Personal Health Device Implementation Guide
1.0.0 - STU 1

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

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    <Bundle xmlns="http://hl7.org/fhir">
      <id value="nonin-hdp-1542718631721"/>
      <type value="transaction"/>
      <entry>
        <fullUrl value="urn:oid:1.2.3.0"/>
        <resource>
          <Patient>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="MR"/>
                </coding>
                <text value="Medical record number"/>
              </type>
              <system value="urn:oid:1.2.3.4.5.6.6.8.10"/>
              <value value="sisansarahId"/>
            </identifier>
            <name>
              <family value="Gyannea"/>
              <given value="Sisansarah"/>
            </name>
          </Patient>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Patient"/>
          <ifNoneExist value="identifier=urn:oid:1.2.3.4.5.6.6.8.10|sisansarahId"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:oid:1.2.3.1"/>
        <resource>
          <Device>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
                  <code value="SYSID"/>
                  <display value="IEEE 11073 System Identifier"/>
                </coding>
              </type>
              <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
              <value value="4C-4E-49-12-34-56-FF-FF"/>
            </identifier>
            <type>
              <coding>
                <system value="urn:iso:std:iso:11073:10101"/>
                <code value="531981"/>
                <display value="MDC_MOC_VMS_MDS_AHD"/>
              </coding>
              <text value="MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway"/>
            </type>
            <version>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532352"/>
                </coding>
                <text value="MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"/>
              </type>
              <value value="6.0"/>
            </version>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532353"/>
                </coding>
                <text
                      value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"/>
              </type>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD"/>
                  <code value="4"/>
                </coding>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532355"/>
                </coding>
                <text
                      value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: Continua certified Health&amp;Fitness interfaces list"/>
              </type>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
                  <code value="0"/>
                </coding>
              </valueCode>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
                  <code value="3"/>
                </coding>
              </valueCode>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
                  <code value="7"/>
                </coding>
              </valueCode>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
                  <code value="2"/>
                </coding>
              </valueCode>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
                  <code value="6"/>
                </coding>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
                  <code value="532354.0"/>
                  <display value="regulation-status"/>
                </coding>
              </type>
              <valueCode>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                </coding>
                <text value="Device is Unregulated"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68220"/>
                </coding>
                <text value="MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"/>
              </type>
              <valueCode>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532226"/>
                </coding>
                <text value="MDC_TIME_SYNC_NTPV4: NTPV4 time synchronization"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68221"/>
                </coding>
                <text value="MDC_TIME_SYNC_ACCURACY: unknown code 68221"/>
              </type>
              <valueQuantity>
                <value value="120000000"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="us"/>
              </valueQuantity>
            </property>
          </Device>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Device"/>
          <ifNoneExist
                       value="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"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:oid:1.2.3.2"/>
        <resource>
          <Device>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"/>
            </meta>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
                  <code value="SYSID"/>
                  <display value="IEEE 11073 System Identifier"/>
                </coding>
              </type>
              <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
              <value value="00-1C-05-04-00-00-78-25"/>
            </identifier>
            <identifier>
              <type>
                <coding>
                  <system
                          value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
                  <code value="BTMAC"/>
                  <display value="Bluetooth MAC Address"/>
                </coding>
              </type>
              <system value="http://hl7.org/fhir/sid/eui-48/bluetooth"/>
              <value value="00-1C-05-00-78-25"/>
            </identifier>
            <manufacturer value="Nonin Medical, Inc."/>
            <serialNumber value="0400007825"/>
            <deviceName>
              <name value="Nonin_Medical_Inc._323552"/>
              <type value="user-friendly-name"/>
            </deviceName>
            <modelNumber value="Model 3150"/>
            <type>
              <coding>
                <system value="urn:iso:std:iso:11073:10101"/>
                <code value="65573"/>
                <display value="MDC_MOC_VMS_MDS_SIMP"/>
              </coding>
              <text value="MDC_MOC_VMS_MDS_SIMP: Personal Health Device"/>
            </type>
            <specialization>
              <systemType>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="528388"/>
                </coding>
                <text value="MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter"/>
              </systemType>
              <version value="1"/>
            </specialization>
            <version>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="531976"/>
                </coding>
                <text value="MDC_ID_PROD_SPEC_FW: Firmware revision"/>
              </type>
              <value value="0.9C"/>
            </version>
            <version>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532352"/>
                </coding>
                <text value="MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"/>
              </type>
              <value value="1.0"/>
            </version>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532353"/>
                </coding>
                <text
                      value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"/>
              </type>
              <valueCode>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD"/>
                  <code value="4"/>
                </coding>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
                  <code value="532354.0"/>
                  <display value="regulation-status"/>
                </coding>
              </type>
