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Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-kardio-mrs",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/StructureDefinition/mii-pr-kardio-score-modifizierte-rankin-skala"
    ]
  },
  "contained": [
    {
      "resourceType": "Patient",
      "id": "Beispielpatient",
      "identifier": [
        {
          "use": "usual",
          "type": {
            "coding": [
              {
                "code": "MR",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "version": "5.0.0",
                "display": "Krankenaktennummer"
              }
            ]
          },
          "value": "0123456789"
        }
      ],
      "name": [
        {
          "given": [
            "Max"
          ],
          "use": "official",
          "family": "Mustermann"
        }
      ],
      "address": [
        {
          "line": [
            "Musterstraße 1"
          ],
          "type": "both",
          "city": "Musterstadt",
          "postalCode": "12345",
          "country": "DE"
        }
      ],
      "language": "de",
      "gender": "male",
      "birthDate": "1980-01-01"
    },
    {
      "resourceType": "Encounter",
      "id": "Beispielfall",
      "subject": {
        "reference": "#Beispielpatient"
      },
      "period": {
        "start": "2023-12-01T10:00:00+01:00",
        "end": "2023-12-03T11:00:00+01:00"
      },
      "language": "de",
      "status": "finished",
      "class": {
        "code": "IMP",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "10.0.0"
      }
    }
  ],
  "identifier": [
    {
      "system": "http://demo.org/observation-ids",
      "value": "MRS-OBS-123457"
    }
  ],
  "code": {
    "coding": [
      {
        "code": "1255866005",
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/900000000000207008/version/20260701",
        "display": "Modified Rankin Scale score"
      },
      {
        "code": "75859-9",
        "system": "http://loinc.org",
        "version": "2.83",
        "display": "Modified rankin scale"
      }
    ]
  },
  "performer": [
    {
      "display": "Beispielkardiologe"
    }
  ],
  "note": [
    {
      "text": "Die Einstufung auf der mRS-Skala liegt bei mehr als 3 (Patient kann nicht ohne fremde Hilfe gehen)"
    }
  ],
  "category": [
    {
      "coding": [
        {
          "code": "survey",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category"
        }
      ]
    }
  ],
  "language": "de",
  "status": "final",
  "subject": {
    "reference": "#Beispielpatient"
  },
  "encounter": {
    "reference": "#Beispielfall"
  },
  "effectiveDateTime": "2024-11-12T14:23:00+01:00",
  "issued": "2024-11-12T15:00:00+01:00",
  "valueCodeableConcept": {
    "coding": [
      {
        "code": "mRSbigger3",
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-kardio/CodeSystem/mii-cs-kardio-modifizierte-rankin-skala",
        "version": "2027.0.0-ballot",
        "display": "Die Einstufung auf der mRS-Skala liegt bei mehr als 3 (Patient kann nicht ohne fremde Hilfe gehen)"
      }
    ]
  }
}