{
  "resourceType": "Observation",
  "id": "trilliumII-example-img-subobs-5-1",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>FINDING</b></p><p>\n\t\t\t\tStress ECG Result:\n\t\t\t</p><p>\n The patient was stressed by dobutamine infusion at a rate of 10 mcg/kg/minute for three minutes, 20 mcg/kg/minute for three minutes, and 30 mcg/kg/minute for three additional minutes. Atropine 0.25 mg was given intravenously eight minutes into the dobutamine infusion. The resting electrocardiogram reveals a regular sinus rhythm with heart rate of 86 beats per minute, QS pattern in leads V1 and V2, and diffuse nonspecific T wave abnormality. The heart rate increased from 86 beats per minute to 155 beats per minute, which is about 90% of the maximum predicted target heart rate. The blood pressure increased from 130/80 to 160/70. A maximum of 1 mm J-junctional depression was seen with fast up sloping ST segments during dobutamine infusion. No ischemic ST segment changes were seen during dobutamine infusion or during the recovery process.</p></div>"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/observation-category",
          "code": "imaging"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://dicom.nema.org/resources/ontology/DCM",
        "code": "121071",
        "display": "Finding"
      }
    ]
  },
  "subject": {
    "reference": "Patient/GE0514"
  },
  "effectiveDateTime": "2012-12-12",
  "performer": [
    {
      "reference": "Practitioner/TII-Practitioner1"
    },
    {
      "reference": "Organization/TII-Organization1"
    }
  ],
  "valueString": "Stress ECG Result: The patient was stressed by dobutamine infusion at a rate of 10 mcg/kg/minute for three minutes, 20 mcg/kg/minute for three minutes, and 30 mcg/kg/minute for three additional minutes. Atropine 0.25 mg was given intravenously eight minutes into the dobutamine infusion. The resting electrocardiogram reveals a regular sinus rhythm with heart rate of 86 beats per minute, QS pattern in leads V1 and V2, and diffuse nonspecific T wave abnormality. The heart rate increased from 86 beats per minute to 155 beats per minute, which is about 90% of the maximum predicted target heart rate. The blood pressure increased from 130/80 to 160/70. A maximum of 1 mm J-junctional depression was seen with fast up sloping ST segments during dobutamine infusion. No ischemic ST segment changes were seen during dobutamine infusion or during the recovery process.."
}