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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "035761c3-8934-499f-bf34-3963979afb56",
  "meta": {
    "profile": [
      "https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.eu/fhir/StructureDefinition/laboratory-accredited",
      "valueBoolean": true
    },
    {
      "url": "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://gematik.de/fhir/terminology/CodeSystem/laboratory-test-profile",
            "code": "haemato",
            "display": "Hämatologie"
          }
        ],
        "text": "Hämatologie"
      }
    },
    {
      "url": "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension",
      "valueBoolean": true
    },
    {
      "url": "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension",
      "valueBoolean": true
    },
    {
      "url": "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension",
      "valueDecimal": 2
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "version": "5.0.0",
            "code": "OBI",
            "display": "Observation Instance Identifier"
          }
        ]
      },
      "system": "http://www.acmedasdd.com/identifiers/patient",
      "value": "123456"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "version": "5.0.0",
            "code": "UDI",
            "display": "Universal Device Identifier"
          }
        ]
      },
      "system": "http://www.acmedasdd.com/identifiers/patient",
      "value": "123456"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "version": "2.0.0",
          "code": "laboratory",
          "display": "Laboratory"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "18717-9",
          "display": "Blood bank studies (set)"
        }
      ],
      "text": "test"
    }
  ],
  "code": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode": "unknown"
      }
    ],
    "text": "Urate [Mass/volume] in Blood"
  },
  "subject": {
    "reference": "Patient/c78415a2-9285-403d-9fda-1b8e24e30964",
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://fhir.de/CodeSystem/identifier-type-de-basis",
            "code": "KVZ10",
            "display": "Krankenversichertennummer"
          }
        ]
      },
      "system": "http://fhir.de/sid/gkv/kvid-10",
      "value": "K123456789"
    }
  },
  "effectiveDateTime": "2021-11-15T11:30:00+01:00",
  "issued": "2021-11-15T11:30:00+01:00",
  "performer": [
    {
      "reference": "PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a"
    }
  ],
  "valueQuantity": {
    "value": 6.5,
    "unit": "mg/dL",
    "system": "http://unitsofmeasure.org",
    "code": "mg/dL"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "version": "4.0.0",
          "code": "CAR",
          "display": "Carrier"
        },
        {
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/11000274103/version/20260515",
          "code": "371152001",
          "display": "Assisted (qualifier value)"
        }
      ],
      "text": "test"
    }
  ],
  "note": [
    {
      "text": "**Name**"
    }
  ],
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/11000274103/version/20260515",
        "code": "4241000179101",
        "display": "Laboratory report (record artifact)"
      }
    ],
    "text": "Blutgruppe"
  },
  "specimen": {
    "reference": "Specimen/4f47fe9c-d92e-46f4-ad6d-85740aaa467b"
  },
  "device": {
    "reference": "Device/18a30aa6-3b2d-4738-9ca9-125a452d14e0"
  },
  "referenceRange": [
    {
      "extension": [
        {
          "url": "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "version": "http://snomed.info/sct/11000274103/version/20260515",
                "code": "260394003",
                "display": "Normal limits (qualifier value)"
              }
            ],
            "text": "note"
          }
        },
        {
          "url": "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension",
          "valueBoolean": true
        }
      ],
      "low": {
        "value": 3,
        "unit": "mg/dL",
        "system": "http://unitsofmeasure.org",
        "code": "mg/dL"
      },
      "high": {
        "value": 10,
        "unit": "mg/dL",
        "system": "http://unitsofmeasure.org",
        "code": "mg/dL"
      },
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "version": "1.0.1",
            "code": "type",
            "display": "Type"
          }
        ],
        "text": "test"
      },
      "appliesTo": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
              "version": "2.0.0",
              "code": "female-typical",
              "display": "Apply female-typical setting or reference range"
            }
          ],
          "text": "Test"
        }
      ],
      "text": "test"
    }
  ],
  "derivedFrom": [
    {
      "reference": "Observation/035761c3-8934-499f-bf34-3963979afb56"
    }
  ]
}