{
  "resourceType": "Bundle",
  "id": "nonin-hdp-1542718631721",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:oid:1.2.3.0",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdPatient.html\">PhdPatient</a></p></div><p><b>identifier</b>: Medical record number: sisansarahId</p><p><b>name</b>: Sisansarah Gyannea </p></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR"
                }
              ],
              "text": "Medical record number"
            },
            "system": "urn:oid:1.2.3.4.5.6.6.8.10",
            "value": "sisansarahId"
          }
        ],
        "name": [
          {
            "family": "Gyannea",
            "given": [
              "Sisansarah"
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient",
        "ifNoneExist": "identifier=urn:oid:1.2.3.4.5.6.6.8.10|sisansarahId"
      }
    },
    {
      "fullUrl": "urn:oid:1.2.3.1",
      "resource": {
        "resourceType": "Device",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhgDevice.html\">PhgDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier: 4C-4E-49-12-34-56-FF-FF</p><p><b>type</b>: MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#531981 \"MDC_MOC_VMS_MDS_AHD\")</span></p><h3>Versions</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td>*</td><td>MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532352)</span></td><td>6.0</td></tr></table><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532353)</span></p><p><b>valueCode</b>: Pulse Oximeter certified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaPHD.html\">ContinuaPHD</a>#4)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: Continua certified Health&amp;Fitness interfaces list <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532355)</span></p><p><b>valueCode</b>: observation-upload-soap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaHFS.html\">ContinuaHFS</a>#0)</span>, observation-upload-hdata <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaHFS.html\">ContinuaHFS</a>#3)</span>, observation-upload-fhir <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaHFS.html\">ContinuaHFS</a>#7)</span>, capabilities <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaHFS.html\">ContinuaHFS</a>#2)</span>, aps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaHFS.html\">ContinuaHFS</a>#6)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: regulation-status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#532354.0)</span></p><p><b>valueCode</b>: Device is Unregulated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68220)</span></p><p><b>valueCode</b>: MDC_TIME_SYNC_NTPV4: NTPV4 time synchronization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532226)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_ACCURACY: unknown code 68221 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68221)</span></p><p><b>valueQuantity</b>: 120000000 us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code us = 'us')</span></p></blockquote></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers",
                  "code": "SYSID",
                  "display": "IEEE 11073 System Identifier"
                }
              ]
            },
            "system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
            "value": "4C-4E-49-12-34-56-FF-FF"
          }
        ],
        "type": {
          "coding": [
            {
              "system": "urn:iso:std:iso:11073:10101",
              "code": "531981",
              "display": "MDC_MOC_VMS_MDS_AHD"
            }
          ],
          "text": "MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway"
        },
        "version": [
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "532352"
                }
              ],
              "text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"
            },
            "value": "6.0"
          }
        ],
        "property": [
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "532353"
                }
              ],
              "text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD",
                    "code": "4"
                  }
                ]
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "532355"
                }
              ],
              "text": "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: Continua certified Health&Fitness interfaces list"
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code": "0"
                  }
                ]
              },
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code": "3"
                  }
                ]
              },
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code": "7"
                  }
                ]
              },
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code": "2"
                  }
                ]
              },
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code": "6"
                  }
                ]
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                  "code": "532354.0",
                  "display": "regulation-status"
                }
              ]
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y"
                  }
                ],
                "text": "Device is Unregulated"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68220"
                }
              ],
              "text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "urn:iso:std:iso:11073:10101",
                    "code": "532226"
                  }
                ],
                "text": "MDC_TIME_SYNC_NTPV4: NTPV4 time synchronization"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68221"
                }
              ],
              "text": "MDC_TIME_SYNC_ACCURACY: unknown code 68221"
            },
            "valueQuantity": [
              {
                "value": 120000000,
                "system": "http://unitsofmeasure.org",
                "code": "us"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Device",
        "ifNoneExist": "identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|4C-4E-49-12-34-56-FF-FF"
      }
    },
    {
      "fullUrl": "urn:oid:1.2.3.2",
      "resource": {
