{
  "resourceType" : "Observation",
  "id" : "DaType5HospTumorPreopClinicalAssessmentObservationExample",
  "meta" : {
    "profile" : ["http://connectdtx.kr/fhir/StructureDefinition/janusync-tumor-preop-clinical-assessment-observation"]
  },
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "survey"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-group",
      "code" : "tumor-preop-clinical-assessment",
      "display" : "종양 수술전 임상평가"
    }]
  },
  "subject" : {
    "reference" : "Patient/janusync-deidentified-patient-example"
  },
  "encounter" : {
    "reference" : "Encounter/DaType5HospEncounter"
  },
  "effectiveDateTime" : "2026-04-23T09:00:00+09:00",
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "exam.asa-class",
        "display" : "ASA 신체 등급"
      }]
    },
    "valueInteger" : 2
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "symptom.chief-complaint",
        "display" : "주증상 (CC)"
      }]
    },
    "valueString" : "abdominal pain"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.diagnosis.primary-cancer",
        "display" : "원발암 여부"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.diagnosis.associated-polyp",
        "display" : "진단 당시 동반 용종 유무"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.diagnosis.synchronous-adenoma.count",
        "display" : "동시성 선종 개수"
      }]
    },
    "valueInteger" : 2
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.diagnosis.synchronous-adenoma.site",
        "display" : "동시성 선종 위치"
      }]
    },
    "valueString" : "sigmoid colon"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tumor.diagnosis.synchronous-adenoma.histology",
        "display" : "동시성 선종 조직형"
      }]
    },
    "valueString" : "tubular adenoma"
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "condition.bowel-perforation.preop",
        "display" : "수술 전 장천공 동반 여부"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "condition.bowel-obstruction.preop",
        "display" : "수술 전 장폐색 동반 여부"
      }]
    },
    "valueBoolean" : false
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://connectdtx.kr/fhir/CodeSystem/janusync-observation-component",
        "code" : "tx.neoadjuvant.performed",
        "display" : "수술 전 선행치료 시행 여부"
      }]
    },
    "valueBoolean" : true
  }]
}