{ "resourceType" : "Observation", "id" : "035761c3-8934-499f-bf34-3963979afb56", "meta" : { "profile" : ["https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: Observation 035761c3-8934-499f-bf34-3963979afb56

Profile: TI Observation Laboratory Study

Laboratory Accredited: true

Laboruntersuchungsgruppe / Test-Profil: Hämatologie

Kennzeichen Fremdleistung: true

Kennzeichen Verbundleistung: true

zLog-Wert: 2

identifier: Observation Instance Identifier/123456, Universal Device Identifier/123456

status: Final

category: Laboratory, test

code: Urate [Mass/volume] in Blood

subject: Monika Gundlach (official) Female, DoB: 1954-02-27 ( http://fhir.de/sid/gkv/kvid-10#NamingSystemKVID#G995030566)

effective: 2021-11-15 11:30:00+0100

issued: 2021-11-15 11:30:00+0100

performer: PractitionerRole

value: 6.5 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

interpretation: test

note:

Name

\n

method: Blutgruppe

specimen: Specimen: extension = ->Device: identifier = Universal Device Identifier: 123456; distinctIdentifier = example; manufactureDate = 2024-04-01 16:55:00+0100; expirationDate = 2026-04-01 16:55:00+0100; lotNumber = 12345; serialNumber = 9654537; modelNumber = 123456789; type = Bile collection bag; note = test; identifier = Specimen ID: Test Specimen identifier; status = available; type = Gewebeprobe; receivedTime = 2021-11-15 16:55:00+0100; condition = Autolyzed; note = test

device: Device: identifier = Universal Device Identifier: 345675; distinctIdentifier = example; manufactureDate = 2021-11-15 16:55:00+0100; expirationDate = 2021-11-15 16:55:00+0100; lotNumber = 12345; serialNumber = 12345; modelNumber = 123456789; type = Medical laboratory analyzer; note = test

referenceRange

Quelle der Richtgrenze: note

Kennzeichen Nicht-linearer Wertebereich: true

low: 3 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

high: 10 mg/dL (Details: UCUM codemg/dL = 'mg/dL')

type: test

appliesTo: Test

text: test

derivedFrom: Observation

" }, "extension" : [{ "url" : "http://hl7.eu/fhir/StructureDefinition/laboratory-accredited", "valueBoolean" : true }, { "url" : "https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension", "valueCodeableConcept" : { "coding" : [{ "system" : "https://gematik.de/fhir/terminology/CodeSystem/laboratory-test-profile", "code" : "haemato", "display" : "Hämatologie" }], "text" : "Hämatologie" } }, { "url" : "https://gematik.de/fhir/ti/StructureDefinition/external-service-extension", "valueBoolean" : true }, { "url" : "https://gematik.de/fhir/ti/StructureDefinition/association-service-laboratory-extension", "valueBoolean" : true }, { "url" : "https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension", "valueDecimal" : 2 }], "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "version" : "5.0.0", "code" : "OBI", "display" : "Observation Instance Identifier" }] }, "system" : "http://www.acmedasdd.com/identifiers/patient", "value" : "123456" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "version" : "5.0.0", "code" : "UDI", "display" : "Universal Device Identifier" }] }, "system" : "http://www.acmedasdd.com/identifiers/patient", "value" : "123456" }], "status" : "final", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/observation-category", "version" : "2.0.0", "code" : "laboratory", "display" : "Laboratory" }] }, { "coding" : [{ "system" : "http://loinc.org", "code" : "18717-9", "display" : "Blood bank studies (set)" }], "text" : "test" }], "code" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason", "valueCode" : "unknown" }], "text" : "Urate [Mass/volume] in Blood" }, "subject" : { "reference" : "Patient/c78415a2-9285-403d-9fda-1b8e24e30964", "identifier" : { "type" : { "coding" : [{ "system" : "http://fhir.de/CodeSystem/identifier-type-de-basis", "code" : "KVZ10", "display" : "Krankenversichertennummer" }] }, "system" : "http://fhir.de/sid/gkv/kvid-10", "value" : "K123456789" } }, "effectiveDateTime" : "2021-11-15T11:30:00+01:00", "issued" : "2021-11-15T11:30:00+01:00", "performer" : [{ "reference" : "PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a" }], "valueQuantity" : { "value" : 6.5, "unit" : "mg/dL", "system" : "http://unitsofmeasure.org", "code" : "mg/dL" }, "interpretation" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "version" : "4.0.0", "code" : "CAR", "display" : "Carrier" }, { "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/11000274103/version/20260515", "code" : "371152001", "display" : "Assisted (qualifier value)" }], "text" : "test" }], "note" : [{ "text" : "**Name**" }], "method" : { "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/11000274103/version/20260515", "code" : "4241000179101", "display" : "Laboratory report (record artifact)" }], "text" : "Blutgruppe" }, "specimen" : { "reference" : "Specimen/4f47fe9c-d92e-46f4-ad6d-85740aaa467b" }, "device" : { "reference" : "Device/18a30aa6-3b2d-4738-9ca9-125a452d14e0" }, "referenceRange" : [{ "extension" : [{ "url" : "https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension", "valueCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "version" : "http://snomed.info/sct/11000274103/version/20260515", "code" : "260394003", "display" : "Normal limits (qualifier value)" }], "text" : "note" } }, { "url" : "https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension", "valueBoolean" : true }], "low" : { "value" : 3, "unit" : "mg/dL", "system" : "http://unitsofmeasure.org", "code" : "mg/dL" }, "high" : { "value" : 10, "unit" : "mg/dL", "system" : "http://unitsofmeasure.org", "code" : "mg/dL" }, "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning", "version" : "1.0.1", "code" : "type", "display" : "Type" }], "text" : "test" }, "appliesTo" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use", "version" : "2.0.0", "code" : "female-typical", "display" : "Apply female-typical setting or reference range" }], "text" : "Test" }], "text" : "test" }], "derivedFrom" : [{ "reference" : "Observation/035761c3-8934-499f-bf34-3963979afb56" }] }