<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="mii-exa-mikrobio-mikroskopie-gram-kokken-wenig"/>
  <meta>
    <profile value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-mikroskopie"/>
  </meta>
  <language value="de"/>
  <text>
    <status value="extensions"/><div xml:lang="de" lang="de"><hr/><p><b>German</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-mikrobio-mikroskopie-gram-kokken-wenig</b></p><a name="de-mii-exa-mikrobio-mikroskopie-gram-kokken-wenig"> </a><a name="de-hcmii-exa-mikrobio-mikroskopie-gram-kokken-wenig"> </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-mii-pr-mikrobio-mikroskopie.html">MII PR Mikrobio Allgemeine Mikroskopie</a></p></div><p><b>MII EX Mikrobio Färbung</b>: <span title="Codes:{http://snomed.info/sct 62777006}">Gram stain method</span></p><p><b>identifier</b>: Observation Instance Identifier/mikroskopie-gram-1</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}, {http://loinc.org 26436-6}">Laboratory</span>, <span title="Codes:{http://terminology.hl7.org/CodeSystem/v2-0074 MB}">Mikrobiologie</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 664-3}">Microscopic observation [Identifier] in Specimen by Gram stain</span></p><p><b>subject</b>: <a href="Patient-mii-exa-mikrobio-patient.html">Anonymous Patient (no stated gender), DoB Unknown ( https://example.org/fhir/sid/test-patient#111)</a></p><p><b>effective</b>: 2026-04-02 10:00:00+0100</p><p><b>performer</b>: <a href="Organization-mii-exa-mikrobio-labor.html">Organization Universitätsklinikum Musterstadt</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 70003006}">Gram-positive cocci in clusters (finding)</span></p><p><b>specimen</b>: <a href="Specimen-mii-exa-mikrobio-probe.html">Specimen: identifier = https://example.org/fhir/sid/test-specimen#probe-1; status = available; type = Specimen; receivedTime = 2026-04-02 08:30:00+0100</a></p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://snomed.info/sct 103392008}">Semi-quantitative value</span></td><td><span title="Codes:{http://snomed.info/sct 57176003}">Few</span></td></tr></table></div>
  </text>
  <extension url="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-ex-mikrobio-faerbung">
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="62777006"/>
        <display value="Gram stain method"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="OBI"/>
      </coding>
    </type>
    <system value="https://example.org/fhir/sid/test-lab-results"/>
    <value value="mikroskopie-gram-1"/>
    <assigner>
      <reference value="Organization/mii-exa-mikrobio-labor"/>
    </assigner>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="laboratory"/>
      <display value="Laboratory"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.82"/>
      <code value="26436-6"/>
      <display value="Laboratory studies (set)"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v2-0074"/>
      <code value="MB"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <version value="2.82"/>
      <code value="664-3"/>
      <display value="Microscopic observation [Identifier] in Specimen by Gram stain"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/mii-exa-mikrobio-patient"/>
  </subject>
  <effectiveDateTime value="2026-04-02T10:00:00+01:00"/>
  <performer>
    <reference value="Organization/mii-exa-mikrobio-labor"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/900000000000207008/version/20260701"/>
      <code value="70003006"/>
      <display value="Gram-positive cocci in clusters (finding)"/>
    </coding>
  </valueCodeableConcept>
  <specimen>
    <reference value="Specimen/mii-exa-mikrobio-probe"/>
  </specimen>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="103392008"/>
        <display value="Semi-quantitative value"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/900000000000207008/version/20260701"/>
        <code value="57176003"/>
        <display value="Few"/>
      </coding>
    </valueCodeableConcept>
  </component>
</Observation>