{
  "resourceType": "Bundle",
  "id": "period-tracking-longitudinal-example",
  "identifier": {
    "system": "https://example.org/period-tracking-export",
    "value": "export-longitudinal-001"
  },
  "type": "collection",
  "timestamp": "2026-06-21T18:00:00-05:00",
  "entry": [
    {
      "fullUrl": "https://example.org/fhir/Patient/pt-longitudinal",
      "resource": {
        "resourceType": "Patient",
        "id": "pt-longitudinal",
        "identifier": [
          {
            "system": "https://example.org/mrn",
            "value": "PT-MVP-LONG-001"
          }
        ],
        "name": [
          {
            "use": "usual",
            "family": "Rivera",
            "given": [
              "Sam"
            ]
          }
        ],
        "birthDate": "1994-02-09"
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Device/periodicity-app",
      "resource": {
        "resourceType": "Device",
        "id": "periodicity-app",
        "status": "active",
        "deviceName": [
          {
            "name": "Periodicity (synthetic reference app)",
            "type": "user-friendly-name"
          }
        ],
        "type": {
          "text": "Period-tracking application"
        },
        "version": [
          {
            "value": "synthetic"
          }
        ]
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Procedure/iud-insertion",
      "resource": {
        "resourceType": "Procedure",
        "id": "iud-insertion",
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "65200003"
            }
          ],
          "text": "Copper IUD insertion"
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "performedDateTime": "2026-03-18"
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueQuantity": {
          "value": 4,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20251208",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20251208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20251209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20251209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20251209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251209",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251209",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-09T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251210",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-10",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251210",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20251210",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20251210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-10",
        "valueQuantity": {
          "value": 2,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20251210",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20251210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251210",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251210",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-10T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.37,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251211",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251211",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-11",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251211",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251211",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251211",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251211",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-11T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.36,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251212",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251212",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-12",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251212",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251212",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251212",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251212",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-12T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251213",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251213",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-13",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251213",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251213",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-13",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251213",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251213",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-13T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.37,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251214",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251214",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251214",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251214",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251215",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251215",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251215",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251215",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251216",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251216",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251216",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251216",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251216",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251216",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-16T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.35,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251217",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251217",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251217",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251217",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251217",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251217",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-17T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251218",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251218",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251218",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251218",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251218",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251218",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-18T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.4,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251219",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251219",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-19",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251219",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251219",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251219",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251219",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-19T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251220",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251220",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251220",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251220",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-20",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251221",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251221",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251221",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251221",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251221",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251221",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-21T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.44,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251222",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251222",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-22",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251222",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251222",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-22",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251223",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251223",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-23",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251223",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251223",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-23",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251225",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251225",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251225",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251225",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251225",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251225",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-25T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.76,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251226",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-26",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251226",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251227",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-27",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251227",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251227",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251227",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-27T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.76,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251228",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-28",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251228",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251228",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251228",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-28T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.66,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251229",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251229",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-29",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251229",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251229",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20251229",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20251229",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20251229",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20251229",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251230",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251230",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-30",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251230",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251230",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20251230",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20251230",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20251230",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20251230",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20251230",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20251230",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20251231",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20251231",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20251231",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2025-12-31T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.72,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260101",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260101",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260102",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260102",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260102",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-02T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.75,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260103",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260103",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueQuantity": {
          "value": 4,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260104",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260104",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260104",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-04T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260105",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260105",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260105",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260105",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260105",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260105",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260105",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-05T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.35,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260106",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260106",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-06",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260106",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260106",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260106",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260106",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-06",
        "valueQuantity": {
          "value": 2,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260106",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260106",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260107",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260107",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-07",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260107",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260107",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260108",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260108",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-08",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260108",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260108",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260109",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260109",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-09",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260109",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260109",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260109",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260109",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-09T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.43,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260110",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260110",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-10",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260110",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260110",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260112",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260112",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-12",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260112",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260112",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260113",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260113",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-13",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260113",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260113",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-13",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260113",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260113",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-13T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.42,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260114",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260114",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260114",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260114",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260114",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260114",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-14T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.44,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260115",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260115",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260115",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260115",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260115",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260115",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-15T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.39,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260116",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260116",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260116",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260116",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260117",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260117",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260117",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260117",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260117",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260117",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-17T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.37,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260119",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260119",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-19",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260119",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260119",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260119",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260119",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-19T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.71,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260120",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260120",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260120",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260120",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-20",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260120",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260120",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-20T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.66,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260121",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260121",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260121",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260121",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260122",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260122",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-22",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260122",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260122",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