{
  "resourceType" : "Observation",
  "id" : "ISS-StressBurden-Day90",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/aerospace/StructureDefinition/cumulative-stress-burden"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation ISS-StressBurden-Day90</b></p><a name=\"ISS-StressBurden-Day90\"> </a><a name=\"hcISS-StressBurden-Day90\"> </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-cumulative-stress-burden.html\">Cumulative Stress Burden</a></p></div><p><b>Mission Context</b>: <a href=\"Encounter-ISS-Exp75-InFlight.html\">Encounter: status = in-progress; class = ambulatory (ActCode#AMB); period = 2025-03-01 00:00:00+0000 --&gt; (ongoing)</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs cumulative-stress}\">Cumulative stress burden</span></p><p><b>subject</b>: <a href=\"Patient/AstronautExample\">Patient/AstronautExample</a></p><p><b>effective</b>: 2025-06-01 00:00:00+0000</p><p><b>value</b>: 245 stress units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{stress_units} = '{stress_units}')</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs mood-level}\">Mood level</span></p><p><b>value</b>: -1.2 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{score} = '{score}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs cognitive-readiness}\">Cognitive readiness</span></p><p><b>value</b>: 7.5 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{score} = '{score}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs social-connectedness}\">Social connectedness</span></p><p><b>value</b>: 6 {score}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{score} = '{score}')</span></p></blockquote></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/aerospace/StructureDefinition/mission-context",
    "valueReference" : {
      "reference" : "Encounter/ISS-Exp75-InFlight"
    }
  }],
  "status" : "final",
  "code" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs",
      "code" : "cumulative-stress",
      "display" : "Cumulative stress burden"
    }]
  },
  "subject" : {
    "reference" : "Patient/AstronautExample"
  },
  "effectiveDateTime" : "2025-06-01T00:00:00Z",
  "valueQuantity" : {
    "value" : 245,
    "unit" : "stress units",
    "system" : "http://unitsofmeasure.org",
    "code" : "{stress_units}"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs",
        "code" : "mood-level"
      }]
    },
    "valueQuantity" : {
      "value" : -1.2,
      "system" : "http://unitsofmeasure.org",
      "code" : "{score}"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs",
        "code" : "cognitive-readiness"
      }]
    },
    "valueQuantity" : {
      "value" : 7.5,
      "system" : "http://unitsofmeasure.org",
      "code" : "{score}"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs",
        "code" : "social-connectedness"
      }]
    },
    "valueQuantity" : {
      "value" : 6,
      "system" : "http://unitsofmeasure.org",
      "code" : "{score}"
    }
  }]
}