{
  "resourceType" : "Observation",
  "id" : "HearingLossSymptom",
  "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 HearingLossSymptom</b></p><a name=\"HearingLossSymptom\"> </a><a name=\"hcHearingLossSymptom\"> </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-DizzinessSymptom.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-JohnDoe.html\">John Doe  Male, DoB: 1953-02-21</a></p><p><b>effective</b>: 2025-04-01 13:22:17+0200 --&gt; 2025-10-16 13:42:17+0200</p><p><b>issued</b>: 2025-10-16 13:42:17+0200</p><p><b>performer</b>: <a href=\"Patient-JohnDoe.html\">John Doe  Male, DoB: 1953-02-21</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 280122007}\">Hearing worse (finding)</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 1910005}\">Entire ear</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 89253-9}\">Trend</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 35105006}\">Increased (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 104156-5}\">Condition frequency - Reported</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 255238004}\">Continuous (qualifier value)</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 61751001}\">Gradual onset (qualifier value)</span></p></blockquote></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
    "valueReference" : {
      "reference" : "Observation/DizzinessSymptom"
    }
  }],
  "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/JohnDoe"
  },
  "effectivePeriod" : {
    "start" : "2025-04-01T13:22:17.239+02:00",
    "end" : "2025-10-16T13:42:17.239+02:00"
  },
  "issued" : "2025-10-16T13:42:17.239+02:00",
  "performer" : [{
    "reference" : "Patient/JohnDoe"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "280122007"
    }],
    "text" : "Hearing worse (finding)"
  },
  "bodySite" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "1910005",
      "display" : "Entire ear"
    }]
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "64750-3",
        "display" : "Severity of symptoms"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "371923003",
        "display" : "Mild to moderate (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "89253-9",
        "display" : "Trend"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "35105006",
        "display" : "Increased (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "104156-5",
        "display" : "Condition frequency - Reported"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "255238004",
        "display" : "Continuous (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://loinc.org",
        "code" : "99495-4",
        "display" : "Speed of condition onset"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "61751001",
        "display" : "Gradual onset (qualifier value)"
      }]
    }
  }]
}