-22",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260122",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260122",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-22T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.7,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260123",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260123",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-23",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260123",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260123",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-23",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260124",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260124",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-24",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260124",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260124",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260125",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260125",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260125",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260125",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260125",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260125",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-25T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.67,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260126",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260126",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-26",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260126",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260126",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260126",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260126",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260126",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260126",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260126",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260126",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260127",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260127",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-27",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260127",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260127",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260127",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260127",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260127",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260127",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260127",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260127",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260128",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260128",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-28",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260128",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260128",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260128",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260128",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260128",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260128",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260129",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260129",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-29",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260129",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260129",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260129",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260129",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260129",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260129",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260129",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260129",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-29T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.75,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260131",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260131",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-31",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260131",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260131",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-01-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260201",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260201",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-01",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260201",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260201",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260201",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260201",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260201",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260201",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260201",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260201",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260202",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260202",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260203",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260203",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260203",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03",
        "valueQuantity": {
          "value": 2,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260203",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260203",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260203",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260203",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-03T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.36,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260204",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260204",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-04",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260204",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260204",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260204",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260204",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-04",
        "valueQuantity": {
          "value": 1,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260204",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260204",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260204",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260204",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-04T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.43,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260205",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260205",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-05",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260205",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260205",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260206",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260206",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-06",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260206",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260206",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260206",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260206",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-06T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.4,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260207",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260207",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-07",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260207",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260207",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260208",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-08",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260208",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260208",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260209",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-09",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260209",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260209",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260209",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260209",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-09T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.43,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260210",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-10",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260210",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260210",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260210",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260210",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-10T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.39,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260211",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260211",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-11",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260211",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260211",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260211",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260211",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-11T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.34,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260213",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260213",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-13",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260213",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260213",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-13",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260213",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260213",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-13T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.43,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260214",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260214",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260214",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260214",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260214",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260214",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-14T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.36,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260216",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260216",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260216",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260216",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260216",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260216",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-16T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.57,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260217",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260217",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260217",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260217",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
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          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260217",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260217",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
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          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-17T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.74,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260218",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260218",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260218",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260218",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
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          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260218",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260218",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-18T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.65,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260219",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260219",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-19",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260219",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260219",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260219",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260219",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-19T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.72,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260220",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260220",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260220",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260220",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-20",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
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          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260220",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260220",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-20T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.71,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260221",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260221",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260221",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260221",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-21",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
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          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260221",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260221",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
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          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-21T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.67,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
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      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260222",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260222",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-22",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260222",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260222",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
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        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-22",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260222",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260222",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-22T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.67,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260223",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260223",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-23",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260223",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260223",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-23",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260224",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260224",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-24",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260224",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260224",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-24",
        "valueCodeableConcept": {
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260224",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260224",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-24T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.66,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260225",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260225",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260225",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260225",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
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        "effectiveDateTime": "2026-02-25",
        "valueCodeableConcept": {
          "coding": [
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              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
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          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260225",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260225",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-25T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.66,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260226",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-26",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260226",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260226",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260226",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260226",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260226",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260227",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bbt-20260227",
      "resource": {
        "resourceType": "Observation",
        "id": "bbt-20260227",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-27T06:45:00-05:00",
        "valueQuantity": {
          "value": 36.74,
          "unit": "degree Celsius",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260228",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260228",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-02-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260301",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260301",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260302",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260302",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-02",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260302",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260302",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260303",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260303",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-03",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260303",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260303",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260303",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260303",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260303",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260303",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260303",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260303",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260304",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260304",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260305",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260305",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260306",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260306",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-06",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260306",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260306",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260306",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260306",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-06",
