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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-seltene-hpo-assessment-severity",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-hpo-assessment|2027.0.0-ballot"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://human-phenotype-ontology.org",
        "code": "HP:0001638",
        "display": "Cardiomyopathy"
      }
    ]
  },
  "subject": {
    "reference": "Patient/mii-exa-seltene-patient"
  },
  "effectiveDateTime": "2024-01-15",
  "note": [
    {
      "text": "Moderate cardiomyopathy confirmed by echocardiography. Both presence status and severity grade are captured in separate components."
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260411009",
            "display": "Presence findings"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "LA9633-4",
            "display": "Present"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://human-phenotype-ontology.org",
            "code": "HP:0012824",
            "display": "Severity"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://human-phenotype-ontology.org",
            "code": "HP:0012826",
            "display": "Moderate"
          }
        ]
      }
    }
  ]
}