<Bundle xmlns="http://hl7.org/fhir">
  <type value="transaction" />
  <entry>
    <resource>
      <Patient>
        <id value="smart-2169591" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Karen Lewis</div>
        </text>
        <identifier>
          <use value="official" />
          <type>
            <coding>
              <system value="http://hl7.org/fhir/v2/0203" />
              <code value="MR" />
              <display value="Medical Record Number" />
            </coding>
            <text value="Medical Record Number" />
          </type>
          <system value="http://hospital.smarthealthit.org" />
          <value value="smart-2169591" />
        </identifier>
        <active value="true" />
        <name>
          <use value="official" />
          <family value="Lewis" />
          <given value="Karen" />
          <given value="L" />
        </name>
        <telecom>
          <system value="phone" />
          <value value="800-460-5876" />
          <use value="home" />
        </telecom>
        <telecom>
          <system value="email" />
          <value value="karen.lewis@example.com" />
        </telecom>
        <gender value="female" />
        <birthDate value="1979-12-21" />
        <address>
          <use value="home" />
          <line value="88 River Ave" />
          <city value="Tulsa" />
          <state value="OK" />
          <postalCode value="74126" />
          <country value="USA" />
        </address>
        <generalPractitioner>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </generalPractitioner>
      </Patient>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Patient/smart-2169591" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-732" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1998-11-04" />
          <end value="1998-11-04" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-732" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-733" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1998-11-05" />
          <end value="1998-11-05" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-733" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-734" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1998-11-06" />
          <end value="1998-11-06" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-734" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-735" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1999-11-15" />
          <end value="1999-11-15" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-735" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-736" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1999-12-08" />
          <end value="1999-12-08" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-736" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-737" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1999-12-09" />
          <end value="1999-12-09" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-737" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-738" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1999-12-10" />
          <end value="1999-12-10" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-738" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-739" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="1999-12-20" />
          <end value="1999-12-20" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-739" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-740" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2000-05-10" />
          <end value="2000-05-10" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-740" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-741" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2000-12-18" />
          <end value="2000-12-18" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-741" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-742" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2001-10-22" />
          <end value="2001-10-22" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-742" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-743" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2001-10-26" />
          <end value="2001-10-26" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-743" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-744" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
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          <text value="Patient-initiated ambulatory encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2005-04-26" />
          <end value="2005-04-26" />
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      </Encounter>
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-744" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-745" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
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          <text value="Patient-initiated ambulatory encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2005-04-27" />
          <end value="2005-04-27" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-745" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-746" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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          <coding>
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            <code value="270427003" />
            <display value="Patient-initiated encounter" />
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          <reference value="Patient/smart-2169591" />
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          <start value="2005-04-29" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-746" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-747" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
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            <display value="Patient-initiated encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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          <start value="2005-05-02" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-747" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-748" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
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            <code value="270427003" />
            <display value="Patient-initiated encounter" />
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        <subject>
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        <period>
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-748" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-749" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
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            <code value="270427003" />
            <display value="Patient-initiated encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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          <start value="2006-03-08" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-749" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-750" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
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            <display value="Patient-initiated encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2006-03-09" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-750" />
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  <entry>
    <resource>
      <Encounter>
        <id value="smart-751" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
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            <display value="Patient-initiated encounter" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-751" />
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  <entry>
    <resource>
      <Encounter>
        <id value="smart-752" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
            <system value="http://snomed.info" />
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            <display value="Patient-initiated encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2006-03-13" />
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-752" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-753" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: ambulatory encounter</div>
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        <status value="finished" />
        <class>
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          <coding>
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            <code value="270427003" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2006-04-28" />
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    <request>
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      <url value="Encounter/smart-753" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-754" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
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        <type>
          <coding>
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            <display value="Patient-initiated encounter" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <period>
          <start value="2006-05-03" />
          <end value="2006-05-03" />
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      </Encounter>
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    <request>
      <method value="PUT" />
      <url value="Encounter/smart-754" />
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  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-755" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2006-05-04" />
          <end value="2006-05-04" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-755" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-756" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2006-05-16" />
          <end value="2006-05-16" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-756" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-757" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2006-11-17" />
          <end value="2006-11-17" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-757" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-758" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2006-11-20" />
          <end value="2006-11-20" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-758" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-759" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2006-11-21" />
          <end value="2006-11-21" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-759" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-760" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2007-07-06" />
          <end value="2007-07-06" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-760" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-761" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2007-07-09" />
          <end value="2007-07-09" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-761" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-762" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2008-02-26" />
          <end value="2008-02-26" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-762" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-763" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2008-02-28" />
          <end value="2008-02-28" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-763" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-764" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2008-11-19" />
          <end value="2008-11-19" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-764" />
    </request>
  </entry>
  <entry>
    <resource>
      <Encounter>
        <id value="smart-765" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: ambulatory encounter</div>
        </text>
        <status value="finished" />
        <class>
          <code value="ambulatory" />
        </class>
        <type>
          <coding>
            <system value="http://snomed.info" />
            <code value="270427003" />
            <display value="Patient-initiated encounter" />
          </coding>
          <text value="Patient-initiated ambulatory encounter" />
        </type>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <period>
          <start value="2009-07-29" />
          <end value="2009-07-29" />
        </period>
      </Encounter>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Encounter/smart-765" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-732" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: Blood pressure 118/50 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="118" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="50" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-732" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-733" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: Blood pressure 127/81 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="127" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="81" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-733" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-734" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: Blood pressure 128/81 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="128" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="81" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-734" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-735" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: Blood pressure 119/75 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="119" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="75" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-735" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-736" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: Blood pressure 122/77 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="122" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="77" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-736" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-737" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: Blood pressure 128/82 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="128" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="82" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-737" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-738" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: Blood pressure 113/70 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="113" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="70" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-738" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-739" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: Blood pressure 123/78 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-739" />
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        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="123" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="78" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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      <url value="Observation/smart-739" />
