{
  "resourceType" : "Observation",
  "id" : "ruleoutcome-initial-compliance-met",
  "meta" : {
    "profile" : ["http://resmed.com/fhir/core/StructureDefinition/observation-rmd-patient-compliance-rule-outcome"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"ruleoutcome-initial-compliance-met\"> </a></p><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\">Resource Observation &quot;ruleoutcome-initial-compliance-met&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-observation-rmd-patient-compliance-rule-outcome.html\">ResMed Compliance Rule Outcome Observation</a></p></div><p><b>Replaces</b>: <a href=\"Observation-ruleoutcome-initial-compliance-not-met.html\">Observation/ruleoutcome-initial-compliance-not-met</a></p><p><b>basedOn</b>: <a href=\"ServiceRequest-sully-rule-instance2.html\">ServiceRequest/sully-rule-instance2</a></p><p><b>status</b>: final</p><p><b>category</b>: Observations generated by rules engine software representing the outcome of the rule, e.g. initial usage compliance met <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-resmed-observation-category-code-system.html\">ResMed observation category CodeSystem</a>#rule-outcome)</span>, Therapy <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#therapy)</span></p><p><b>code</b>: Initial Compliance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeTypes-cs.html\">ResMed Rule Outcome Types Code System</a>#payor-initial-compliance)</span></p><p><b>subject</b>: <a href=\"Patient-patient-example.html\">Patient/patient-example</a></p><p><b>effective</b>: 2022-04-12 12:00:00+0000</p><p><b>issued</b>: Apr 11, 2022, 11:59:00 AM</p><p><b>interpretation</b>: In Compliance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-complianceRuleOutcomeInterpretations-cs.html\">ResMed Compliance Rule Outcome Interpretation Code System</a>#compliance-met)</span></p><p><b>device</b>: <a href=\"Device-device-ACE-example.html\">Device/device-ACE-example</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Compliance Period <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#compliance-period)</span></p><p><b>value</b>: 2022-03-25 --&gt; 2022-04-21</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Clinical Metric <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#clinical-metric)</span></p><p><b>value</b>: periods-of-use <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-resmed-observation-metrics-code-system.html\">ResMed Observation Metrics CodeSystem</a>#periods-of-use)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Statstic <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#statistic)</span></p><p><b>value</b>: 0th percentile or min <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-resmed-statistics-code-system.html\">ResMed Centiles CodeSystem</a>#centile-0)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Threshold <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#threshold)</span></p><p><b>value</b>: 4 hour/day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code h/d = 'h/d')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Comparison Operator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#comparison-operator)</span></p><p><b>value</b>: Greater or Equal to <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-quantity-comparator.html\">QuantityComparator</a>#&gt;=)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Evaluation Period <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#evaluation-period)</span></p><p><b>value</b>: 30 day<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Evaluations <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-rmd-ruleOutcomeComponent-cs.html\">ResMed Rule Outcome Components Code System</a>#evaluations)</span></p><p><b>value</b>: 21</p></blockquote></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/observation-replaces",
    "valueReference" : {
      "reference" : "Observation/ruleoutcome-initial-compliance-not-met"
    }
  }],
  "basedOn" : [{
    "reference" : "ServiceRequest/sully-rule-instance2"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-category-code-system",
      "code" : "rule-outcome"
    }]
  },
  {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "therapy"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeTypes-cs",
      "code" : "payor-initial-compliance"
    }]
  },
  "subject" : {
    "reference" : "Patient/patient-example"
  },
  "effectiveDateTime" : "2022-04-12T12:00:00Z",
  "issued" : "2022-04-11T11:59:00Z",
  "interpretation" : [{
    "coding" : [{
      "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-complianceRuleOutcomeInterpretations-cs",
      "code" : "compliance-met"
    }]
  }],
  "device" : {
    "reference" : "Device/device-ACE-example"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "compliance-period"
      }]
    },
    "valuePeriod" : {
      "start" : "2022-03-25",
      "end" : "2022-04-21"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "clinical-metric"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system",
        "code" : "periods-of-use"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "statistic"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-statistics-code-system",
        "code" : "centile-0"
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "threshold"
      }]
    },
    "valueQuantity" : {
      "value" : 4,
      "unit" : "hour/day",
      "system" : "http://unitsofmeasure.org",
      "code" : "h/d"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "comparison-operator"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/quantity-comparator",
        "code" : ">="
      }]
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "evaluation-period"
      }]
    },
    "valueQuantity" : {
      "value" : 30,
      "unit" : "day",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://resmed.com/fhir/core/CodeSystem/rmd-ruleOutcomeComponent-cs",
        "code" : "evaluations"
      }]
    },
    "valueInteger" : 21
  }]
}