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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-onko-mamma-her2neu-status",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/StructureDefinition/mii-pr-onko-mamma-her2neu-status|2027.0.0-ballot.1"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "48676-1",
        "display": "HER2 Ag [Interpretation] in Tissue"
      }
    ]
  },
  "subject": {
    "reference": "Patient/mii-exa-onko-mamma-bundle-patient"
  },
  "focus": [
    {
      "reference": "Condition/mii-exa-onko-mamma-diagnose"
    }
  ],
  "effectiveDateTime": "2024-01-10T10:00:00Z",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-mamma-her2neu-status-obds",
        "code": "P",
        "display": "positiv"
      },
      {
        "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-onko/CodeSystem/mii-cs-onko-mamma-her2neu-status-leitlinie",
        "code": "positiv",
        "display": "HER2-positiv"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "85319-2",
            "display": "HER2 Ag [Presence] in Breast cancer specimen by Immune stain"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA11843-2",
            "display": "3+"
          }
        ]
      }
    }
  ]
}