<Observation xmlns="http://hl7.org/fhir">
    <id value="Puls" />
    <meta>
        <profile value="https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-puls" />
    </meta>
    <status value="final" />
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
            <code value="vital-signs" />
        </coding>
    </category>
    <code>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="8499008" />
            <display value="Pulse, function" />
        </coding>
        <coding>
            <system value="urn:iso:std:iso:11073:10101" />
            <code value="149514" />
            <display value="Pulse rate" />
        </coding>
    </code>
    <subject>
        <reference value="Patient/202" />
    </subject>
    <effectivePeriod>
        <start value="2019-12-23T09:30:10+01:00" />
        <end value="2019-12-23T10:30:10+01:00" />
    </effectivePeriod>
    <valueQuantity>
        <value value="70" />
        <unit value="beats per minute" />
        <system value="http://unitsofmeasure.org" />
        <code value="/min" />
    </valueQuantity>
</Observation>

{
    "resourceType": "Observation",
    "id": "Puls",
    "meta": {
        "profile":  [
            "https://gematik.de/fhir/isik/StructureDefinition/sd-mii-icu-puls"
        ]
    },
    "category":  [
        {
            "coding":  [
                {
                    "code": "vital-signs",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category"
                }
            ]
        }
    ],
    "valueQuantity": {
        "system": "http://unitsofmeasure.org",
        "code": "/min",
        "unit": "beats per minute",
        "value": 70
    },
    "code": {
        "coding":  [
            {
                "code": "8499008",
                "system": "http://snomed.info/sct",
                "display": "Pulse, function"
            },
            {
                "code": "149514",
                "system": "urn:iso:std:iso:11073:10101",
                "display": "Pulse rate"
            }
        ]
    },
    "status": "final",
    "subject": {
        "reference": "Patient/202"
    },
    "effectivePeriod": {
        "start": "12/23/2019 08:30:10",
        "end": "12/23/2019 09:30:10"
    }
}