{
  "resourceType": "Observation",
  "id": "negation-example",
  "text": {
    "status": "extensions",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"negation-example\" </p></div><p><b>QICoreNotDoneReason</b>: Contraindicated (qualifier value) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#410536001)</span></p><p><b>status</b>: cancelled</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: Hemoglobin lab test <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> \" CHALMERS\"</p><p><b>encounter</b>: <a href=\"Encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2013-04-02T10:30:10+01:00 --&gt; 2013-04-05T10:30:10+01:00</p><p><b>issued</b>: Apr 3, 2013 2:30:10 PM</p></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneReason",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "410536001",
            "display": "Contraindicated (qualifier value)"
          }
        ]
      }
    }
  ],
  "status": "cancelled",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs",
          "display": "Vital Signs"
        }
      ]
    }
  ],
  "code": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-notDoneValueSet",
        "valueCanonical": "http://cts.nlm.nih.gov/fhir/2.16.840.1.113762.1.4.1045.131"
      }
    ],
    "text": "Hemoglobin lab test"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "effectivePeriod": {
    "start": "2013-04-02T10:30:10+01:00",
    "end": "2013-04-05T10:30:10+01:00"
  },
  "issued": "2013-04-03T15:30:10+01:00"
}