<Observation xmlns="http://hl7.org/fhir">
<id value="6a2a44c6-92f8-40cf-a0bc-673404f7ac9b"/>
<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|1.0.0-update"/>
</meta>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_External_Service">
<valueBoolean value="true"/>
</extension>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Association_Service">
<valueBoolean value="true"/>
</extension>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Accredited_Service">
<valueBoolean value="true"/>
</extension>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_zlog">
<valueDecimal value="2"/>
</extension>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Alternative_Result">
<extension url="value">
<valueRange>
<low>
<value value="6.5"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</low>
<high>
<value value="8.5"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</high>
</valueRange>
</extension>
<extension url="referenceRange">
<valueRange>
<low>
<value value="3"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</low>
<high>
<value value="10"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</high>
</valueRange>
</extension>
<extension url="zlog">
<valueDecimal value="2"/>
</extension>
</extension>
<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"/>
</coding>
</type>
<system value="http://www.acmedasdd.com/identifiers/patient"/>
<value value="123456"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<version value="5.0.0"/>
<code value="UDI"/>
<display value="Universal Device Identifier"/>
</coding>
</type>
<system value="http://www.acmedasdd.com/identifiers/patient"/>
<value value="123456"/>
</identifier>
<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="http://loinc.org"/>
<version value="2.82"/>
<code value="98981-4"/>
<display value="Urate [Mass/volume] in Blood"/>
</coding>
<text value="additional text"/>
</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 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"/>
</performer>
<valueRange>
<low>
<value value="1"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</low>
<high>
<value value="50"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</high>
</valueRange>
<interpretation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
<code value="CAR"/>
<display value="Carrier"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000274103/version/20251115"/>
<code value="371152001"/>
<display value="Assisted (qualifier value)"/>
</coding>
<text value="test"/>
</interpretation>
<note>
<text value="**Name**"/>
</note>
<method>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/11000274103/version/20251115"/>
<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://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_Source_Reference_Range">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version
value="http://snomed.info/sct/11000274103/version/20251115"/>
<code value="260394003"/>
<display value="Normal limits (qualifier value)"/>
</coding>
<text value="note"/>
</valueCodeableConcept>
</extension>
<extension
url="https://fhir.kbv.de/StructureDefinition/KBV_EX_MIO_LAB_No_Linear_Reference_Range">
<valueBoolean value="true"/>
</extension>
<low>
<value value="1"/>
<unit value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</low>
<high>
<value value="50"/>
<unit value="1"/>
<system value="http://unitsofmeasure.org"/>
<code value="1"/>
</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>
<text value="Test"/>
</appliesTo>
<text value="test"/>
</referenceRange>
<derivedFrom>🔗
<reference value="Observation/035761c3-8934-499f-bf34-3963979afb56"/>
</derivedFrom>
</Observation>