        "valueQuantity": {
          "value": 2,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260306",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260306",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260306",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260306",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260307",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260307",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-07",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260307",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260307",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260307",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260307",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-07",
        "valueQuantity": {
          "value": 1,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260307",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260307",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260308",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260308",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-08",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260308",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260308",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260309",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260309",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-09",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260309",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260309",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260311",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260311",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-11",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260311",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260311",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260312",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260312",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-12",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260312",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260312",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260314",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260314",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260314",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260314",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260315",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260315",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260315",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260315",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260318",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260318",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260318",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260318",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260320",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260320",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260320",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260320",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-20",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260321",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260321",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260321",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260321",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260322",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260322",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-22",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260322",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260322",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-22",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260323",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260323",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-23",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260323",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260323",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-23",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260324",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260324",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-24",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260324",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260324",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260324",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260324",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260324",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260324",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260325",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260325",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260325",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260325",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260325",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260325",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260326",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260326",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260327",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260327",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-27",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260327",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260327",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260327",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260327",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260327",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260327",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260328",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260328",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-28",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260328",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260328",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260328",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260328",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260328",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260328",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260328",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260328",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260329",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260329",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-heavy"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueQuantity": {
          "value": 8,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260330",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260330",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260331",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260331",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-31",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260331",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260331",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-heavy"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260331",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260331",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-31",
        "valueQuantity": {
          "value": 6,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260331",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260331",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260331",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260331",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-03-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260401",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260401",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-01",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260401",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260401",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260401",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260401",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-01",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260401",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260401",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260402",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260402",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-02",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260402",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260402",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260402",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260402",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-02",
        "valueQuantity": {
          "value": 1,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260403",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260403",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-03",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260403",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260403",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260404",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260404",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-04",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260404",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260404",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260405",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260405",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-05",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260405",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260405",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260406",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260406",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-06",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260406",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260406",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260407",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260407",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-07",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260407",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260407",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260408",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260408",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-08",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260408",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260408",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260411",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260411",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-11",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260411",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260411",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260412",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260412",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-12",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260412",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260412",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260413",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260413",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-13",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260413",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260413",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-13",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260414",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260414",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-14",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260414",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260414",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260415",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260415",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260415",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260415",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260416",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260416",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260416",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260416",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260416",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260416",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-16",
        "valueQuantity": {
          "value": 4,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260417",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260417",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260417",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260417",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260418",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260418",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260418",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260418",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260419",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260419",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-19",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260419",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260419",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260419",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260419",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-19",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/dyspareunia-20260419",
      "resource": {
        "resourceType": "Observation",
        "id": "dyspareunia-20260419",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-19",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "71315007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260420",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260420",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260420",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260420",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-20",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260421",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260421",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260421",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260421",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260422",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260422",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-22",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260422",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260422",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-22",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260423",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260423",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-23",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260423",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260423",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-23",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260424",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260424",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-24",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260424",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260424",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260425",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260425",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260425",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260425",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260426",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260426",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-26",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260426",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260426",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-26",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260429",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260429",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-29",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260429",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260429",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260430",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260430",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-30",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260430",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260430",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-04-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260501",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260501",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-01",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260501",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260501",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260502",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260502",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-02",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260502",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260502",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260502",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260502",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260502",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260502",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260502",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260502",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260503",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260503",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-03",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260503",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260503",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260503",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260503",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260503",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260503",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260503",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260503",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260504",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260504",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-04",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260504",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260504",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260505",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260505",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-05",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260505",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260505",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260505",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260505",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260505",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260505",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260505",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260505",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260506",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260506",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-heavy"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueQuantity": {
