{
  "resourceType": "Observation",
  "id": "trilliumII-example-imaging-5",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>SPECT Heart perfusion and wall motion at rest and W stress and W Tl-201 IV and W Tc-99m Sestamibi IV</b></p><ul><li> Stress test is negative for dobutamine-induced myocardial ischemia.</li><li> Normal left ventricular size, regional wall motion, and ejection fraction</li></ul></div>"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "reference",
          "valueReference": {
            "reference": "DocumentReference/1.2.276.0.7230010.3.1.3.1787205428.3112.1522315594.397907"
          }
        },
        {
          "url": "referenceType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://dicom.nema.org/resources/ontology/DCM",
                "code": "121080",
                "display": "Best illustration of finding"
              }
            ]
          }
        }
      ],
      "url": "http://trilliumbridge.eu/fhir/StructureDefinition/derivedfrom-observation-uv-trillium2"
    },
    {
      "extension": [
        {
          "url": "reference",
          "valueReference": {
            "reference": "DocumentReference/1.2.276.0.7230010.3.1.2.1787205428.2952.1522314310.246518"
          }
        }
      ],
      "url": "http://trilliumbridge.eu/fhir/StructureDefinition/derivedfrom-observation-uv-trillium2"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/event-reasonCode",
      "valueCodeableConcept": {
        "text": "Chest pain, hypertension, type II diabetes mellitus."
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/observation-category",
          "code": "imaging"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org/",
        "code": "49569-7",
        "display": "SPECT Heart perfusion and wall motion at rest and W stress and W Tl-201 IV and W Tc-99m Sestamibi IV"
      }
    ],
    "text": "SPECT Heart perfusion and wall motion at rest and W stress and W Tl-201 IV and W Tc-99m Sestamibi IV (example-5)"
  },
  "subject": {
    "reference": "Patient/GE0514"
  },
  "effectiveDateTime": "2012-12-12",
  "performer": [
    {
      "reference": "Practitioner/TII-Practitioner1"
    },
    {
      "reference": "Organization/TII-Organization1"
    }
  ],
  "valueString": "1. Stress test is negative for dobutamine-induced myocardial ischemia. 2. Normal left ventricular size, regional wall motion, and ejection fraction.",
  "bodySite": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "80891009",
        "display": "Heart"
      }
    ]
  },
  "related": [
    {
      "type": "has-member",
      "target": {
        "reference": "Observation/trilliumII-example-img-subobs-5-1"
      }
    },
    {
      "type": "has-member",
      "target": {
        "reference": "Observation/trilliumII-example-img-subobs-5-2"
      }
    }
  ],
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "121065",
            "display": "Procedure Description"
          }
        ]
      },
      "valueString": "Dobutamine Myoview stress test."
    }
  ]
}