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  <entry>
    <resource>
      <Observation>
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          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: Blood pressure 121/77 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-740" />
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        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
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              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="121" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="77" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
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      <method value="PUT" />
      <url value="Observation/smart-740" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-741" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: Blood pressure 120/76 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-741" />
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        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="120" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="76" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
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      <method value="PUT" />
      <url value="Observation/smart-741" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-742" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: Blood pressure 120/76 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-742" />
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        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="120" />
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            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-743" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: Blood pressure 119/76 mmHg</div>
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        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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          <reference value="Encounter/smart-743" />
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        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="119" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="76" />
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            <system value="http://unitsofmeasure.org" />
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      <method value="PUT" />
      <url value="Observation/smart-743" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-744" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: Blood pressure 117/74 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-744" />
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        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="117" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="74" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-744" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-745" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: Blood pressure 113/71 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-745" />
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        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="113" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="71" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-745" />
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  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-746" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: Blood pressure 123/78 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-746" />
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        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="123" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
            <value value="78" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-746" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-747" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: Blood pressure 115/72 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-747" />
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        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="115" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="72" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-747" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-748" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: Blood pressure 127/81 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="127" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="81" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-748" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-749" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: Blood pressure 125/80 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <unit value="mmHg" />
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        <component>
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          <valueQuantity>
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          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: Blood pressure 132/85 mmHg</div>
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          <coding>
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            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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          <valueQuantity>
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          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: Blood pressure 119/76 mmHg</div>
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            <code value="vital-signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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        <component>
          <code>
            <coding>
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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  <entry>
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          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: Blood pressure 125/80 mmHg</div>
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            <code value="vital-signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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            <coding>
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              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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        <component>
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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  <entry>
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      <Observation>
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          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: Blood pressure 130/84 mmHg</div>
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            <code value="vital-signs" />
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        <code>
          <coding>
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            <code value="55284-4" />
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          <text value="Blood pressure" />
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          <code>
            <coding>
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              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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        <component>
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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      <Observation>
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          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: Blood pressure 129/83 mmHg</div>
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            <code value="vital-signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
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            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
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            <coding>
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              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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        <component>
          <code>
            <coding>
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              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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  <entry>
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      <Observation>
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          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: Blood pressure 120/76 mmHg</div>
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        <status value="final" />
        <category>
          <coding>
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            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
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            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
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        <performer>
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          <code>
            <coding>
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              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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        <component>
          <code>
            <coding>
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              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-756" />
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          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: Blood pressure 117/74 mmHg</div>
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        <category>
          <coding>
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            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
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        <context>
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        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
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              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="117" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
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              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-756" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-757" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: Blood pressure 113/71 mmHg</div>
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        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
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        <context>
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        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
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              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="113" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
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        <component>
          <code>
            <coding>
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              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-757" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-758" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: Blood pressure 123/78 mmHg</div>
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        <status value="final" />
        <category>
          <coding>
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            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-758" />
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        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="123" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-758" />
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  <entry>
    <resource>
      <Observation>
        <id value="smart-759" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: Blood pressure 132/85 mmHg</div>
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        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-759" />
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        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
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            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="132" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
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            <text value="Diastolic blood pressure" />
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          <valueQuantity>
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            <system value="http://unitsofmeasure.org" />
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    <request>
      <method value="PUT" />
      <url value="Observation/smart-759" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-760" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: Blood pressure 120/76 mmHg</div>
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        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
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          <text value="Vital Signs" />
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        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
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          <text value="Blood pressure" />
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        <subject>
          <reference value="Patient/smart-2169591" />
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        <context>
          <reference value="Encounter/smart-760" />
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        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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          <code>
            <coding>
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              <code value="8480-6" />
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            <text value="Systolic blood pressure" />
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          <valueQuantity>
            <value value="120" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
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        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="76" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-760" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-761" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: Blood pressure 121/77 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="121" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="77" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-761" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-762" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: Blood pressure 132/86 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="132" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="86" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-762" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-763" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: Blood pressure 117/74 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="117" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="74" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-763" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-764" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: Blood pressure 116/73 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="116" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="73" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-764" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-765" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: Blood pressure 113/71 mmHg</div>
