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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "observation-clinical-history-complex-example",
  "meta": {
    "profile": [
      "https://hl7.lt/fhir/cervical/StructureDefinition/cervical-screening-clinical-history-lt-cervical"
    ]
  },
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "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)"
          }
        ]
      }
    }
  ]
}