{
  "resourceType": "Observation",
  "id": "rtsa-1234",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdRtsaObservation"
    ]
  },
  "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 \"rtsa-1234\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdRtsaObservation.html\">PhdRtsaObservation</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_PLETH: Pleth Wave <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>#150452)</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>: 2018-08-02 02:25:24-0400</p><p><b>value</b>: Origin: -3.4 1, Period: 2.000, Factor: 3.0, Dimensions: 1, Data: 123 110 97 99 112 118</p><p><b>device</b>: <a href=\"Device-phd-00601900010E9234.F45EABA80832.html\">Device/phd-00601900010E9234.F45EABA80832</a></p><p><b>derivedFrom</b>: <a href=\"Observation-coin-1234.html\">Observation/coin-1234</a></p></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": "150452"
      }
    ],
    "text": "MDC_PULS_OXIM_PLETH: Pleth Wave"
  },
  "subject": {
    "reference": "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
  },
  "effectiveDateTime": "2018-08-02T02:25:24-04:00",
  "valueSampledData": {
    "origin": {
      "value": -3.4,
      "system": "http://unitsofmeasure.org",
      "code": "1"
    },
    "period": 2.000,
    "factor": 3.0,
    "dimensions": 1,
    "data": "123 110 97 99 112 118"
  },
  "device": {
    "reference": "Device/phd-00601900010E9234.F45EABA80832"
  },
  "derivedFrom": [
    {
      "reference": "Observation/coin-1234"
    }
  ]
}