        </text>
        <status value="final" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="55284-4" />
            <display value="Blood pressure" />
          </coding>
          <text value="Blood pressure" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8480-6" />
              <display value="Systolic blood pressure" />
            </coding>
            <text value="Systolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="113" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org" />
              <code value="8462-4" />
              <display value="Diastolic blood pressure" />
            </coding>
            <text value="Diastolic blood pressure" />
          </code>
          <valueQuantity>
            <value value="71" />
            <unit value="mmHg" />
            <system value="http://unitsofmeasure.org" />
            <code value="mm[Hg]" />
          </valueQuantity>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-765" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2587-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: height = 172.974 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2587-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.974" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2587-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2588-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: heart_rate = 50.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2588-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="50.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2588-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2589-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2589-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2589-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2590-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2590-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2590-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2591-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: weight = 114.03312 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2591-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="114.03312" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2591-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2592-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: bmi = 38.1 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2592-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="38.1" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2592-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2593-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-04: oxygen_saturation = 84.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2593-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-732" />
        </context>
        <effectiveDateTime value="1998-11-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="84.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2593-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2594-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: height = 172.974 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2594-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.974" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2594-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2595-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: heart_rate = 81.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2595-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="81.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2595-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2596-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2596-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2596-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2597-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2597-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2597-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2598-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: weight = 112.21875 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2598-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="112.21875" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2598-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2599-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: bmi = 37.5 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2599-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="37.5" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2599-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2600-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-05: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2600-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-733" />
        </context>
        <effectiveDateTime value="1998-11-05" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2600-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2601-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: height = 172.974 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2601-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.974" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2601-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2602-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: heart_rate = 81.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2602-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="81.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2602-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2603-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2603-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2603-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2604-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: temperature = 36.55556 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2604-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.55556" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2604-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2605-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: weight = 105.14271 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2605-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="105.14271" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2605-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2606-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: bmi = 35.2 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2606-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="35.2" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2606-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2607-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1998-11-06: oxygen_saturation = 84.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2607-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-734" />
        </context>
        <effectiveDateTime value="1998-11-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="84.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2607-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2608-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: height = 172.212 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2608-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.212" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2608-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2609-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: heart_rate = 75.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2609-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="75.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2609-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2610-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: respiratory_rate = 12.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2610-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="12.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2610-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2611-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2611-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2611-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2612-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: weight = 121.97099 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2612-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="121.97099" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2612-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2613-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: bmi = 41.1 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2613-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.1" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2613-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2614-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-11-15: oxygen_saturation = 86.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2614-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-735" />
        </context>
        <effectiveDateTime value="1999-11-15" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="86.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2614-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2615-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: height = 172.466 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2615-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.466" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2615-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2616-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: heart_rate = 77.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2616-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="77.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2616-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2617-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: respiratory_rate = 12.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2617-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="12.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2617-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2618-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2618-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2618-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2619-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: weight = 117.97938 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2619-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="117.97938" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2619-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2620-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: bmi = 39.7 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2620-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="39.7" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2620-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2621-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-08: oxygen_saturation = 86.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2621-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-736" />
        </context>
        <effectiveDateTime value="1999-12-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="86.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2621-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2622-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: height = 172.466 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2622-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.466" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2622-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2623-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: heart_rate = 82.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2623-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="82.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2623-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2624-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: respiratory_rate = 12.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2624-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="12.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2624-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2625-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2625-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2625-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2626-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: weight = 105.95918 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2626-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="105.95918" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2626-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2627-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: bmi = 35.6 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2627-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="35.6" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2627-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2628-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-09: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2628-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-737" />
        </context>
        <effectiveDateTime value="1999-12-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2628-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2629-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: height = 172.466 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2629-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.466" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2629-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2630-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: heart_rate = 70.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2630-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="70.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2630-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2631-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: respiratory_rate = 12.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2631-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="12.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2631-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2632-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2632-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2632-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2633-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: weight = 121.0638 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2633-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="121.0638" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2633-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2634-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: bmi = 40.7 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2634-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="40.7" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2634-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2635-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-10: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2635-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-738" />
