{
  "resourceType" : "Observation",
  "id" : "observation-clinical-history-complex-example",
  "meta" : {
    "profile" : ["https://hl7.lt/fhir/cervical/StructureDefinition/cervical-screening-clinical-history-lt-cervical"]
  },
  "language" : "lt",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"lt\" lang=\"lt\"><hr/><p><b>Lithuanian</b></p><hr/><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-clinical-history-complex-example</b></p><a name=\"lt-observation-clinical-history-complex-example\"> </a><a name=\"lt-hcobservation-clinical-history-complex-example\"> </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-cervical-screening-clinical-history-lt-cervical.html\">Observation: Clinical History</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 270427003}\">Patient-initiated encounter (procedure)</span></p><p><b>subject</b>: <a href=\"Patient-patient-female-example.html\">Janette Petrauskaite(official) Female, DoB: 1985-01-01 ( http://hospital-lt.lt/patient-id#HOSPLT-10005\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>effective</b>: 2026-02-27</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 276477006}\">Menopause observation</span></p><p><b>value</b>: 52 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 134651000119108}\">History of estrogen therapy (situation)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373067005}\">No (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161653008}\">History of chemotherapy (situation)</span></p><p><b>value</b>: &gt;1 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 161773007}\">History of intrauterine contraceptive device usage (situation)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373066001}\">Yes (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 449038007}\">Uses hormone releasing intrauterine device contraception</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 373066001}\">Yes (qualifier value)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 108941000119102}\">History of cervical conization (situation)</span></p><p><b>value</b>: 2022-05</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 2620001000004108}\">Specimen collection procedure (observable entity)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 36973007}\">Endocervical structure (body structure)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 99501000119107}\">Human papilloma virus vaccination given (situation)</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 171278000}\">Immunization status unknown (finding)</span></p></blockquote></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "exam"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "270427003",
      "display" : "Patient-initiated encounter (procedure)"
    }]
  },
  "subject" : {
    "reference" : "Patient/patient-female-example"
  },
  "effectiveDateTime" : "2026-02-27",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "276477006",
        "display" : "Menopause observation"
      }]
    },
    "valueQuantity" : {
      "value" : 52,
      "unit" : "years",
      "system" : "http://unitsofmeasure.org",
      "code" : "a"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "134651000119108",
        "display" : "History of estrogen therapy (situation)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373067005",
        "display" : "No (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "161653008",
        "display" : "History of chemotherapy (situation)"
      }]
    },
    "valueQuantity" : {
      "value" : 1,
      "comparator" : ">",
      "unit" : "years",
      "system" : "http://unitsofmeasure.org",
      "code" : "a"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "161773007",
        "display" : "History of intrauterine contraceptive device usage (situation)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373066001",
        "display" : "Yes (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "449038007",
        "display" : "Uses hormone releasing intrauterine device contraception"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "373066001",
        "display" : "Yes (qualifier value)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "108941000119102",
        "display" : "History of cervical conization (situation)"
      }]
    },
    "valueDateTime" : "2022-05"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "2620001000004108",
        "display" : "Specimen collection procedure (observable entity)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "36973007",
        "display" : "Endocervical structure (body structure)"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "99501000119107",
        "display" : "Human papilloma virus vaccination given (situation)"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "171278000",
        "display" : "Immunization status unknown (finding)"
      }]
    }
  }]
}