{
  "resourceType" : "Observation",
  "id" : "FatigueSymptom",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Observation FatigueSymptom</b></p><a name=\"FatigueSymptom\"> </a><a name=\"hcFatigueSymptom\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-SymptomObservation.html\">Symptom Observation</a></p></div><p><b>Supporting info</b>: <a href=\"Observation-CoughSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-FeverSymptom.html\">Observation Symptom</a></p><p><b>Supporting info</b>: <a href=\"Observation-ShortnessOfBreathPHSymptom.html\">Observation Symptom</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary symptom}\">Symptom</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75325-1}\">Symptom</span></p><p><b>subject</b>: <a href=\"Patient-TrishDoe.html\">Trish Doe  Female, DoB: 1980</a></p><p><b>effective</b>: 2025-10-14 13:22:17+0200 --&gt; (ongoing)</p><p><b>issued</b>: 2025-10-16 13:42:17+0200</p><p><b>performer</b>: <a href=\"Patient-TrishDoe.html\">Trish Doe  Female, DoB: 1980</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 84229001}\">Fatigue (finding)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 64750-3}\">Severity of symptoms</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 371923003}\">Mild to moderate (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89261-2}\">Clinical course</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 18131002}\">Acute fulminating (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 89253-9}\">Trend</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 231877006}\">Worse (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Note</b>: @2025-10-09</p><blockquote><div><p>International travel</p>\n</div></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary OTHEREVENT}\">Other Events</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 874901007}\">International travel (event)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 99495-4}\">Speed of condition onset</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 385315009}\">Sudden onset (qualifier value)</span></p></blockquote></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
    "valueReference" : {
      "reference" : "Observation/CoughSymptom"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
    "valueReference" : {
      "reference" : "Observation/FeverSymptom"
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
    "valueReference" : {
      "reference" : "Observation/ShortnessOfBreathPHSymptom"
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary",
      "code" : "symptom"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "75325-1",
      "display" : "Symptom"
    }]
  },
  "subject" : {
    "reference" : "Patient/TrishDoe"
  },
  "effectivePeriod" : {
    "start" : "2025-10-14T13:22:17.239+02:00"
  },
  "issued" : "2025-10-16T13:42:17.239+02:00",
  "performer" : [{
    "reference" : "Patient/TrishDoe"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "84229001"
    }],
    "text" : "Fatigue (finding)"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "64750-3",
        "display" : "Severity of symptoms"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "371923003"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "89261-2",
        "display" : "Clinical course"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "18131002",
        "display" : "Acute fulminating (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "89253-9",
        "display" : "Trend"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "231877006",
        "display" : "Worse (qualifier value)"
      }]
    }
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/note",
      "valueAnnotation" : {
        "time" : "2025-10-09",
        "text" : "International travel"
      }
    }],
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary",
        "code" : "OTHEREVENT"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "874901007",
        "display" : "International travel (event)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "99495-4",
        "display" : "Speed of condition onset"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385315009",
        "display" : "Sudden onset (qualifier value)"
      }]
    }
  }]
}