{
  "resourceType": "Observation",
  "meta": {
    "profile": [
      "http://pchalliance.org/phdfhir/StructureDefinition/PhdNumericObservation"
    ]
  },
  "identifier": [
    {
      "value": "sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10~01040302f0000000~149546~20171212091343~48~2720"
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/observation-category",
          "code": "vital-signs",
          "display": "Vital Signs"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "urn:iso:std:iso:11073:10101",
        "code": "149546",
        "display": "MDC_PULS_RATE_NON_INV"
      },
      {
        "system": "http://loinc.org",
        "code": "8867-4",
        "display": "Blood Pressure cuff heart rate"
      }
    ]
  },
  "subject": {
    "reference": "Patient/PatientId-sisansarahId"
  },
  "effectiveDateTime": "2017-12-12T14:13:43+00:00",
  "performer": [
    {
      "reference": "Patient/PatientId-sisansarahId"
    }
  ],
  "valueQuantity": {
    "value": 48,
    "unit": "{beat}/min",
    "system": "urn:iso:std:iso:11073:10101",
    "code": "264864"
  },
  "device": {
    "reference": "DeviceComponent/SysId-01040302f0000000"
  },
  "related": [
    {
      "id": "coincidentTimeStampRelated",
      "type": "qualified-by",
      "target": {
        "reference": "urn:oid:3.14159.20171212091339"
      }
    }
  ]
}