{
  "resourceType" : "Observation",
  "id" : "bits-observation",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/phd/StructureDefinition/PhdBitsEnumerationObservation"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
    "valueReference" : {
      "reference" : "Device/phg-ecde3d4e58532d31.000000000000"
    }
  },
  {
    "url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference",
    "valueReference" : {
      "reference" : "Observation/coin-example-1"
    }
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
      "code" : "phd"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "urn:iso:std:iso:11073:10101",
      "code" : "150604",
      "display" : "MDC_PULS_OXIM_DEV_STATUS"
    }]
  },
  "subject" : {
    "reference" : "Patient/patientExample-1"
  },
  "effectiveDateTime" : "2018-11-11T19:07:48-05:00",
  "device" : {
    "reference" : "Device/phd-74E8FFFEFF051C00.001C05FFE874"
  },
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
        "code" : "150604.2",
        "display" : "sensor-displaced"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
        "code" : "150604.7",
        "display" : "signal-pulse-questionable"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
        "code" : "150604.10",
        "display" : "signal-low-perfusion"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
        "code" : "150604.11",
        "display" : "signal-poor"
      }]
    },
    "valueBoolean" : true
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
        "code" : "150604.12",
        "display" : "signal-inadequate"
      }]
    },
    "valueBoolean" : true
  }]
}