{
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  "language" : "de",
  "text" : {
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    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation 51b6129a-b68c-485d-a37b-9593fee4354f</b></p><a name=\"51b6129a-b68c-485d-a37b-9593fee4354f\"> </a><a name=\"hc51b6129a-b68c-485d-a37b-9593fee4354f\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ti-observation-laboratory-study-group.html\">TI Observation Laboratory Study Group</a></p></div><p><b>Laboruntersuchungsgruppe / Test-Profil</b>: <span title=\"Codes:{https://gematik.de/fhir/terminology/CodeSystem/laboratory-test-profile haemato}\">Hämatologie</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span>, <span title=\"Codes:{http://loinc.org 18717-9}\">test</span></p><p><b>code</b>: <span title=\"Codes:{https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group laboruntersuchungsgruppe}\">Laboruntersuchungsgruppe</span></p><p><b>subject</b>: <a href=\"Patient-c78415a2-9285-403d-9fda-1b8e24e30964.html\">Monika Gundlach (official) Female, DoB: 1954-02-27 ( http://fhir.de/sid/gkv/kvid-10#NamingSystemKVID#G995030566)</a></p><p><b>effective</b>: Absent because : not-permitted</p><p><b>performer</b>: <a href=\"PractitionerRole-a424d6c6-de52-443e-a9b2-5240d3b9401a.html\">PractitionerRole</a></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation D}, {http://snomed.info/sct 281300000}\">test</span></p><p><b>note</b>: </p><blockquote><div><p>test</p>\n</div></blockquote><p><b>hasMember</b>: <a href=\"Observation-035761c3-8934-499f-bf34-3963979afb56.html\">Observation </a></p></div>"
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        "code" : "haemato",
        "display" : "Hämatologie"
      }],
      "text" : "Hämatologie"
    }
  }],
  "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" : {
    "coding" : [{
      "system" : "https://gematik.de/fhir/terminology/CodeSystem/laboratory-study-group",
      "code" : "laboruntersuchungsgruppe",
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  "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"
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  },
  "_effectiveDateTime" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
      "valueCode" : "not-permitted"
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  "performer" : [{
    "reference" : "PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a"
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  "interpretation" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "version" : "4.0.0",
      "code" : "D",
      "display" : "Significant change down"
    },
    {
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/11000274103/version/20260515",
      "code" : "281300000",
      "display" : "Below reference range (qualifier value)"
    }],
    "text" : "test"
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  "note" : [{
    "text" : "test"
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  "hasMember" : [{
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    "reference" : "Observation/035761c3-8934-499f-bf34-3963979afb56"
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