<Observation xmlns="http://hl7.org/fhir">
<id value="51b6129a-b68c-485d-a37b-9593fee4354f"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-05-03T11:15:00+01:00"/>
<profile
value="https://fhir.kbv.de/StructureDefinition/KBV_PR_MIO_LAB_Observation_Laboratory_Study_Group|1.0.0-update"/>
</meta>
<status value="final"/>
<category>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator">
<valueString value="laboratory"/>
</extension>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<version value="2.0.0"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="test"/>
</category>
<category>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator">
<valueString value="studyType"/>
</extension>
<coding>
<system value="http://loinc.org"/>
<version value="2.82"/>
<code value="18717-9"/>
<display value="Blood bank studies (set)"/>
</coding>
<text value="test"/>
</category>
<category>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Diskriminator">
<valueString value="testProfile"/>
</extension>
<coding>
<system
value="https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_Test_Profil_Laboruntersuchungsgruppe"/>
<version value="1.0.0-update"/>
<code value="haemato"/>
<display value="Hämatologie"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.kbv.de/CodeSystem/KBV_CS_MIO_LAB_mio42"/>
<version value="1.0.0-update"/>
<code value="laboruntersuchungsgruppe"/>
<display value="Laboruntersuchungsgruppe"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/b65dfcca-c6ce-4dac-8742-8da00c192c7d"/>
<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"/>
</identifier>
</subject>
<effectiveDateTime>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="not-permitted"/>
</extension>
</effectiveDateTime>
<performer>🔗
<reference value="PractitionerRole/a424d6c6-de52-443e-a9b2-5240d3b9401a"/>
</performer>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<version value="4.0.0"/>
<code value="D"/>
<display value="Significant change down"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000274103/version/20251115"/>
<code value="281300000"/>
<display value="Below reference range (qualifier value)"/>
</coding>
<text value="test"/>
</interpretation>
<note>
<text value="test"/>
</note>
<hasMember>🔗
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Sorting_Number">
<valuePositiveInt value="1"/>
</extension>
<reference value="Observation/035761c3-8934-499f-bf34-3963979afb56"/>
</hasMember>
</Observation>