Personal Health Device Implementation Guide
1.0.0 - STU 1

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## : Example of a first time Bundle upload - JSON Representation

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    {
      "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"
          }
        }
      ]
    }