          "value": 7,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260507",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260507",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260508",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260508",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-08",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260508",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260508",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260508",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260508",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-08",
        "valueQuantity": {
          "value": 5,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260508",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260508",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260508",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260508",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260509",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260509",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-09",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260509",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260509",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260509",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260509",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-09",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260509",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260509",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260510",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260510",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-10",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260510",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260510",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260511",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260511",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-11",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260511",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260511",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260512",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260512",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-12",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260512",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260512",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260514",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260514",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260514",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260514",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260515",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260515",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260515",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260515",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260516",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260516",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260516",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260516",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260517",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260517",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260517",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260517",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260518",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260518",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260518",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260518",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260520",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260520",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-20",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260520",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260520",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-20",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260520",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260520",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-20",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260521",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260521",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260521",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260521",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260522",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260522",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-22",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260522",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260522",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-22",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260522",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260522",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-22",
        "valueQuantity": {
          "value": 1,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260524",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260524",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-24",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260524",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260524",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260524",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260524",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-24",
        "valueQuantity": {
          "value": 5,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/dyspareunia-20260524",
      "resource": {
        "resourceType": "Observation",
        "id": "dyspareunia-20260524",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-24",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "71315007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260525",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260525",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-25",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260525",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260525",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-25",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260527",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260527",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-27",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260527",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260527",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-27",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260528",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260528",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-28",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260528",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260528",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260528",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260528",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260528",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260528",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260528",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260528",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-28",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260529",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260529",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-29",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260529",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260529",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260529",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260529",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-fatigue-20260529",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-fatigue-20260529",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-29",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "84229001"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260530",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260530",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-30",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260530",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260530",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260530",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260530",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260530",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260530",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-30",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260531",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260531",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-31",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260531",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260531",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260531",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260531",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-05-31",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260601",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260601",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-01",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260601",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260601",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-01",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-headache-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-headache-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "25064002"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260602",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260602",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-02",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260603",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260603",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-03",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260603",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260603",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-03",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-heavy"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueQuantity": {
          "value": 7,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-bloating-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-bloating-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "116289008"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260604",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260604",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-04",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260605",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260605",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-05",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260605",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260605",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-heavy"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260605",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260605",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-05",
        "valueQuantity": {
          "value": 5,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-irritability-20260605",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-irritability-20260605",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55929007"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260605",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260605",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260606",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260606",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-06",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260606",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260606",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/pain-20260606",
      "resource": {
        "resourceType": "Observation",
        "id": "pain-20260606",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "72514-3",
              "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-06",
        "valueQuantity": {
          "value": 3,
          "unit": "{score}",
          "system": "http://unitsofmeasure.org",
          "code": "{score}"
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/sym-lowmood-20260606",
      "resource": {
        "resourceType": "Observation",
        "id": "sym-lowmood-20260606",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "symptom",
              "display": "Symptom"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-06",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "366979004"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260607",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260607",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-07",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260607",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260607",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-07",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-moderate"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260608",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260608",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-08",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260608",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260608",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-08",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-light"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260609",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260609",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-09",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260609",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260609",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-09",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260610",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260610",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-10",
        "valueBoolean": true,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260610",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260610",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-10",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-spotting"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260611",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260611",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-11",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260611",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260611",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-11",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260612",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260612",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-12",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260612",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260612",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-12",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260613",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260613",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-13",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260613",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260613",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-13",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260614",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260614",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-14",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260614",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260614",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-14",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260615",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260615",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-15",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260615",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260615",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-15",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260616",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260616",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-16",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260616",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260616",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-16",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260617",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260617",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-17",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260617",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260617",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-17",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260618",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260618",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-18",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260618",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260618",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-18",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/bleeding-20260621",
      "resource": {
        "resourceType": "Observation",
        "id": "bleeding-20260621",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-bleeding",
              "display": "Menstrual bleeding"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-21",
        "valueBoolean": false,
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    },
    {
      "fullUrl": "https://example.org/fhir/Observation/flow-20260621",
      "resource": {
        "resourceType": "Observation",
        "id": "flow-20260621",
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "menstrual-flow",
              "display": "Patient-reported menstrual flow category"
            }
          ]
        },
        "subject": {
          "reference": "Patient/pt-longitudinal"
        },
        "effectiveDateTime": "2026-06-21",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "https://cycle.fhir.me/CodeSystem/cycle",
              "code": "flow-none"
            }
          ]
        },
        "device": {
          "reference": "Device/periodicity-app"
        }
      }
    }
  ]
}