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Source1

{
  "resourceType": "Observation",
  "id": "cancer-related-comorbidities-jenny-m",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-comorbidities"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
      "valueReference": {
        "reference": "Condition/us-core-condition-depression-jenny-m"
      }
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
      "valueReference": {
        "reference": "Condition/us-core-condition-anxiety-jenny-m"
      }
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
      "valueReference": {
        "reference": "Condition/us-core-condition-hypertension-jenny-m"
      }
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "414916001",
            "system": "http://snomed.info/sct",
            "display": "Obesity (disorder)"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition-absent",
      "valueCodeableConcept": {
        "coding": [
          {
            "code": "19829001",
            "system": "http://snomed.info/sct",
            "display": "Disorder of lung (disorder)"
          }
        ]
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "code": "social-history",
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "display": "Social History"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "code": "398192003",
        "system": "http://snomed.info/sct"
      }
    ]
  },
  "subject": {
    "reference": "Patient/cancer-patient-jenny-m"
  },
  "focus": [
    {
      "reference": "Condition/primary-cancer-condition-jenny-m"
    }
  ],
  "effectiveDateTime": "2018-03-16",
  "performer": [
    {
      "reference": "Practitioner/us-core-practitioner-owen-oncologist"
    }
  ]
}