{
  "resourceType" : "Observation",
  "id" : "cancer-observation-metastase-example",
  "meta" : {
    "profile" : ["https://dhp.uz/fhir/integrations/StructureDefinition/cancer-observation-metastase"]
  },
  "language" : "ru",
  "text" : {
    "status" : "generated",
    "div" : "<div xml:lang=\"ru\" lang=\"ru\"><hr/><p><b>Russian</b></p><hr/><p class=\"res-header-id\"><b>Сгенерированный нарратив: Observation cancer-observation-metastase-example</b></p><a name=\"ru-cancer-observation-metastase-example\"> </a><a name=\"ru-hccancer-observation-metastase-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\">Профиль: <a href=\"StructureDefinition-cancer-observation-metastase.html\">Cancer Observation Metastase</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Коды:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Коды:{http://loinc.org 97509-4}\">Cancer disease progression</span></p><p><b>subject</b>: <a href=\"Patient-example-salim.html\">Усманов Салим Салиевич Male, БД: 1994-01-27 ( National unique individual identifier)</a></p><p><b>focus</b>: <a href=\"Condition-cancer-condition-example.html\">Condition Malignant neoplasm of other and unspecified parts of tongue</a></p><p><b>effective</b>: 2026-09-15 10:00:00+0500</p><p><b>performer</b>: <a href=\"PractitionerRole-practitionerrole-001.html\">PractitionerRole Vrach ftiziatr</a></p><p><b>value</b>: <span title=\"Коды:{https://terminology.dhp.uz/fhir/integrations/CodeSystem/cancer-emerging-process-cs cancer-0015-0003}\">Distant metastases</span></p><p><b>bodySite</b>: <span title=\"Коды:{http://snomed.info/sct 110549009}\">Lung and pleura, CS</span></p></div>"
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "97509-4",
      "display" : "Cancer disease progression"
    }]
  },
  "subject" : {
    "reference" : "Patient/example-salim"
  },
  "focus" : [{
    "reference" : "Condition/cancer-condition-example"
  }],
  "effectiveDateTime" : "2026-09-15T10:00:00+05:00",
  "performer" : [{
    "reference" : "PractitionerRole/practitionerrole-001"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "https://terminology.dhp.uz/fhir/integrations/CodeSystem/cancer-emerging-process-cs",
      "code" : "cancer-0015-0003",
      "display" : "Distant metastases"
    }]
  },
  "bodySite" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "110549009",
      "display" : "Lung and pleura, CS"
    }]
  }
}