        </context>
        <effectiveDateTime value="1999-12-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2635-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2636-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: height = 172.466 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2636-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.466" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2636-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2637-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: heart_rate = 78.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2637-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="78.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2637-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2638-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: respiratory_rate = 12.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2638-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="12.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2638-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2639-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2639-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2639-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2640-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: weight = 107.41067 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2640-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="107.41067" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2640-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2641-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: bmi = 36.1 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2641-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.1" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2641-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2642-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">1999-12-20: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2642-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-739" />
        </context>
        <effectiveDateTime value="1999-12-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2642-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2643-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: height = 171.958 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2643-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="171.958" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2643-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2644-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: heart_rate = 77.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2644-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="77.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2644-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2645-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2645-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2645-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2646-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: temperature = 36.55556 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2646-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.55556" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2646-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2647-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: weight = 121.88027 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2647-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="121.88027" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2647-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2648-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: bmi = 41.2 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2648-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.2" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2648-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2649-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-05-10: oxygen_saturation = 95.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2649-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-740" />
        </context>
        <effectiveDateTime value="2000-05-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="95.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2649-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2650-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: height = 171.704 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2650-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="171.704" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2650-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2651-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2651-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2651-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2652-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2652-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2652-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2653-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: temperature = 36.55556 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2653-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.55556" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2653-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2654-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: weight = 123.33177 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2654-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="123.33177" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2654-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2655-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: bmi = 41.9 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2655-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.9" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2655-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2656-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2000-12-18: oxygen_saturation = 95.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2656-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-741" />
        </context>
        <effectiveDateTime value="2000-12-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="95.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2656-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2657-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: height = 173.228 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2657-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.228" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2657-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2658-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2658-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2658-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2659-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2659-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2659-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2660-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2660-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2660-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2661-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: weight = 138.93534 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2661-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="138.93534" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2661-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2662-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: bmi = 46.2 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2662-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="46.2" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2662-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2663-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-22: oxygen_saturation = 96.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2663-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-742" />
        </context>
        <effectiveDateTime value="2001-10-22" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="96.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2663-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2664-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2664-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2664-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2665-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2665-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2665-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2666-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2666-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2666-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2667-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2667-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2667-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2668-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: weight = 134.94373 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2668-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="134.94373" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2668-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2669-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: bmi = 44.7 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2669-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="44.7" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2669-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2670-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2001-10-26: oxygen_saturation = 96.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2670-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-743" />
        </context>
        <effectiveDateTime value="2001-10-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="96.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2670-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2671-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2671-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2671-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2672-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: heart_rate = 74.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2672-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="74.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2672-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2673-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2673-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2673-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2674-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2674-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2674-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2675-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: weight = 126.50691 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2675-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="126.50691" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2675-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2676-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: bmi = 42.0 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2676-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="42.0" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2676-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2677-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-26: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2677-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-744" />
        </context>
        <effectiveDateTime value="2005-04-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2677-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2678-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: height = 173.228 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2678-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.228" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2678-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2679-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: heart_rate = 71.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2679-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="71.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2679-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2680-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2680-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2680-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2681-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2681-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2681-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2682-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: weight = 128.50272 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2682-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="128.50272" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2682-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2683-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: bmi = 42.8 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2683-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="42.8" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2683-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2684-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-27: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2684-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-745" />
        </context>
