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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "DecreasedAppetiteSymptom",
  "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/AbdominalDiscomfortSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/AbdominalPainSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/ConstipationSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/WeightLossSymptom"
      }
    }
  ],
  "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": "2025-09-01T13:22:17.239+02:00"
  },
  "issued": "2025-11-10T13:42:17.239+02:00",
  "performer": [
    {
      "reference": "Patient/JohnDoe"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "64379006"
      }
    ],
    "text": "Decrease in appetite (finding)"
  },
  "component": [
    {
      "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)"
          }
        ]
      }
    }
  ]
}