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Source1

{
  "resourceType": "Observation",
  "id": "FeverSymptom",
  "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/CoughSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/ShortnessOfBreathPHSymptom"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
      "valueReference": {
        "reference": "Observation/FatigueSymptom"
      }
    }
  ],
  "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/TrishDoe"
  },
  "effectivePeriod": {
    "start": "2025-10-14T13:22:17.239+02:00"
  },
  "issued": "2025-10-16T13:42:17.239+02:00",
  "performer": [
    {
      "reference": "Patient/TrishDoe"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "386661006"
      }
    ],
    "text": "Fever (finding)"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "64750-3",
            "display": "Severity of symptoms"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "442452003",
            "display": "Life threatening severity (qualifier value)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "89261-2",
            "display": "Clinical course"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "18131002",
            "display": "Acute fulminating (qualifier value)"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://loinc.org",
            "code": "89253-9",
            "display": "Trend"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "231877006",
            "display": "Worse (qualifier value)"
          }
        ]
      }
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/note",
          "valueAnnotation": {
            "time": "2025-10-09",
            "text": "International travel"
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/symptoms/CodeSystem/SymptomTemporary",
            "code": "OTHEREVENT"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "874901007",
            "display": "International travel (event)"
          }
        ]
      }
    },
    {
      "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)"
          }
        ]
      }
    }
  ]
}