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Packagehl7.fhir.uv.symptoms
Resource TypeObservation
IdObservation-ChestPainSymptom.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Observation ChestPainSymptom

Language: en

Profile: Symptom Observation

Supporting info: Observation Symptom

Supporting info: Condition Type 2 diabetes mellitus

status: Final

category: Symptom

code: Symptom

subject: Jane Doe Female, DoB: 1965-01-01

effective: 2025-09-23 13:22:00+0200 --> 2025-09-23 13:42:00+0200

issued: 2025-09-15 13:28:17+0200

performer: Jane Doe Female, DoB: 1965-01-01

value: Pain

bodySite: Thoracic structure (body structure)

component

code: Problem quality or description

value: Crushing pain (finding)

component

code: Severity of symptoms

value: Moderate (severity modifier) (qualifier value)

component

code: Exacerbating factors - Reported

value: Exercises (regime/therapy)

component

code: Alleviating factors - Reported

value: Resting state (finding)

component

code: Condition frequency - Reported

value: Single event (qualifier value)

component

code: Speed of condition onset

value: Sudden onset (qualifier value)


Source1

{
  "resourceType": "Observation",
  "id": "ChestPainSymptom",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/symptoms/StructureDefinition/SymptomObservation"
    ]
  },
  "language": "en",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/ShortnessOfBreathSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Condition/Type2DiabetesMellitus"
      }
    }
  ],
  "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/JaneDoe"
  },
  "effectivePeriod": {
    "start": "2025-09-23T13:22:00.239+02:00",
    "end": "2025-09-23T13:42:00.239+02:00"
  },
  "issued": "2025-09-15T13:28:17.239+02:00",
  "performer": [
    {
      "reference": "Patient/JaneDoe"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "22253000"
      }
    ],
    "text": "Pain"
  },
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "51185008",
        "display": "Thoracic structure (body structure)"
      }
    ]
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "56823-8",
            "display": "Problem quality or description"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "279098001",
            "display": "Crushing pain (finding)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "64750-3",
            "display": "Severity of symptoms"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "6736007",
            "display": "Moderate (severity modifier) (qualifier value)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "100752-5",
            "display": "Exacerbating factors - Reported"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "226029000",
            "display": "Exercises (regime/therapy)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "100753-3",
            "display": "Alleviating factors - Reported"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "128975004",
            "display": "Resting state (finding)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "104156-5",
            "display": "Condition frequency - Reported"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "307486002",
            "display": "Single event (qualifier value)"
          }
        ]
      }
    },
    {
      "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)"
          }
        ]
      }
    }
  ]
}