Additional File 4
a.     File format: . rtf
b.     Title: An example Score Observation as a FHIR Resource
c.     Description of Data: HL7 FHIR Representation of Score Observation for a KCCQ Questionnaire Response

{
    "resourceType": "Observation",
    "id": "7589c260-ddfd-41cd-992d-ad1ce52df840",
    "meta":
    {
        "source": "http://kroniq.srdc.com.tr/patient",
        "versionId": "1",
        "lastUpdated": "2023-06-09T19:33:14.404+03:00"
    },
    "status": "final",
    "category":
    [
        {
            "coding":
            [
                {
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code": "survey",
                    "display": "Survey"
                }
            ],
            "text": "Survey"
        }
    ],
    "subject":
    {
        "reference": "Patient/6f4cd139-c920-445c-a0e3-e9e60c5ae235"
    },
    "code":
    {
        "coding":
        [
            {
                "system": "http://loinc.org",
                "code": "86924-8",
                "display": "Kansas City Cardiomyopathy Questionnaire"
            }
        ]
    },
    "effectiveDateTime": "2023-06-09T16:33:13.876Z",
    "component":
    [
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-physical-limitation",
                        "display": "Physical Limitation Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 54.166666666666664,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-symptom-stability",
                        "display": "Symptom Stability Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 25,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-symptom-frequency",
                        "display": "Symptom Frequency Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 52.083333333333336,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-symptom-burden",
                        "display": "Symptom Burden Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 50,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-total-symptom",
                        "display": "Total Symptom Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 51.04166666666667,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-self-efficacy",
                        "display": "Self Efficacy Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 37.5,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-quality-of-life",
                        "display": "Quality of Life Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 50,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-social-limitation",
                        "display": "Social Limitation Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 50,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-overall-summary",
                        "display": "Overall Summary Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 51.302083333333336,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        },
        {
            "code":
            {
                "coding":
                [
                    {
                        "system": "http://kroniq.srdc.com.tr/fhir/CodeSystem/observation-code",
                        "code": "kccq-score-clinical-summary",
                        "display": "Clinical Summary Score"
                    }
                ]
            },
            "valueQuantity":
            {
                "value": 52.60416666666667,
                "system": "http://unitsofmeasure.org",
                "code": "{score}"
            }
        }
    ],
    "derivedFrom":
    [
        {
            "reference": "QuestionnaireResponse/d0915fc8-823b-4f66-b6b2-6def9271acba"
        }
    ]
}