<Observation xmlns="http://hl7.org/fhir">
  <id value="ELSubjectiveRefractionExample" />
  <meta>
    <extension url="http://fhir.essilorluxottica.com/fhir/StructureDefinition/el-meta-organization-extension">
      <valueReference>
        <reference value="Organization/ELOrganizationExample" />
      </valueReference>
    </extension>
    <versionId value="1.0" />
    <profile value="http://fhir.essilorluxottica.com/fhir/StructureDefinition/el-observation-subjectiverefraction" />
  </meta>
  <identifier>
    <system value="http://fhir.essilorluxottica.com/fhir/CodeSystem/el-grouping-cs" />
    <value value="subjectiveRefraction1" />
  </identifier>
  <identifier>
    <system value="http://fhir.essilorluxottica.com/fhir/CodeSystem/el-externalSystem-cs" />
    <value value="887" />
  </identifier>
  <status value="final" />
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
      <code value="exam" />
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://fhir.essilorluxottica.com/fhir/CodeSystem/el-sectioncode-cs" />
      <code value="subjectiveRefraction" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/ELPatientExample" />
  </subject>
  <encounter>
    <reference value="Encounter/ELInStoreExamExample" />
  </encounter>
  <effectiveDateTime value="2024-01-01T10:00:00Z" />
  <performer>
    <reference value="Practitioner/ELPractitionerDoctorExample" />
  </performer>
  <note>
    <text value="Subjective refraction notes." />
  </note>
  <component>
    <code>
      <coding>
        <system value="http://fhir.essilorluxottica.com/fhir/CodeSystem/el-observation-componentcode-cs" />
        <code value="eyewearUseType" />
        <display value="Eyewear Use Type" />
      </coding>
    </code>
    <valueString value="Distance" />
  </component>
</Observation>