{
  "resourceType" : "Observation",
  "id" : "mii-exa-mikrobio-resistenzkategorie-vre-positiv",
  "meta" : {
    "profile" : ["https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-resistenzkategorie-status"]
  },
  "language" : "de",
  "text" : {
    "status" : "generated",
    "div" : "<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-resistenzkategorie-vre-positiv</b></p><a name=\"de-mii-exa-mikrobio-resistenzkategorie-vre-positiv\"> </a><a name=\"de-hcmii-exa-mikrobio-resistenzkategorie-vre-positiv\"> </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-resistenzkategorie-status.html\">MII PR Mikrobio Resistenzkategorie Status</a></p></div><p><b>identifier</b>: Observation Instance Identifier/reskat-vre-pos</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:{https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/CodeSystem/mii-cs-mikrobio-resistenzkategorie vre-status}\">VRE-Status</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>: 2026-04-03 15:00:00+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 10828004}\">Positive</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><p><b>derivedFrom</b>: </p><ul><li><a href=\"Observation-mii-exa-mikrobio-workflow-vre-02-identifikation.html\">Observation Microorganism or agent identified in Specimen</a></li><li><a href=\"Observation-mii-exa-mikrobio-workflow-vre-03-empfindlichkeit.html\">Observation Vancomycin [Susceptibility] by Minimum inhibitory concentration (MIC)</a></li></ul></div>"
  },
  "identifier" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "OBI"
      }]
    },
    "system" : "https://example.org/fhir/sid/test-lab-results",
    "value" : "reskat-vre-pos",
    "assigner" : {
      "reference" : "Organization/mii-exa-mikrobio-labor"
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "laboratory",
      "display" : "Laboratory"
    },
    {
      "system" : "http://loinc.org",
      "version" : "2.82",
      "code" : "26436-6",
      "display" : "Laboratory studies (set)"
    }]
  },
  {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v2-0074",
      "code" : "MB"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/CodeSystem/mii-cs-mikrobio-resistenzkategorie",
      "code" : "vre-status",
      "display" : "VRE-Status"
    }]
  },
  "subject" : {
    "reference" : "Patient/mii-exa-mikrobio-patient"
  },
  "effectiveDateTime" : "2026-04-03T15:00:00+01:00",
  "performer" : [{
    "reference" : "Organization/mii-exa-mikrobio-labor"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/900000000000207008/version/20260701",
      "code" : "10828004",
      "display" : "Positive"
    }]
  },
  "specimen" : {
    "reference" : "Specimen/mii-exa-mikrobio-probe"
  },
  "derivedFrom" : [{
    "reference" : "Observation/mii-exa-mikrobio-workflow-vre-02-identifikation"
  },
  {
    "reference" : "Observation/mii-exa-mikrobio-workflow-vre-03-empfindlichkeit"
  }]
}