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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "BloodGroup-codedResult-2",
  "meta": {
    "profile": [
      "http://fhir.ch/ig/ch-lab-report/StructureDefinition/ch-lab-observation-blood-group"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "system": "http://example.org/Labor-Pipette/labvalues",
      "value": "1304-03760-blood-group-component"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "laboratory"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "421661004",
          "display": "Blood banking and transfusion medicine (specialty) (qualifier value)"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "18717-9",
          "display": "Blood bank studies (set)"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "20099001"
      }
    ],
    "text": "Blood typing, ABO, Rho(D) and red blood cell antibody screening (procedure)"
  },
  "subject": {
    "reference": "urn:uuid:6b8a0365-5022-403b-a5a5-8d8680d701ef",
    "display": "Hans Guggindieluft"
  },
  "effectiveDateTime": "2024-04-23T11:24:26+01:00",
  "issued": "2024-04-24T11:24:26+01:00",
  "performer": [
    {
      "reference": "urn:uuid:12328339-f7d6-4bb6-80e4-89fd03ce5052",
      "display": "Eva Erlenmeyer"
    }
  ],
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "258075003",
        "display": "Serotyping (qualifier value)"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "883-9",
            "display": "ABO group [Type] in Blood"
          }
        ],
        "text": "Blutgruppe"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "112144000",
            "display": "Blood group A"
          }
        ],
        "text": "A"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "10331-7",
            "display": "Rh [Type] in Blood"
          }
        ],
        "text": "Rhesus D / Untergruppe"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "165747007",
            "display": "RhD positive"
          }
        ],
        "text": "positiv"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "890-4",
            "display": "Blood group antibody screen [Presence] in Serum or Plasma"
          }
        ],
        "text": "Antikörpersuchtest"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "568111000005107",
            "display": "Irregular blood group antibody not detected"
          }
        ],
        "text": "negativ"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55776-9",
            "display": "Direct antiglobulin test.IgG specific reagent [Presence] on Red Blood Cells"
          }
        ],
        "text": "DAT (IgG)"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260415000",
            "display": "Not detected"
          }
        ],
        "text": "negativ"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "55774-4",
            "display": "Direct antiglobulin test.complement C3d specific reagent [Presence] on Red Blood Cells"
          }
        ],
        "text": "DAT (C3d)"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260415000",
            "display": "Not detected"
          }
        ],
        "text": "negativ"
      }
    }
  ]
}