        "resourceType": "Device",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdDevice.html\">PhdDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier: 00-1C-05-04-00-00-78-25, Bluetooth MAC Address: 00-1C-05-00-78-25</p><p><b>manufacturer</b>: Nonin Medical, Inc.</p><p><b>serialNumber</b>: 0400007825</p><h3>DeviceNames</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>Nonin_Medical_Inc._323552</td><td>user-friendly-name</td></tr></table><p><b>modelNumber</b>: Model 3150</p><p><b>type</b>: MDC_MOC_VMS_MDS_SIMP: Personal Health Device <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#65573 \"MDC_MOC_VMS_MDS_SIMP\")</span></p><h3>Specializations</h3><table class=\"grid\"><tr><td>-</td><td><b>SystemType</b></td><td><b>Version</b></td></tr><tr><td>*</td><td>MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#528388)</span></td><td>1</td></tr></table><blockquote><p><b>version</b></p><p><b>type</b>: MDC_ID_PROD_SPEC_FW: Firmware revision <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#531976)</span></p><p><b>value</b>: 0.9C</p></blockquote><blockquote><p><b>version</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532352)</span></p><p><b>value</b>: 1.0</p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532353)</span></p><p><b>valueCode</b>: Pulse Oximeter certified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ContinuaPHD.html\">ContinuaPHD</a>#4)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: regulation-status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#532354.0)</span></p><p><b>valueCode</b>: Device is Regulated <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#N)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68220)</span></p><p><b>valueCode</b>: MDC_TIME_SYNC_NONE: No time synchronization <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#532224)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-real-time-clock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#68219.0)</span></p><p><b>valueCode</b>: real time clock supported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-set-clock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#68219.1)</span></p><p><b>valueCode</b>: setting the time supported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-relative-time <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#68219.2)</span></p><p><b>valueCode</b>: relative time supported <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/v2/0136/index.html\">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_RES_ABS: Resolution of absolute time clock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68222)</span></p><p><b>valueQuantity</b>: 1000000 us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code us = 'us')</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_RES_REL: Resolution of relative time clock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68223)</span></p><p><b>valueQuantity</b>: 10000 us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code us = 'us')</span></p></blockquote></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers",
                  "code": "SYSID",
                  "display": "IEEE 11073 System Identifier"
                }
              ]
            },
            "system": "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
            "value": "00-1C-05-04-00-00-78-25"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers",
                  "code": "BTMAC",
                  "display": "Bluetooth MAC Address"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/eui-48/bluetooth",
            "value": "00-1C-05-00-78-25"
          }
        ],
        "manufacturer": "Nonin Medical, Inc.",
        "serialNumber": "0400007825",
        "deviceName": [
          {
            "name": "Nonin_Medical_Inc._323552",
            "type": "user-friendly-name"
          }
        ],
        "modelNumber": "Model 3150",
        "type": {
          "coding": [
            {
              "system": "urn:iso:std:iso:11073:10101",
              "code": "65573",
              "display": "MDC_MOC_VMS_MDS_SIMP"
            }
          ],
          "text": "MDC_MOC_VMS_MDS_SIMP: Personal Health Device"
        },
        "specialization": [
          {
            "systemType": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "528388"
                }
              ],
              "text": "MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter"
            },
            "version": "1"
          }
        ],
        "version": [
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "531976"
                }
              ],
              "text": "MDC_ID_PROD_SPEC_FW: Firmware revision"
            },
            "value": "0.9C"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "532352"
                }
              ],
              "text": "MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"
            },
            "value": "1.0"
          }
        ],
        "property": [
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "532353"
                }
              ],
              "text": "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD",
                    "code": "4"
                  }
                ]
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                  "code": "532354.0",
                  "display": "regulation-status"
                }
              ]
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "N"
                  }
                ],
                "text": "Device is Regulated"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68220"
                }
              ],
              "text": "MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "urn:iso:std:iso:11073:10101",
                    "code": "532224"
                  }
                ],
                "text": "MDC_TIME_SYNC_NONE: No time synchronization"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                  "code": "68219.0",
                  "display": "mds-time-capab-real-time-clock"
                }
              ]
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y"
                  }
                ],
                "text": "real time clock supported"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                  "code": "68219.1",
                  "display": "mds-time-capab-set-clock"
                }
              ]
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y"
                  }
                ],
                "text": "setting the time supported"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
                  "code": "68219.2",
                  "display": "mds-time-capab-relative-time"
                }
              ]
            },
            "valueCode": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code": "Y"
                  }
                ],
                "text": "relative time supported"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68222"
                }
              ],
              "text": "MDC_TIME_RES_ABS: Resolution of absolute time clock"
            },
            "valueQuantity": [
              {
                "value": 1000000,
                "system": "http://unitsofmeasure.org",
