MII Implementation Guide Microbiology - Local Development build (v2027.0.0-ballot2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: MII EXA Mikrobio Workflow VRE 3 Empfindlichkeit

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<Observation xmlns="http://hl7.org/fhir">
  <id value="mii-exa-mikrobio-workflow-vre-03-empfindlichkeit"/>
  <meta>
    <profile
             value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-pr-mikrobio-empfindlichkeit"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="extensions"/>
    <div xml:lang="en" lang="en"><hr/><p><b>English</b></p><hr/><p class="res-header-id"><b>Generated Narrative: Observation mii-exa-mikrobio-workflow-vre-03-empfindlichkeit</b></p><a name="mii-exa-mikrobio-workflow-vre-03-empfindlichkeit"> </a><a name="hcmii-exa-mikrobio-workflow-vre-03-empfindlichkeit"> </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-empfindlichkeit.html">MII PR Mikrobio Empfindlichkeit</a></p></div><blockquote><p><b>R5: Triggering observation(s) (new)</b></p><ul><li>observation: <a href="Observation-mii-exa-mikrobio-workflow-vre-02-identifikation.html">Observation Microorganism or agent identified in Specimen</a></li><li>type: reflex</li></ul></blockquote><p><b>identifier</b>: Observation Instance Identifier/wf-vre-3</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}">Microbiology</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 524-9}">Vancomycin [Susceptibility] by Minimum inhibitory concentration (MIC)</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 14:00:00+0100</p><p><b>performer</b>: <a href="Organization-mii-exa-mikrobio-labor.html">Organization Universitätsklinikum Musterstadt</a></p><p><b>value</b>: 64 mg/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/L = 'mg/L')</span></p><p><b>interpretation</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation R}">Resistant</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></div>
  </text>
  <extension
             url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.triggeredBy">
    <extension url="observation">
      <valueReference>🔗 
        <reference
                   value="Observation/mii-exa-mikrobio-workflow-vre-02-identifikation"/>
      </valueReference>
    </extension>
    <extension url="type">
      <valueCode value="reflex"/>
    </extension>
  </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="wf-vre-3"/>
    <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="524-9"/>
      <display
               value="Vancomycin [Susceptibility] by Minimum inhibitory concentration (MIC)"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/mii-exa-mikrobio-patient"/>
  </subject>
  <effectiveDateTime value="2026-04-03T14:00:00+01:00"/>
  <performer>🔗 
    <reference value="Organization/mii-exa-mikrobio-labor"/>
  </performer>
  <valueQuantity>
    <value value="64"/>
    <unit value="mg/L"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="mg/L"/>
  </valueQuantity>
  <interpretation>
    <extension
               url="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/StructureDefinition/mii-ex-mikrobio-empfindlichkeit-norm">
      <valueCodeableConcept>
        <coding>
          <system
                  value="https://www.medizininformatik-initiative.de/fhir/modul-mikrobio/CodeSystem/mii-cs-mikrobio-susceptibility-norm"/>
          <code value="EUCAST"/>
          <display value="EUCAST"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation"/>
      <code value="R"/>
      <display value="Resistant"/>
    </coding>
  </interpretation>
  <specimen>🔗 
    <reference value="Specimen/mii-exa-mikrobio-probe"/>
  </specimen>
</Observation>