Implementation Guide
TI Common
Version 1.5.0-ballot.1 - ballot

: 035761c3-8934-499f-bf34-3963979afb56

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{
  "resourceType" : "Observation",
  "id" : "035761c3-8934-499f-bf34-3963979afb56",
  "meta" : {
    "profile" : [
      🔗 "https://gematik.de/fhir/ti/StructureDefinition/ti-observation-laboratory-study"
    ]
  },
  "language" : "de",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation 035761c3-8934-499f-bf34-3963979afb56</b></p><a name=\"035761c3-8934-499f-bf34-3963979afb56\"> </a><a name=\"hc035761c3-8934-499f-bf34-3963979afb56\"> </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><p><b>identifier</b>: Observation Instance Identifier/123456, Universal Device 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:\">Urate [Mass/volume] in Blood</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>: 6.5 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/dL = 'mg/dL')</span></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><strong>Name</strong></p>\n</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 = -&gt;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>"
  },
  "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"
    }
  ]
}