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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "mii-exa-seltene-icf-koerperstruktur",
  "meta": {
    "profile": [
      "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/StructureDefinition/mii-pr-seltene-icf-assessment|2027.0.0-ballot"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/icf",
        "code": "s120",
        "display": "Spinal cord and related structures"
      }
    ]
  },
  "subject": {
    "reference": "Patient/mii-exa-seltene-patient-sma-001"
  },
  "effectiveDateTime": "2025-07-01",
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal",
            "code": "extent-of-impairment-structure"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://terminologien.bfarm.de/fhir/CodeSystem/icf-q-ausmass-der-schaedigung-s",
            "code": ".3",
            "display": "Schädigung erheblich ausgeprägt (hoch, äußerst ...) 50-95 %"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal",
            "code": "nature-of-change"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://terminologien.bfarm.de/fhir/CodeSystem/icf-q-art-oder-veraenderung-in-der-entsprechenden-koerperstruktur",
            "code": "7",
            "display": "qualitative Strukturveränderung, einschließlich Ansammlung von Flüssigkeit"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "https://www.medizininformatik-initiative.de/fhir/ext/modul-seltene/CodeSystem/mii-cs-seltene-icf-beurteilungsmerkmal",
            "code": "anatomical-location"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://terminologien.bfarm.de/fhir/CodeSystem/icf-q-anatomische-lokalisation",
            "code": "3",
            "display": "beidseitig"
          }
        ]
      }
    }
  ]
}