "target" : [{
        "code" : "Erniedrigt",
        "display" : "Erniedrigt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "L<",
      "display" : "Significantly low",
      "target" : [{
        "code" : "Signifikantniedrig",
        "display" : "Signifikant niedrig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LL",
      "display" : "Critical low",
      "target" : [{
        "code" : "Kritischerniedrigt",
        "display" : "Kritisch erniedrigt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LU",
      "display" : "Significantly low",
      "target" : [{
        "code" : "Signifikantniedrig",
        "display" : "Signifikant niedrig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LX",
      "display" : "below low threshold",
      "target" : [{
        "code" : "UnterhalbdesunterenGrenzwert",
        "display" : "Unterhalb des unteren Grenzwert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "MS",
      "display" : "moderately susceptible",
      "target" : [{
        "code" : "MittlereEmpfindlichkeit",
        "display" : "Mittlere Empfindlichkeit",
        "equivalence" : "wider"
      }]
    },
    {
      "code" : "NCL",
      "display" : "No CLSI defined breakpoint",
      "target" : [{
        "code" : "KeinCLSIdefinierterSchwellenwertfuerEmpfindlichkeitverfuegbar",
        "display" : "Kein CLSI definierter Schwellenwert  für Empfindlichkeit verfügbar",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ND",
      "display" : "Not detected",
      "target" : [{
        "code" : "Nichtnachgewiesen",
        "display" : "Nicht nachgewiesen",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NEG",
      "display" : "Negative",
      "target" : [{
        "code" : "Negativ",
        "display" : "Negativ",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NR",
      "display" : "Non-reactive",
      "target" : [{
        "code" : "Nichtreaktiv",
        "display" : "Nicht reaktiv",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NS",
      "display" : "Non-susceptible",
      "target" : [{
        "code" : "Nichtempfindlich",
        "display" : "Nicht empfindlich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "OBX",
      "display" : "Interpretation qualifiers in separate OBX segments",
      "target" : [{
        "code" : "DolmetscherkennzeicheninseparatenOBXSegmenten",
        "display" : "Dolmetscherkennzeichen in separaten OBX-Segmenten",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ObservationInterpretationDetection",
      "display" : "ObservationInterpretationDetection",
      "target" : [{
        "code" : "Feststellungsinterpretation",
        "display" : "Feststellungsinterpretation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ObservationInterpretationExpectation",
      "display" : "ObservationInterpretationExpectation",
      "target" : [{
        "code" : "Erwartungsinterpretation",
        "display" : "Erwartungsinterpretation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "POS",
      "display" : "Positive",
      "target" : [{
        "code" : "Positiv",
        "display" : "Positiv",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "QCF",
      "display" : "Quality control failure",
      "target" : [{
        "code" : "VersagenderQualitaetskontrolle",
        "display" : "Versagen der Qualitätskontrolle",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "R",
      "display" : "Resistant",
      "target" : [{
        "code" : "Resistent",
        "display" : "Resistent",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "RR",
      "display" : "Reactive",
      "target" : [{
        "code" : "Reaktiv",
        "display" : "Reaktiv",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ReactivityObservationInterpretation",
      "display" : "ReactivityObservationInterpretation",
      "target" : [{
        "code" : "Reaktivitaetsinterpretation",
        "display" : "Reaktivitätsinterpretation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "S",
      "display" : "Susceptible",
      "target" : [{
        "code" : "Empfindlich",
        "display" : "Empfindlich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SDD",
      "display" : "Susceptible-dose dependent",
      "target" : [{
        "code" : "DosisKonzentrationsabhaengigeEmpfindlichkeit",
        "display" : "Dosis-/Konzentrationsabhängige Empfindlichkeit",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SYN-R",
      "display" : "Synergy - resistant",
      "target" : [{
        "code" : "ResistentgegenueberSubstanzkombination",
        "display" : "Resistent gegenüber Substanzkombination",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SYN-S",
      "display" : "Synergy - susceptible",
      "target" : [{
        "code" : "EmpfindlichgegenueberSubstanzkombination",
        "display" : "Empfindlich gegenüber Substanzkombination",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "TOX",
      "display" : "Cytotoxic substance present",
      "target" : [{
        "code" : "ZytotoxischeSubstanzvorhanden",
        "display" : "Zytotoxische Substanz vorhanden",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "U",
      "display" : "Significant change up",
      "target" : [{
        "code" : "SignifikanterAnstieg",
        "display" : "Signifikanter Anstieg",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "UNE",
      "display" : "Unexpected",
      "target" : [{
        "code" : "Unerwartet",
