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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "51b6129a-b68c-485d-a37b-9593fee4354f",
  "meta": {
    "profile": [
      "https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study-group"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "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"
      }
    }
  ],
  "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": {
    "coding": [
      {
        "system": "https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group",
        "code": "laboruntersuchungsgruppe",
        "display": "Laboruntersuchungsgruppe"
      }
    ]
  },
  "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": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
        "valueCode": "not-permitted"
      }
    ]
  },
  "performer": [
    {
      "reference": "PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a"
    }
  ],
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "version": "4.0.0",
          "code": "D",
          "display": "Significant change down"
        },
        {
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/11000274103/version/20260515",
          "code": "281300000",
          "display": "Below reference range (qualifier value)"
        }
      ],
      "text": "test"
    }
  ],
  "note": [
    {
      "text": "test"
    }
  ],
  "hasMember": [
    {
      "extension": [
        {
          "url": "https://gematik.de/fhir/ti/StructureDefinition/sorting-number-extension",
          "valuePositiveInt": 1
        }
      ],
      "reference": "Observation/035761c3-8934-499f-bf34-3963979afb56"
    }
  ]
}