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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "numeric-spo2-alarm",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
      "valueReference": {
        "reference": "Device/phg-ecde3d4e58532d31.000000000000"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference",
      "valueReference": {
        "reference": "Observation/coin-20181119202022"
      }
    },
    {
      "extension": [
        {
          "url": "currentLimits",
          "valueRange": {
            "low": {
              "value": 80,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            },
            "high": {
              "value": 100,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            }
          }
        },
        {
          "url": "alertOperationalState",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/uv/phd/CodeSystem/SimpleAlertOperationalStatesCS",
                "code": "Limits-On",
                "display": "Limits On"
              }
            ]
          }
        },
        {
          "url": "alertOperationalText",
          "valueString": "Alerting when SpO2 < 80%"
        },
        {
          "url": "thresholdNotificationText",
          "valueString": "SpO2 is below 80%"
        }
      ],
      "url": "http://hl7.org/fhir/uv/phd/StructureDefinition/SimpleAlerting"
    }
  ],
  "identifier": [
    {
      "system": "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBaseObservation",
      "value": "74E8FFFEFF051C00-sisansarahId-urn:oid:2.999.1.2.3.4.5.6.7.8.10-149530-20181113175902.00-150588"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "vital-signs"
        }
      ],
      "text": "Vital Signs"
    },
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
          "code": "phd"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "urn:iso:std:iso:11073:10101",
        "code": "150456",
        "display": "MDC_PULS_OXIM_SAT_O2"
      },
      {
        "system": "http://loinc.org",
        "code": "2708-6",
        "display": "Oxygen saturation in Arterial blood"
      }
    ]
  },
  "subject": {
    "reference": "Patient/patientExample-1"
  },
  "effectiveDateTime": "2018-11-13T17:59:02-05:00",
  "performer": [
    {
      "reference": "Patient/patientExample-1"
    }
  ],
  "valueQuantity": {
    "value": 79,
    "unit": "%",
    "system": "http://unitsofmeasure.org",
    "code": "%"
  },
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/uv/pocd/CodeSystem/measurement-status",
          "code": "in-alarm",
          "display": "Measurement in alarm"
        }
      ]
    }
  ],
  "device": {
    "reference": "Device/phd-74E8FFFEFF051C00.001C05FFE874"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "urn:iso:std:iso:11073:10101",
            "code": "68193",
            "display": "MDC_ATTR_SUPPLEMENTAL_TYPES"
          }
        ],
        "text": "Supplemental information"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:iso:std:iso:11073:10101",
            "code": "150588",
            "display": "MDC_MODALITY_SPOT"
          }
        ],
        "text": "Stable mean"
      }
    }
  ]
}