<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="ISS-StressBurden-Day90"/>
  <meta>
    <profile value="http://hl7.org/fhir/uv/aerospace/StructureDefinition/cumulative-stress-burden"/>
  </meta>
  <text>
    <status value="extensions"/><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>
  </text>
  <extension url="http://hl7.org/fhir/uv/aerospace/StructureDefinition/mission-context">
    <valueReference>
      <reference value="Encounter/ISS-Exp75-InFlight"/>
    </valueReference>
  </extension>
  <status value="final"/>
  <code>
    <coding>
      <system value="http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs"/>
      <code value="cumulative-stress"/>
      <display value="Cumulative stress burden"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/AstronautExample"/>
  </subject>
  <effectiveDateTime value="2025-06-01T00:00:00Z"/>
  <valueQuantity>
    <value value="245"/>
    <unit value="stress units"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="{stress_units}"/>
  </valueQuantity>
  <component>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs"/>
        <code value="mood-level"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="-1.2"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs"/>
        <code value="cognitive-readiness"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="7.5"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/uv/aerospace/CodeSystem/aerospace-behavioral-state-cs"/>
        <code value="social-connectedness"/>
      </coding>
    </code>
    <valueQuantity>
      <value value="6"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{score}"/>
    </valueQuantity>
  </component>
</Observation>