        "display" : "Unerwartet",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "VS",
      "display" : "very susceptible",
      "target" : [{
        "code" : "Sehrempfindlich",
        "display" : "Sehr empfindlich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "W",
      "display" : "Worse",
      "target" : [{
        "code" : "Schlechter",
        "display" : "Schlechter",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "WR",
      "display" : "Weakly reactive",
      "target" : [{
        "code" : "Schwachreaktiv",
        "display" : "Schwach reaktiv",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "_GeneticObservationInterpretation",
      "display" : "GeneticObservationInterpretation",
      "target" : [{
        "code" : "InterpretationdergenetischenAnalyse",
        "display" : "Interpretation der genetischen Analyse",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "_ObservationInterpretationChange",
      "display" : "ObservationInterpretationChange",
      "target" : [{
        "code" : "Aenderungsverlauf",
        "display" : "Änderungsverlauf",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "_ObservationInterpretationExceptions",
      "display" : "ObservationInterpretationExceptions",
      "target" : [{
        "code" : "Ausnahmewertinterpretation",
        "display" : "Ausnahmewertinterpretation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "_ObservationInterpretationNormality",
      "display" : "ObservationInterpretationNormality",
      "target" : [{
        "code" : "Normalitaetsinterpretation",
        "display" : "Normalitätsinterpretation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "_ObservationInterpretationSusceptibility",
      "display" : "ObservationInterpretationSusceptibility",
      "target" : [{
        "code" : "InterpretationderantimikrobiellenResistenztestung",
        "display" : "Interpretation der antimikrobiellen Resistenztestung",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/observation-reference-range-meaning-codes-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "endocrine",
      "display" : "Endocrine",
      "target" : [{
        "code" : "Endokrinologischadaptiert",
        "display" : "Endokrinologisch adaptiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "follicular",
      "display" : "Follicular Stage",
      "target" : [{
        "code" : "ErwartungsbereichimfollikulaerenStadium",
        "display" : "Erwartungsbereich im follikulären Stadium",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "luteal",
      "display" : "Luteal",
      "target" : [{
        "code" : "ErwartungsbereichinderlutealenPhase",
        "display" : "Erwartungsbereich in der lutealen Phase",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "midcycle",
      "display" : "MidCycle",
      "target" : [{
        "code" : "ErwartungsbereichinderZyklusmitte",
        "display" : "Erwartungsbereich in der Zyklusmitte",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "normal",
      "display" : "Normal Range",
      "target" : [{
        "code" : "Referenzbereich",
        "display" : "Referenzbereich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "post",
      "display" : "Post Therapeutic Desired Level",
      "target" : [{
        "code" : "PosttherapeutischerZielbereich",
        "display" : "Posttherapeutischer Zielbereich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "postmenopausal",
      "display" : "Post-Menopause",
      "target" : [{
        "code" : "Erwartungsbereichpostmenopausal",
        "display" : "Erwartungsbereich postmenopausal",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "pre",
      "display" : "Pre Therapeutic Desired Level",
      "target" : [{
        "code" : "PraetherapeutischerZielbereich",
        "display" : "Prätherapeutischer Zielbereich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "pre-puberty",
      "display" : "Pre-Puberty",
      "target" : [{
        "code" : "Erwartungsbereichpraepubertaer",
        "display" : "Erwartungsbereich präpubertär",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "recommended",
      "display" : "Recommended Range",
      "target" : [{
        "code" : "EntscheidungsgrenzeBewertungsgrenze",
        "display" : "Entscheidungsgrenze, Bewertungsgrenze",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "therapeutic",
      "display" : "Therapeutic Desired Level",
      "target" : [{
        "code" : "TherapeutischerZielbereich",
        "display" : "Therapeutischer Zielbereich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "treatment",
      "display" : "Treatment Range",
      "target" : [{
        "code" : "TherapeutischerBereich",
        "display" : "Therapeutischer Bereich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "type",
      "display" : "Type",
      "target" : [{
        "code" : "Generell",
        "display" : "Generell",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
    "sourceVersion" : "2018-08-12",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/provenance-activity-type-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "VRF",
      "display" : "verifier",
      "target" : [{
        "code" : "MedizinischeVerifikation",
        "display" : "Medizinische Verifikation",
        "equivalence" : "narrower",
        "comment" : "Der Begriff \"Medizinische Verifikation\" grenzt den Begriff \"verifier\" aus dem ursprünglichen Codesystem noch weiter ein, sodass der Äquivalenzgrad \"enger\" ist."