                "code": "us"
              }
            ]
          },
          {
            "type": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68223"
                }
              ],
              "text": "MDC_TIME_RES_REL: Resolution of relative time clock"
            },
            "valueQuantity": [
              {
                "value": 10000,
                "system": "http://unitsofmeasure.org",
                "code": "us"
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Device",
        "ifNoneExist": "identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|00-1C-05-04-00-00-78-25"
      }
    },
    {
      "fullUrl": "urn:oid:0.1568.997631834",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdCoincidentTimeStampObservation.html\">PhdCoincidentTimeStampObservation</a></p></div><p><b>Gateway Device</b>: <a href=\"#urnoid1.2.3.1\">See above (urn:oid:1.2.3.1)</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_ATTR_TIME_ABS: Uses Absolute time clock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#67975)</span></p><p><b>subject</b>: <a href=\"#urnoid1.2.3.0\">See above (urn:oid:1.2.3.0)</a></p><p><b>effective</b>: 2019-09-20 12:40:07-0400</p><p><b>value</b>: 2019-09-20 12:40:09-0400</p><p><b>device</b>: <a href=\"#urnoid1.2.3.2\">See above (urn:oid:1.2.3.2)</a></p></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
            "valueReference": {
              "reference": "urn:oid:1.2.3.1"
            }
          }
        ],
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "urn:iso:std:iso:11073:10101",
              "code": "67975"
            }
          ],
          "text": "MDC_ATTR_TIME_ABS: Uses Absolute time clock"
        },
        "subject": {
          "reference": "urn:oid:1.2.3.0"
        },
        "effectiveDateTime": "2019-09-20T12:40:07.936-04:00",
        "valueDateTime": "2019-09-20T12:40:09.000-04:00",
        "device": {
          "reference": "urn:oid:1.2.3.2"
        }
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:oid:1.0.0.1",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdNumericObservation.html\">PhdNumericObservation</a></p></div><p><b>Gateway Device</b>: <a href=\"#urnoid1.2.3.1\">See above (urn:oid:1.2.3.1)</a></p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: MDC_PULS_OXIM_SAT_O2: Blood 0₂ <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#150456; <a href=\"https://loinc.org/\">LOINC</a>#2708-6)</span></p><p><b>subject</b>: <a href=\"#urnoid1.2.3.0\">See above (urn:oid:1.2.3.0)</a></p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 98 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"#urnoid1.2.3.2\">See above (urn:oid:1.2.3.2)</a></p><p><b>derivedFrom</b>: <a href=\"#urnoid0.1568.997631834\">See above (urn:oid:0.1568.997631834)</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68193)</span></td><td>MDC_MODALITY_SPOT: Stable mean <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#150588)</span></td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
            "valueReference": {
              "reference": "urn:oid:1.2.3.1"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "urn:iso:std:iso:11073:10101",
              "code": "150456"
            },
            {
              "system": "http://loinc.org",
              "code": "2708-6"
            }
          ],
          "text": "MDC_PULS_OXIM_SAT_O2: Blood 0₂"
        },
        "subject": {
          "reference": "urn:oid:1.2.3.0"
        },
        "effectiveDateTime": "2019-09-20T12:40:16.936-04:00",
        "valueQuantity": {
          "value": 98,
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "device": {
          "reference": "urn:oid:1.2.3.2"
        },
        "derivedFrom": [
          {
            "reference": "urn:oid:0.1568.997631834"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68193"
                }
              ],
              "text": "MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "150588"
                }
              ],
              "text": "MDC_MODALITY_SPOT: Stable mean"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    },
    {
      "fullUrl": "urn:oid:1.0.0.2",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
          ]
        },
        "text": {
          "status": "extensions",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdNumericObservation.html\">PhdNumericObservation</a></p></div><p><b>Gateway Device</b>: <a href=\"#urnoid1.2.3.1\">See above (urn:oid:1.2.3.1)</a></p><p><b>status</b>: final</p><p><b>category</b>: Vital Signs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: MDC_PULS_OXIM_PULS_RATE: Pulse rate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#149530; <a href=\"https://loinc.org/\">LOINC</a>#8867-4)</span></p><p><b>subject</b>: <a href=\"#urnoid1.2.3.0\">See above (urn:oid:1.2.3.0)</a></p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 47 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"#urnoid1.2.3.2\">See above (urn:oid:1.2.3.2)</a></p><p><b>derivedFrom</b>: <a href=\"#urnoid0.1568.997631834\">See above (urn:oid:0.1568.997631834)</a></p><h3>Components</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td>*</td><td>MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#68193)</span></td><td>MDC_MODALITY_SPOT: Stable mean <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-mdc.html\">ISO 11073-10101 Health informatics - Point-of-care</a>#150588)</span></td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
            "valueReference": {
              "reference": "urn:oid:1.2.3.1"
            }
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "urn:iso:std:iso:11073:10101",
              "code": "149530"
            },
            {
              "system": "http://loinc.org",
              "code": "8867-4"
            }
          ],
          "text": "MDC_PULS_OXIM_PULS_RATE: Pulse rate"
        },
        "subject": {
          "reference": "urn:oid:1.2.3.0"
        },
        "effectiveDateTime": "2019-09-20T12:40:16.936-04:00",
        "valueQuantity": {
          "value": 47,
          "system": "http://unitsofmeasure.org",
          "code": "{beat}/min"
        },
        "device": {
          "reference": "urn:oid:1.2.3.2"
        },
        "derivedFrom": [
          {
            "reference": "urn:oid:0.1568.997631834"
          }
        ],
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "68193"
                }
              ],
              "text": "MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "urn:iso:std:iso:11073:10101",
                  "code": "150588"
                }
              ],
              "text": "MDC_MODALITY_SPOT: Stable mean"
            }
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    }
  ]
}