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Source1

{
  "resourceType": "Observation",
  "id": "Example_Observation_Vitalstatus",
  "meta": {
    "profile": [
      "http://uk-koeln.de/fhir/StructureDefinition/nNGM/Vitalstatus"
    ]
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "67162-8"
      }
    ]
  },
  "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": "2022-07-19",
  "valueCodeableConcept": {
    "extension": [
      {
        "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/todesdatum",
        "valueDateTime": "2021-05-05"
      },
      {
        "url": "http://uk-koeln.de/fhir/StructureDefinition/Extension/nNGM/iqt",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/izt",
              "code": "Arztbrief"
            }
          ]
        }
      }
    ],
    "coding": [
      {
        "system": "http://uk-koeln.de/fhir/CodeSystem/nNGM/Vitalstatus",
        "code": "T"
      }
    ]
  }
}