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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "nl-core-ComfortScale-02",
  "meta": {
    "profile": [
      "http://nictiz.nl/fhir/StructureDefinition/nl-core-ComfortScale"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "108301000146109",
        "display": "COMFORT scale"
      }
    ]
  },
  "subject": {
    "reference": "Patient/nl-core-Patient-01",
    "type": "Patient",
    "display": "Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen"
  },
  "effectiveDateTime": "2016-12-21T12:05:00+01:00",
  "valueInteger": 15,
  "note": [
    {
      "text": "Controle na verhogen pijnmedicatie."
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012003",
            "display": "ComfortScore Alertheid"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.1",
            "code": "Alert4",
            "display": "Awake and alert"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012004",
            "display": "ComfortScore Kalmte_Agitatie"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.2",
            "code": "Calm2",
            "display": "Slightly anxious"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012005",
            "display": "ComfortScore Ademhalingsreactie"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.3",
            "code": "Vent3",
            "display": "Unrest or resistance to ventilator"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012008",
            "display": "ComfortScore Lichaamsbeweging"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.5",
            "code": "Mov2",
            "display": "Occasional, slight movements"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012009",
            "display": "ComfortScore Gezichtsspanning"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.6",
            "code": "Face2",
            "display": "Normal facial tone"
          }
        ]
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
            "code": "12012010",
            "display": "ComfortScore Spierspanning"
          }
        ]
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.20.7",
            "code": "Musc2",
            "display": "Reduced muscle tone"
          }
        ]
      }
    }
  ]
}