{
  "resourceType": "Observation",
  "id": "bits-1.0.0.40",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation"
    ]
  },
  "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\">Resource \"bits-1.0.0.40\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdBitsEnumerationObservation.html\">PhdBitsEnumerationObservation</a></p></div><p><b>Gateway Device</b>: <a href=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_PULS_OXIM_DEV_STATUS: Measuring process issues <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>#150604)</span></p><p><b>subject</b>: <a href=\"Patient-sisansarahId.1.2.3.4.5.6.7.8.10.html\">Patient/sisansarahId.1.2.3.4.5.6.7.8.10</a> \" PIGGY\"</p><p><b>effective</b>: 2018-11-11 07:07:48-0500</p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p><blockquote><p><b>component</b></p><p><b>code</b>: sensor-displaced <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.2)</span></p><p><b>value</b>: Sensor is incorrectly placed on user <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>component</b></p><p><b>code</b>: signal-pulse-questionable <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.7)</span></p><p><b>value</b>: Questionable pulse detected <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>component</b></p><p><b>code</b>: signal-low-perfusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.10)</span></p><p><b>value</b>: Signal experiencing low perfusion <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>component</b></p><p><b>code</b>: signal-poor <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.11)</span></p><p><b>value</b>: Signal is poor <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>component</b></p><p><b>code</b>: signal-inadequate <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-ASN1ToHL7.html\">ASN1ToHL7</a>#150604.12)</span></p><p><b>value</b>: Signal is inadequate <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></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
      "valueReference": {
        "reference": "Device/phg-ecde3d4e58532d31.000000000000"
      }
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "urn:iso:std:iso:11073:10101",
        "code": "150604"
      }
    ],
    "text": "MDC_PULS_OXIM_DEV_STATUS: Measuring process issues"
  },
  "subject": {
    "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
  },
  "effectiveDateTime": "2018-11-11T19:07:48-05:00",
  "device": {
    "reference": "Device/phd-74E8FFFEFF051C00.001C05FFE874"
  },
  "component": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
            "code": "150604.2"
          }
        ],
        "text": "sensor-displaced"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code": "Y"
          }
        ],
        "text": "Sensor is incorrectly placed on user"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
            "code": "150604.7"
          }
        ],
        "text": "signal-pulse-questionable"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code": "Y"
          }
        ],
        "text": "Questionable pulse detected"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
            "code": "150604.10"
          }
        ],
        "text": "signal-low-perfusion"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code": "Y"
          }
        ],
        "text": "Signal experiencing low perfusion"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
            "code": "150604.11"
          }
        ],
        "text": "signal-poor"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code": "Y"
          }
        ],
        "text": "Signal is poor"
      }
    },
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7",
            "code": "150604.12"
          }
        ],
        "text": "signal-inadequate"
      },
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0136",
            "code": "Y"
          }
        ],
        "text": "Signal is inadequate"
      }
    }
  ]
}