{
  "resourceType": "Observation",
  "id": "example-Observation-note-create",
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "34109-9"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "https://bpcs.exchange/fhir/CodeSystem/cs-NoteCode",
        "code": "2-484"
      }
    ]
  },
  "subject": {
    "reference": "Group/example-Group"
  },
  "focus": [
    {
      "reference": "Coverage/example-Coverage-family"
    }
  ],
  "effectiveDateTime": "2022-12-16",
  "valueString": "Darker shade"
}