{
  "resourceType" : "Observation",
  "id" : "ComorbidityObservation1-Example",
  "meta" : {
    "profile" : ["http://hl7.eu/fhir/cancer-common/StructureDefinition/observation-comorbidity-eu-ccm"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ComorbidityObservation1-Example</b></p><a name=\"ComorbidityObservation1-Example\"> </a><a name=\"hcComorbidityObservation1-Example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-observation-comorbidity-eu-ccm.html\">Observation: Comorbidities</a></p></div><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://snomed.info/sct 44054006}\">Diabetes mellitus type 2</span></p><p><b>Related Condition Extension</b>: <span title=\"Codes:{http://snomed.info/sct 38341003}\">Hypertensive disorder, systemic arterial</span></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 75618-9}\">Comorbid condition</span></p><p><b>subject</b>: <a href=\"Patient-Patient1-Example.html\">John Doe  Male, DoB: 1965-04-12 ( http://example.org/patient-id#P001)</a></p><p><b>effective</b>: 2026-06-11</p><p><b>performer</b>: <a href=\"Practitioner-Practitioner1-Example.html\">Practitioner Jane Smith </a></p><p><b>value</b>: 4</p><p><b>note</b>: </p><blockquote><div><p>Charlson Comorbidity Index calculated at diagnosis.</p>\n</div></blockquote><p><b>method</b>: <span title=\"Codes:\">Charlson Comorbidity Index</span></p></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "44054006",
        "display" : "Diabetes mellitus type 2"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-related-condition",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "38341003",
        "display" : "Hypertensive disorder, systemic arterial"
      }]
    }
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "75618-9",
      "display" : "Comorbid condition"
    }]
  },
  "subject" : {
    "reference" : "Patient/Patient1-Example"
  },
  "effectiveDateTime" : "2026-06-11",
  "performer" : [{
    "reference" : "Practitioner/Practitioner1-Example"
  }],
  "valueInteger" : 4,
  "note" : [{
    "text" : "Charlson Comorbidity Index calculated at diagnosis."
  }],
  "method" : {
    "text" : "Charlson Comorbidity Index"
  }
}