<Observation xmlns="http://hl7.org/fhir">
  <meta>
    <profile value="http://pchalliance.org/phdfhir/StructureDefinition/PhdNumericObservation" />
  </meta>
  <identifier>
    <value value="sisansarahId-urn:oid:1.2.3.4.5.6.7.8.10~01040302f0000000~149546~20171212091343~48~2720" />
  </identifier>
  <status value="final" />
  <category>
    <coding>
      <system value="http://hl7.org/fhir/observation-category" />
      <code value="vital-signs" />
      <display value="Vital Signs" />
    </coding>
  </category>
  <code>
    <coding>
      <system value="urn:iso:std:iso:11073:10101" />
      <code value="149546" />
      <display value="MDC_PULS_RATE_NON_INV" />
    </coding>
    <coding>
      <system value="http://loinc.org" />
      <code value="8867-4" />
      <display value="Blood Pressure cuff heart rate" />
    </coding>
  </code>
  <subject>
    <reference value="Patient/PatientId-sisansarahId" />
  </subject>
  <effectiveDateTime value="2017-12-12T09:13:43-05:00" />
  <performer>
    <reference value="Patient/PatientId-sisansarahId" />
  </performer>
  <valueQuantity>
    <value value="48" />
    <unit value="{beat}/min" />
    <system value="urn:iso:std:iso:11073:10101" />
    <code value="264864" />
  </valueQuantity>
  <device>
    <reference value="DeviceComponent/SysId-01040302f0000000" />
  </device>
  <related id="coincidentTimeStampRelated">
    <type value="qualified-by" />
    <target>
      <reference value="urn:oid:3.14159.20171212091339" />
    </target>
  </related>
</Observation>