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        "value" : 60.9,
        "unit" : "{score}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{score}"
      },
      "method" : {
        "text" : "PROMIS-29 Profile v2.1"
      },
      "derivedFrom" : [{
        "reference" : "QuestionnaireResponse/promis-29-response-1"
      }]
    }
  },
  {
    "fullUrl" : "urn:uuid:d0e1f2a3-b4c5-6789-defa-890123456789",
    "resource" : {
      "resourceType" : "Observation",
      "id" : "obs-promis-29-pain-intensity",
      "meta" : {
        "profile" : ["https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/StructureDefinition/mii-pr-pro-promis-29-pain-intensity|2026.2.0"]
      },
      "language" : "en",
      "text" : {
        "status" : "extensions"
      },
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/workflow-instantiatesCanonical",
        "valueCanonical" : "https://www.medizininformatik-initiative.de/fhir/ext/modul-pro/ObservationDefinition/mii-obsdef-pro-promis-29-pain-intensity"
      }],
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "75261-8",
          "display" : "How intense was your average pain in the past 7 days [PROMIS]"
        }]
      },
      "subject" : {
        "reference" : "Patient/patient-example-1"
      },
      "effectiveDateTime" : "2025-01-30T14:30:00Z",
      "valueQuantity" : {
        "value" : 5,
        "unit" : "1",
        "system" : "http://unitsofmeasure.org",
        "code" : "1"
      },
      "method" : {
        "text" : "PROMIS-29 Profile v2.1 - Pain Intensity single item"
      },
      "derivedFrom" : [{
        "reference" : "QuestionnaireResponse/promis-29-response-1"
      }]
    }
  }]
}