      }]
    }]
  },
  {
    "source" : "http://hl7.org/fhir/quantity-comparator",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/quantity-comparator-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "<",
      "display" : "Less than",
      "target" : [{
        "code" : "Kleiner",
        "display" : "Kleiner",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "<=",
      "display" : "Less or Equal to",
      "target" : [{
        "code" : "Kleinerodergleich",
        "display" : "Kleiner oder gleich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : ">",
      "display" : "Greater than",
      "target" : [{
        "code" : "Groesser",
        "display" : "Größer",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : ">=",
      "display" : "Greater or Equal to",
      "target" : [{
        "code" : "Groesserodergleich",
        "display" : "Größer oder gleich",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://hl7.org/fhir/request-priority",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/request-priority-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "asap",
      "display" : "ASAP",
      "target" : [{
        "code" : "Baldmoeglichst",
        "display" : "Baldmöglichst",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "stat",
      "display" : "STAT",
      "target" : [{
        "code" : "SofortNotfall",
        "display" : "Sofort/Notfall",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "urgent",
      "display" : "Urgent",
      "target" : [{
        "code" : "Dringend",
        "display" : "Dringend",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v2-0373",
    "sourceVersion" : "2.0.0",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/specimen-processing-procedure-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "ACID",
      "display" : "Acidification",
      "target" : [{
        "code" : "Aufsaeuerung",
        "display" : "Aufsäuerung",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ALK",
      "display" : "Alkalization",
      "target" : [{
        "code" : "Alkalisierung",
        "display" : "Alkalisierung",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "DEFB",
      "display" : "Defibrination",
      "target" : [{
        "code" : "Defibrinierung",
        "display" : "Defibrinierung",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LDLP",
      "display" : "LDL Precipitation",
      "target" : [{
        "code" : "LDLAusfaellung",
        "display" : "LDL-Ausfällung",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "NEUT",
      "display" : "Neutralization",
      "target" : [{
        "code" : "Neutralisierung",
        "display" : "Neutralisierung",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "RECA",
      "display" : "Recalification",
      "target" : [{
        "code" : "Rekalkifizierung",
        "display" : "Rekalkifizierung",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://hl7.org/fhir/specimen-status",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/specimen-status-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "available",
      "display" : "Available",
      "target" : [{
        "code" : "Verfuegbar",
        "display" : "Verfügbar",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "entered-in-error",
      "display" : "Entered in Error",
      "target" : [{
        "code" : "IrrtuermlicheEingabe",
        "display" : "Irrtürmliche Eingabe",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "unavailable",
      "display" : "Unavailable",
      "target" : [{
        "code" : "Nichtverfuegbar",
        "display" : "Nicht verfügbar",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "unsatisfactory",
      "display" : "Unsatisfactory",
      "target" : [{
        "code" : "Nichtgeeignet",
        "display" : "Nicht geeignet",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://hl7.org/fhir/observation-status",
    "sourceVersion" : "4.0.1",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/observation-status-dglp-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "amended",
      "display" : "Amended",
      "target" : [{
        "code" : "Geaendert",
        "display" : "Geändert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "cancelled",
      "display" : "Cancelled",
      "target" : [{
        "code" : "Storniert",
        "display" : "Storniert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "corrected",
      "display" : "Corrected",
      "target" : [{
        "code" : "Korrigiert",
        "display" : "Korrigiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "entered-in-error",
      "display" : "Entered in Error",
      "target" : [{
        "code" : "IrrtuemlicheEingabe",
        "display" : "Irrtümliche Eingabe",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "final",
      "display" : "Final",
      "target" : [{
        "code" : "Abgeschlossen",
        "display" : "Abgeschlossen",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "preliminary",
      "display" : "Preliminary",
      "target" : [{
        "code" : "Vorlaeufig",
        "display" : "Vorläufig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "registered",
      "display" : "Registered",
      "target" : [{
        "code" : "Registriert",
        "display" : "Registriert",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
    "sourceVersion" : "2.0.0",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/reference-range-applies-to-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "female-typical",
      "display" : "Apply female-typical setting or reference range",
      "target" : [{
        "code" : "Klinischweiblich",
        "display" : "Klinisch weiblich",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "male-typical",
      "display" : "Apply male-typical setting or reference range",
      "target" : [{
        "code" : "Klinischmaennlich",
        "display" : "Klinisch männlich",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://snomed.info/sct",
    "sourceVersion" : "http://snomed.info/sct/11000274103/version/20260515",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/specimen-condition-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "373881006",
      "display" : "Unsatisfactory for evaluation due to lack of patient identification on specimen and/or requisition form",
      "target" : [{
        "code" : "FehlendePatientenidentifikation",
        "display" : "Fehlende Patientenidentifikation",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "448140007",
      "display" : "Specimen unsatisfactory for evaluation due to obscuring lubricant jelly",
      "target" : [{
        "code" : "Geliert",
        "display" : "Geliert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "448141006",
      "display" : "Specimen unsatisfactory for evaluation due to marked cellular degeneration",
      "target" : [{
        "code" : "Zelldegeneration",
        "display" : "Zelldegeneration",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "710070002",
      "display" : "Specimen unsatisfactory for evaluation due to broken container",
      "target" : [{
        "code" : "Probenbehaelterzerbrochen",
        "display" : "Probenbehälter zerbrochen",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "712743008",
      "display" : "Specimen unsatisfactory for evaluation due to improper storage of specimen",
      "target" : [{
        "code" : "Haemolyse",
        "display" : "Hämolyse",
        "equivalence" : "narrower",
        "comment" : "Der Begriff \"Hämolyse\" grenzt den Begriff \"Specimen unsatisfactory for evaluation due to improper storage of sample\" aus dem ursprünglichen Codesystem noch weiter ein, sodass der Äquivalenzgrad \"enger\" ist."
