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Source1

{
  "resourceType": "Observation",
  "id": "Example_Observation_Tumorstadium",
  "meta": {
    "profile": [
      "http://uk-koeln.de/fhir/StructureDefinition/Observation/nNGM/tumorstadium"
    ]
  },
  "extension": [
    {
      "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-kurativ-operabel",
      "valueBoolean": false
    },
    {
      "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-erstdiagnose",
      "valueBoolean": false
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "260879005"
      }
    ]
  },
  "subject": {
    "reference": "Patient/Example_Patient_Patient-567314-Pseudonym",
    "identifier": {
      "type": {
        "coding": [
          {
            "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/identifier-type",
            "code": "P"
          }
        ]
      },
      "system": "http://uk-koeln.de/fhir/sid/nNGM/patient-pseudonym",
      "value": "567314"
    }
  },
  "effectiveDateTime": "2022-07-18",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "urn:oid:2.16.840.1.113883.15.16",
        "code": "IVA"
      }
    ]
  },
  "component": [
    {
      "extension": [
        {
          "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/tnm-cpu-praefix",
                "code": "c"
              }
            ]
          }
        },
        {
          "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-suffix-t",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/tnm-suffix-t",
                "code": "is"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "78873005"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.15.16",
            "code": "T1b"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/tnm-cpu-praefix",
                "code": "c"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "277206009"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.15.16",
            "code": "N2"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/tnm-cpu-praefix",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/tnm-cpu-praefix",
                "code": "c"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "277208005"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.15.16",
            "code": "M1a"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "399566009"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.15.16",
            "code": "r"
          }
        ]
      }
    }
  ]
}