{
  "resourceType": "Observation",
  "id": "wijze-begin-baring",
  "meta": {
    "profile": [
      "http://fhir.nl/fhir/StructureDefinition/nl-core-observation",
      "http://nictiz.nl/fhir/StructureDefinition/bc-DeliveryObservation"
    ]
  },
  "extension": [
    {
      "url": "http://nictiz.nl/fhir/StructureDefinition/observation-focusSTU3",
      "valueReference": {
        "reference": "Procedure/bevallingprocedure-wouden-zwanger1"
      }
    }
  ],
  "status": "final",
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "249120008",
        "display": "begin van eerste fase van partus (waarneembare entiteit)"
      }
    ]
  },
  "subject": {
    "reference": "Patient/XXX-VDWOUDEN",
    "display": "Patient van der Wouden"
  },
  "context": {
    "reference": "EpisodeOfCare/wouden-dossier-zwanger1"
  },
  "effectiveDateTime": "2016-02-21T21:00:00+00:00",
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "169734005",
        "display": "spontaan breken van vliezen (bevinding)"
      }
    ]
  },
  "comment": "vliezen gebroken in de ochtend",
  "method": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "225308005",
        "display": "observatie (regime/therapie)"
      }
    ]
  }
}