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Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-labor-laborwert-data-absent-reason",
  "meta": {
    "security": [
      {
        "code": "HTEST",
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "display": "test health data"
      }
    ],
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/ObservationLab|2026.0.0"
    ]
  },
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "OBI"
          }
        ]
      },
      "system": "https://exmaple.org/fhir/sid/test-lab-results",
      "value": "59826-8_1234567890",
      "assigner": {
        "identifier": {
          "system": "https://www.medizininformatik-initiative.de/fhir/core/CodeSystem/core-location-identifier",
          "value": "DIZ-ID"
        }
      }
    }
  ],
  "category": [
    {
      "coding": [
        {
          "code": "26436-6",
          "system": "http://loinc.org",
          "display": "Laboruntersuchungen"
        },
        {
          "code": "laboratory",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "display": "Laboratory"
        },
        {
          "code": "Niere/Elektrolyte",
          "system": "http://example.org/fhir/sid/Laborgruppe"
        }
      ]
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "code": "59826-8",
        "system": "http://loinc.org",
        "display": "Creatinin [Mol/Volumen] in Blut"
      }
    ],
    "text": "Kreatinin"
  },
  "subject": {
    "reference": "Patient/111"
  },
  "encounter": {
    "reference": "Encounter/555"
  },
  "effectiveDateTime": "2018-11-20T12:05:00+01:00",
  "_effectiveDateTime": {
    "extension": [
      {
        "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-labor/StructureDefinition/QuelleKlinischesBezugsdatum",
        "valueCoding": {
          "code": "399445004",
          "system": "http://snomed.info/sct",
          "version": "http://snomed.info/sct/900000000000207008/version/20250701",
          "display": "Specimen collection date (observable entity)"
        }
      }
    ]
  },
  "issued": "2018-03-11T10:28:00+01:00",
  "performer": [
    {
      "reference": "Organization/7772",
      "display": "Zentrallabor des IKCL"
    }
  ],
  "dataAbsentReason": {
    "coding": [
      {
        "code": "unknown",
        "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason"
      }
    ]
  },
  "interpretation": [
    {
      "coding": [
        {
          "code": "N",
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"
        }
      ]
    }
  ],
  "referenceRange": [
    {
      "low": {
        "value": 72
      },
      "high": {
        "value": 127
      },
      "type": {
        "coding": [
          {
            "code": "normal",
            "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
            "display": "Normal Range"
          }
        ]
      }
    }
  ]
}