{
  "resourceType": "Observation",
  "id": "eicr-travel-history-eve-everywoman-201610",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2018-09-29T20:45:08.719+00:00",
    "profile": [
      "http://hl7.org/fhir/us/ecr/StructureDefinition/eicr-travel-history"
    ]
  },
  "language": "en-US",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Id</th><th>Travel History: Date(s)</th><th>Location</th></tr></thead><tbody><tr><td>eicr-travel-history-eve-everywoman-201610</td><td>OCT 22, 2016 to OCT 30, 2016</td><td>1170 N Rancho Robles Rd, Oracle, AZ, 8562, USA</td></tr></tbody></table></div>"
  },
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "420008001",
        "display": "Travel"
      }
    ],
    "text": "Travel History"
  },
  "subject": {
    "reference": "Patient/ecr-patient-eve-everywoman",
    "display": "Eve Everywoman"
  },
  "effectivePeriod": {
    "start": "2016-10-22",
    "end": "2016-10-30"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/v3/ParticipationType",
            "code": "LOC",
            "display": "Location"
          }
        ]
      },
      "valueCodeableConcept": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/ecr/StructureDefinition/extension-eicr-travel-history-address",
            "valueAddress": {
              "line": [
                "1170 N Rancho Robles Rd"
              ],
              "city": "Oracle",
              "postalCode": "8562",
              "country": "US"
            }
          }
        ]
      }
    }
  ]
}