<Observation xmlns="http://hl7.org/fhir">
<id value="c1b00183-b205-48a8-9d07-31fc8b6aa74e"/>
<meta>
<profile
value="https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study"/>
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<language value="de"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation c1b00183-b205-48a8-9d07-31fc8b6aa74e</b></p><a name="c1b00183-b205-48a8-9d07-31fc8b6aa74e"> </a><a name="hcc1b00183-b205-48a8-9d07-31fc8b6aa74e"> </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.html">TI Observation Laboratory Study</a></p></div><p><b>Laboratory Accredited</b>: true</p><p><b>Laboruntersuchungsgruppe / Test-Profil</b>: <span title="Codes:{https://gematik.de/fhir/terminology/CodeSystem/laboratory-test-profile haemato}">Hämatologie</span></p><p><b>Kennzeichen Fremdleistung</b>: true</p><p><b>Kennzeichen Verbundleistung</b>: true</p><p><b>zLog-Wert</b>: 2</p><blockquote><p><b>Messergebnis Alternative Einheit</b></p><ul><li>code: <span title="Codes:{http://loinc.org 3084-1}">Harnsäure [Masse/Volumen] in Serum oder Plasma</span></li><li>value: 6.5 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span>/8.5 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></li><li>referenceRange: 3-10 mg/dL</li><li>zlog: 2</li></ul></blockquote><p><b>identifier</b>: Observation Instance Identifier/123456</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:{http://loinc.org 14933-6}">test</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>: 2021-11-15 11:30:00+0100</p><p><b>issued</b>: 2021-11-15 11:30:00+0100</p><p><b>performer</b>: <a href="PractitionerRole-a424d6c6-de52-443e-a9b2-5240d3b9401a.html">PractitionerRole</a></p><p><b>value</b>: 0.2-0.6 mmol/L</p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation CAR}, {http://snomed.info/sct 371152001}">test</span></p><p><b>note</b>: </p><blockquote><div><p>test</p>
</div></blockquote><p><b>method</b>: <span title="Codes:{http://snomed.info/sct 4241000179101}">Blutgruppe</span></p><p><b>specimen</b>: <a href="Specimen-4f47fe9c-d92e-46f4-ad6d-85740aaa467b.html">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</a></p><p><b>device</b>: <a href="Device-18a30aa6-3b2d-4738-9ca9-125a452d14e0.html">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</a></p><blockquote><p><b>referenceRange</b></p><p><b>Quelle der Richtgrenze</b>: <span title="Codes:{http://snomed.info/sct 260394003}">note</span></p><p><b>Kennzeichen Nicht-linearer Wertebereich</b>: true</p><p><b>low</b>: 3 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>high</b>: 10 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning type}">test</span></p><p><b>appliesTo</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use female-typical}">Test</span></p><p><b>text</b>: test</p></blockquote><p><b>derivedFrom</b>: <a href="Observation-035761c3-8934-499f-bf34-3963979afb56.html">Observation </a></p></div>
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url="https://gematik.de/fhir/ti/StructureDefinition/test-profile-laboratory-extension">
<valueCodeableConcept>
<coding>
<system
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<code value="haemato"/>
<display value="Hämatologie"/>
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<text value="Hämatologie"/>
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<extension
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<extension
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<extension
url="https://gematik.de/fhir/ti/StructureDefinition/zlog-laboratory-extension">
<valueDecimal value="2"/>
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<extension
url="https://gematik.de/fhir/ti/StructureDefinition/alternative-result-laboratory-extension">
<extension url="code">
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<version value="2.82"/>
<code value="3084-1"/>
<display value="Harnsäure [Masse/Volumen] in Serum oder Plasma"/>
</coding>
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<extension url="value">
<valueRatio>
<numerator>
<value value="6.5"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
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<denominator>
<value value="8.5"/>
<unit value="mg/dL"/>
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<code value="mg/dL"/>
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<extension url="referenceRange">
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<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
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<high>
<value value="10"/>
<unit value="mg/dL"/>
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<code value="mg/dL"/>
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<extension url="zlog">
<valueDecimal value="2"/>
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<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<version value="5.0.0"/>
<code value="OBI"/>
<display value="Observation Instance Identifier"/>
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<system value="http://www.acmedasdd.com/identifiers/patient"/>
<value value="123456"/>
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<status value="final"/>
<category>
<coding>
<system
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<code value="laboratory"/>
<display value="Laboratory"/>
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<category>
<coding>
<system value="http://loinc.org"/>
<code value="18717-9"/>
<display value="Blood bank studies (set)"/>
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<text value="test"/>
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<code>
<coding>
<system value="http://loinc.org"/>
<version value="2.82"/>
<code value="14933-6"/>
<display value="Harnsäure [Mol/Volumen] in Serum oder Plasma"/>
</coding>
<text value="test"/>
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<subject>🔗
<reference value="Patient/c78415a2-9285-403d-9fda-1b8e24e30964"/>
<identifier>
<type>
<coding>
<system value="http://fhir.de/CodeSystem/identifier-type-de-basis"/>
<code value="KVZ10"/>
<display value="Krankenversichertennummer"/>
</coding>
</type>
<system value="http://fhir.de/sid/gkv/kvid-10"/>
<value value="K123456789"/>
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<effectiveDateTime value="2021-11-15T11:30:00+01:00"/>
<issued value="2021-11-15T11:30:00+01:00"/>
<performer>🔗
<reference value="PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a"/>
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<low>
<value value="0.2"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
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<high>
<value value="0.6"/>
<unit value="mmol/L"/>
<system value="http://unitsofmeasure.org"/>
<code value="mmol/L"/>
</high>
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<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<version value="4.0.0"/>
<code value="CAR"/>
<display value="Carrier"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000274103/version/20260515"/>
<code value="371152001"/>
<display value="Assisted (qualifier value)"/>
</coding>
<text value="test"/>
</interpretation>
<note>
<text value="test"/>
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<method>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000274103/version/20260515"/>
<code value="4241000179101"/>
<display value="Laboratory report (record artifact)"/>
</coding>
<text value="Blutgruppe"/>
</method>
<specimen>🔗
<reference value="Specimen/4f47fe9c-d92e-46f4-ad6d-85740aaa467b"/>
</specimen>
<device>🔗
<reference value="Device/18a30aa6-3b2d-4738-9ca9-125a452d14e0"/>
</device>
<referenceRange>
<extension
url="https://gematik.de/fhir/ti/StructureDefinition/source-reference-range-extension">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version
value="http://snomed.info/sct/11000274103/version/20260515"/>
<code value="260394003"/>
<display value="Normal limits (qualifier value)"/>
</coding>
<text value="note"/>
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</extension>
<extension
url="https://gematik.de/fhir/ti/StructureDefinition/no-linear-reference-range-laboratory-extension">
<valueBoolean value="true"/>
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<low>
<value value="3"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
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<high>
<value value="10"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</high>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
<version value="1.0.1"/>
<code value="type"/>
<display value="Type"/>
</coding>
<text value="test"/>
</type>
<appliesTo>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use"/>
<version value="2.0.0"/>
<code value="female-typical"/>
<display value="Apply female-typical setting or reference range"/>
</coding>
<text value="Test"/>
</appliesTo>
<text value="test"/>
</referenceRange>
<derivedFrom>🔗
<reference value="Observation/035761c3-8934-499f-bf34-3963979afb56"/>
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</Observation>