Personal Health Device Implementation Guide
1.0.0 - STU 1

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## : Example Bundled upload - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "bundle-continuousnonin",
      "type" : "transaction",
      "entry" : [
        {
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_ATTR_VAL_BATT_CHARGE <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>#67996)</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 07:07:36-0500</p><p><b>value</b>: 100 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "67996"
                }
              ],
              "text" : "MDC_ATTR_VAL_BATT_CHARGE"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:36-05:00",
            "valueQuantity" : {
              "value" : 100,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:37-0500</p><p><b>value</b>: 99.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:37-05:00",
            "valueQuantity" : {
              "value" : 99.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.3",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:37-0500</p><p><b>value</b>: 53.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:37-05:00",
            "valueQuantity" : {
              "value" : 53.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.4",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:37-0500</p><p><b>value</b>: 1.02 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:37-05:00",
            "valueQuantity" : {
              "value" : 1.02,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.5",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:38-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:38-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.6",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:38-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:38-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.7",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:38-0500</p><p><b>value</b>: 0.88 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:38-05:00",
            "valueQuantity" : {
              "value" : 0.88,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.8",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:39-0500</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>: 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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:39-05:00",
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            },
            "component" : [
              {
                "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.9",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:39-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:39-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.10",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:39-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:39-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.11",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:39-0500</p><p><b>value</b>: 0.82 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:39-05:00",
            "valueQuantity" : {
              "value" : 0.82,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.12",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:40-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:40-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.13",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:40-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:40-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.14",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:40-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:40-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.15",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:40-0500</p><p><b>value</b>: 0.82 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:40-05:00",
            "valueQuantity" : {
              "value" : 0.82,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.16",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:41-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:41-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.17",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:41-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:41-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.18",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:41-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:41-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.19",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:41-0500</p><p><b>value</b>: 0.82 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:41-05:00",
            "valueQuantity" : {
              "value" : 0.82,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.20",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:42-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:42-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.21",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:42-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:42-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.22",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:42-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:42-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.23",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:42-0500</p><p><b>value</b>: 0.82 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:42-05:00",
            "valueQuantity" : {
              "value" : 0.82,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.24",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:43-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:43-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.25",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:43-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:43-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.26",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:43-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:43-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.27",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:43-0500</p><p><b>value</b>: 0.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:43-05:00",
            "valueQuantity" : {
              "value" : 0.2,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.28",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:44-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:44-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.29",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:44-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:44-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.30",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:44-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:44-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.31",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:44-0500</p><p><b>value</b>: 0.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:44-05:00",
            "valueQuantity" : {
              "value" : 0.2,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.32",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:45-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:45-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.33",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:45-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:45-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.34",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:45-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:45-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.35",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:45-0500</p><p><b>value</b>: 0.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:45-05:00",
            "valueQuantity" : {
              "value" : 0.2,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.36",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:46-0500</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-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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:46-05:00",
            "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" : "150604.11"
                    }
                  ],
                  "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.37",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:46-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:46-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.38",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:46-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:46-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.39",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:46-0500</p><p><b>value</b>: 0.2 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:46-05:00",
            "valueQuantity" : {
              "value" : 0.2,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.40",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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 07:07:47-0500</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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:47-05:00",
            "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.41",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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 07:07:47-0500</p><p><b>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:47-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.42",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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 07:07:47-0500</p><p><b>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:47-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.43",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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 07:07:47-0500</p><p><b>value</b>: 0.05 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:47-05:00",
            "valueQuantity" : {
              "value" : 0.05,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.44",
          "resource" : {
            "resourceType" : "Observation",
            "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\">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 <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"
            },
            "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"
                }
              }
            ]
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.45",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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>#59408-5)</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>value</b>: 100.0 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "Vital Signs"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150456"
                },
                {
                  "system" : "http://loinc.org",
                  "code" : "59408-5"
                }
              ],
              "text" : "MDC_PULS_OXIM_SAT_O2"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:48-05:00",
            "valueQuantity" : {
              "value" : 100.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "%"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.46",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</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 <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=\"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>value</b>: 54.0 {beat}/min<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {beat}/min = '{beat}/min')</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</a></p></div>"
            },
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
                "valueReference" : {
                  "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
                }
              }
            ],
            "status" : "final",
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                    "code" : "vital-signs"
                  }
                ],
                "text" : "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"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:48-05:00",
            "valueQuantity" : {
              "value" : 54.0,
              "system" : "http://unitsofmeasure.org",
              "code" : "{beat}/min"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        },
        {
          "fullUrl" : "urn:oid:1.0.0.47",
          "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=\"Device-phg-ecde3d4e58532d31.000000000000.html\">Device/phg-ecde3d4e58532d31.000000000000</a></p><p><b>status</b>: final</p><p><b>code</b>: MDC_SAT_O2_QUAL <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>#150320)</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>dataAbsentReason</b>: not-a-number (Not a number) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a>#not-a-number)</span></p><p><b>device</b>: <a href=\"Device-phd-74E8FFFEFF051C00.001C05FFE874.html\">Device/phd-74E8FFFEFF051C00.001C05FFE874</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" : "150320"
                }
              ],
              "text" : "MDC_SAT_O2_QUAL"
            },
            "subject" : {
              "reference" : "Patient/sisansarahId.1.2.3.4.5.6.7.8.10"
            },
            "effectiveDateTime" : "2018-11-11T19:07:48-05:00",
            "dataAbsentReason" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
                  "code" : "not-a-number"
                }
              ],
              "text" : "not-a-number (Not a number)"
            },
            "device" : {
              "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
            }
          },
          "request" : {
            "method" : "POST",
            "url" : "Observation"
          }
        }
      ]
    }