<Observation xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../input-cache/schemas/R5/fhir-single.xsd">
  <id value="example-Observation-note-create" />
  <status value="final" />
  <category>
    <coding>
      <system value="http://loinc.org" />
      <code value="34109-9" />
    </coding>
  </category>
  <code>
    <coding>
      <system value="https://bpcs.exchange/fhir/CodeSystem/cs-NoteCode" />
      <code value="2-484" />
    </coding>
  </code>
  <subject>
    <reference value="Group/example-Group" />
  </subject>
  <focus>
    <reference value="Coverage/example-Coverage-family" />
  </focus>
  <effectiveDateTime value="2022-12-16" />
  <valueString value="Darker shade" />
</Observation>