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v2-0493",
    "sourceVersion" : "3.0.0",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/specimen-condition-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "AUT",
      "display" : "Autolyzed",
      "target" : [{
        "code" : "Autolysiert",
        "display" : "Autolysiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "CFU",
      "display" : "Centrifuged",
      "target" : [{
        "code" : "Zentrifugiert",
        "display" : "Zentrifugiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "CLOT",
      "display" : "Clotted",
      "target" : [{
        "code" : "Verklumpt",
        "display" : "Verklumpt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "CON",
      "display" : "Contaminated",
      "target" : [{
        "code" : "Kontaminiert",
        "display" : "Kontaminiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "COOL",
      "display" : "Cool",
      "target" : [{
        "code" : "Gekuehlt",
        "display" : "Gekühlt",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "FROZ",
      "display" : "Frozen",
      "target" : [{
        "code" : "Gefroren",
        "display" : "Gefroren",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "HEM",
      "display" : "Hemolyzed",
      "target" : [{
        "code" : "Haemolysiert",
        "display" : "Hämolysiert",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LIVE",
      "display" : "Live",
      "target" : [{
        "code" : "Lebendig",
        "display" : "Lebendig",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "ROOM",
      "display" : "Room Temperature",
      "target" : [{
        "code" : "Raumtemperatur",
        "display" : "Raumtemperatur",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SNR",
      "display" : "Sample not received",
      "target" : [{
        "code" : "Probenichterhalten",
        "display" : "Probe nicht erhalten",
        "equivalence" : "equivalent"
      }]
    }]
  },
  {
    "source" : "http://terminology.hl7.org/CodeSystem/v2-0203",
    "sourceVersion" : "5.0.0",
    "target" : "https://gematik.de/fhir/epa-laboratory/CodeSystem/specimen-identifier-type-cs-german",
    "targetVersion" : "1.0.0",
    "element" : [{
      "code" : "ACSN",
      "display" : "Accession ID",
      "target" : [{
        "code" : "EingangsID",
        "display" : "Eingangs-ID",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "BSNR",
      "display" : "Primary physician office number",
      "target" : [{
        "code" : "Betriebsstaettennummer",
        "display" : "Betriebsstättennummer",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "FILL",
      "display" : "Filler Identifier",
      "target" : [{
        "code" : "IdentifikatordesAuftragnehmers",
        "display" : "Identifikator des Auftragnehmers",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "LACSN",
      "display" : "Laboratory Accession ID",
      "target" : [{
        "code" : "LaborzugangsID",
        "display" : "Laborzugangs-ID",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "MCN",
      "display" : "Microchip Number",
      "target" : [{
        "code" : "MikrochipNummer",
        "display" : "Mikrochip-Nummer",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "PLAC",
      "display" : "Placer Identifier",
      "target" : [{
        "code" : "IdentifikatordesAuftraggebers",
        "display" : "Identifikator des Auftraggebers",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SID",
      "display" : "Specimen ID",
      "target" : [{
        "code" : "ProbenID",
        "display" : "Proben-ID",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "SNO",
      "display" : "Serial Number",
      "target" : [{
        "code" : "Seriennummer",
        "display" : "Seriennummer",
        "equivalence" : "equivalent"
      }]
    },
    {
      "code" : "USID",
      "display" : "Unique Specimen ID",
      "target" : [{
        "code" : "EindeutigeProbenID",
        "display" : "Eindeutige Proben-ID",
        "equivalence" : "equivalent"
      }]
    }]
  }]
}