              <valueCode>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="N"/>
                </coding>
                <text value="Device is Regulated"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68220"/>
                </coding>
                <text value="MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"/>
              </type>
              <valueCode>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="532224"/>
                </coding>
                <text value="MDC_TIME_SYNC_NONE: No time synchronization"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
                  <code value="68219.0"/>
                  <display value="mds-time-capab-real-time-clock"/>
                </coding>
              </type>
              <valueCode>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                </coding>
                <text value="real time clock supported"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
                  <code value="68219.1"/>
                  <display value="mds-time-capab-set-clock"/>
                </coding>
              </type>
              <valueCode>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                </coding>
                <text value="setting the time supported"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
                  <code value="68219.2"/>
                  <display value="mds-time-capab-relative-time"/>
                </coding>
              </type>
              <valueCode>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
                  <code value="Y"/>
                </coding>
                <text value="relative time supported"/>
              </valueCode>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68222"/>
                </coding>
                <text value="MDC_TIME_RES_ABS: Resolution of absolute time clock"/>
              </type>
              <valueQuantity>
                <value value="1000000"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="us"/>
              </valueQuantity>
            </property>
            <property>
              <type>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68223"/>
                </coding>
                <text value="MDC_TIME_RES_REL: Resolution of relative time clock"/>
              </type>
              <valueQuantity>
                <value value="10000"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="us"/>
              </valueQuantity>
            </property>
          </Device>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Device"/>
          <ifNoneExist
                       value="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"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:oid:0.1568.997631834"/>
        <resource>
          <Observation>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"/>
            </meta>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
              <valueReference>
                <reference value="urn:oid:1.2.3.1"/>
              </valueReference>
            </extension>
            <status value="final"/>
            <code>
              <coding>
                <system value="urn:iso:std:iso:11073:10101"/>
                <code value="67975"/>
              </coding>
              <text value="MDC_ATTR_TIME_ABS: Uses Absolute time clock"/>
            </code>
            <subject>
              <reference value="urn:oid:1.2.3.0"/>
            </subject>
            <effectiveDateTime value="2019-09-20T12:40:07.936-04:00"/>
            <valueDateTime value="2019-09-20T12:40:09.000-04:00"/>
            <device>
              <reference value="urn:oid:1.2.3.2"/>
            </device>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:oid:1.0.0.1"/>
        <resource>
          <Observation>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
            </meta>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
              <valueReference>
                <reference value="urn:oid:1.2.3.1"/>
              </valueReference>
            </extension>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="urn:iso:std:iso:11073:10101"/>
                <code value="150456"/>
              </coding>
              <coding>
                <system value="http://loinc.org"/>
                <code value="2708-6"/>
              </coding>
              <text value="MDC_PULS_OXIM_SAT_O2: Blood 0₂"/>
            </code>
            <subject>
              <reference value="urn:oid:1.2.3.0"/>
            </subject>
            <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
            <valueQuantity>
              <value value="98"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="%"/>
            </valueQuantity>
            <device>
              <reference value="urn:oid:1.2.3.2"/>
            </device>
            <derivedFrom>
              <reference value="urn:oid:0.1568.997631834"/>
            </derivedFrom>
            <component>
              <code>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68193"/>
                </coding>
                <text value="MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"/>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="150588"/>
                </coding>
                <text value="MDC_MODALITY_SPOT: Stable mean"/>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:oid:1.0.0.2"/>
        <resource>
          <Observation>
            <meta>
              <profile
                       value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
            </meta>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
              <valueReference>
                <reference value="urn:oid:1.2.3.1"/>
              </valueReference>
            </extension>
            <status value="final"/>
            <category>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/observation-category"/>
                <code value="vital-signs"/>
                <display value="Vital Signs"/>
              </coding>
            </category>
            <code>
              <coding>
                <system value="urn:iso:std:iso:11073:10101"/>
                <code value="149530"/>
              </coding>
              <coding>
                <system value="http://loinc.org"/>
                <code value="8867-4"/>
              </coding>
              <text value="MDC_PULS_OXIM_PULS_RATE: Pulse rate"/>
            </code>
            <subject>
              <reference value="urn:oid:1.2.3.0"/>
            </subject>
            <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
            <valueQuantity>
              <value value="47"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="{beat}/min"/>
            </valueQuantity>
            <device>
              <reference value="urn:oid:1.2.3.2"/>
            </device>
            <derivedFrom>
              <reference value="urn:oid:0.1568.997631834"/>
            </derivedFrom>
            <component>
              <code>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="68193"/>
                </coding>
                <text value="MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"/>
              </code>
              <valueCodeableConcept>
                <coding>
                  <system value="urn:iso:std:iso:11073:10101"/>
                  <code value="150588"/>
                </coding>
                <text value="MDC_MODALITY_SPOT: Stable mean"/>
              </valueCodeableConcept>
            </component>
          </Observation>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Observation"/>
        </request>
      </entry>
    </Bundle>