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Source1

{
  "resourceType": "AdverseEvent",
  "id": "mii-exa-onko-nebenwirkung-crs-grad4",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-nebenwirkung-adverse-event"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-ex-onko-nebenwirkung-ctcae-version",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-nebenwirkung-ctcae-version",
            "code": "4.03",
            "display": "CTCAE Version 4.03"
          }
        ]
      }
    }
  ],
  "actuality": "actual",
  "event": {
    "coding": [
      {
        "system": "https://www.meddra.org",
        "code": "10052015",
        "display": "Zytokin-Freisetzungs-Syndrom"
      },
      {
        "system": "http://snomed.info/sct",
        "code": "710027002",
        "display": "Cytokine release syndrome"
      }
    ]
  },
  "subject": {
    "reference": "Patient/PatientKimMusterperson"
  },
  "date": "2021-09-02",
  "seriousness": {
    "coding": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-nebenwirkung-ctcae-grad",
        "code": "4",
        "display": "lebensbedrohlich"
      }
    ]
  },
  "suspectEntity": [
    {
      "instance": {
        "reference": "MedicationStatement/PatientKimMusterperson-SystemicTherapyMedication-1a"
      }
    }
  ]
}