        <effectiveDateTime value="2005-04-27" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2684-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2685-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: height = 173.99 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2685-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.99" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2685-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2686-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: heart_rate = 78.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2686-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="78.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2686-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2687-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2687-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2687-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2688-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2688-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2688-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2689-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: weight = 117.02683 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2689-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="117.02683" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2689-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2690-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: bmi = 38.6 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2690-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="38.6" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2690-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2691-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-04-29: oxygen_saturation = 84.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2691-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-746" />
        </context>
        <effectiveDateTime value="2005-04-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="84.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2691-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2692-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: height = 173.228 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2692-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.228" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2692-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2693-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: heart_rate = 72.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2693-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="72.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2693-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2694-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2694-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2694-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2695-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2695-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2695-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2696-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: weight = 124.23895 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2696-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="124.23895" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2696-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2697-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: bmi = 41.4 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2697-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.4" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2697-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2698-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2005-05-02: oxygen_saturation = 85.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2698-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-747" />
        </context>
        <effectiveDateTime value="2005-05-02" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2698-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2699-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: height = 173.99 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2699-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.99" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2699-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2700-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: heart_rate = 81.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2700-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="81.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2700-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2701-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2701-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2701-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2702-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2702-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2702-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2703-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: weight = 124.9647 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2703-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="124.9647" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2703-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2704-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: bmi = 41.3 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2704-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.3" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2704-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2705-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-06: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2705-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-748" />
        </context>
        <effectiveDateTime value="2006-03-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2705-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2706-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2706-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2706-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2707-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: heart_rate = 80.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2707-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="80.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2707-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2708-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2708-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2708-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2709-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2709-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2709-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2710-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: weight = 130.49852 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2710-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="130.49852" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2710-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2711-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: bmi = 43.3 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2711-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="43.3" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2711-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2712-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-08: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2712-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-749" />
        </context>
        <effectiveDateTime value="2006-03-08" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2712-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2713-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: height = 173.482 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2713-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.482" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2713-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2714-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: heart_rate = 85.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2714-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2714-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2715-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2715-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2715-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2716-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2716-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2716-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2717-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: weight = 117.8433 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2717-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="117.8433" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2717-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2718-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: bmi = 39.1 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2718-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="39.1" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2718-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2719-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-09: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2719-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-750" />
        </context>
        <effectiveDateTime value="2006-03-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2719-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2720-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: height = 173.482 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2720-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.482" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2720-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2721-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2721-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2721-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2722-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2722-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2722-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2723-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2723-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2723-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2724-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: weight = 115.48462 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2724-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="115.48462" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2724-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2725-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: bmi = 38.4 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2725-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="38.4" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2725-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2726-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-10: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2726-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-751" />
        </context>
        <effectiveDateTime value="2006-03-10" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2726-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2727-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2727-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2727-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2728-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: heart_rate = 80.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2728-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="80.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2728-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2729-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2729-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2729-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2730-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2730-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2730-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2731-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: weight = 136.21379 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2731-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="136.21379" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2731-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2732-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: bmi = 45.1 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2732-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="45.1" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2732-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2733-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-03-13: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2733-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-752" />
        </context>
        <effectiveDateTime value="2006-03-13" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2733-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2734-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: height = 173.482 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2734-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.482" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2734-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2735-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: heart_rate = 84.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2735-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="84.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2735-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2736-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2736-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2736-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2737-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2737-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2737-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2738-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: weight = 119.8391 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2738-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="119.8391" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2738-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2739-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: bmi = 39.8 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2739-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="39.8" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2739-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2740-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-04-28: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2740-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-753" />
        </context>
        <effectiveDateTime value="2006-04-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2740-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2741-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2741-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2741-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2742-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: heart_rate = 83.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2742-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="83.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2742-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2743-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2743-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2743-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2744-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2744-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2744-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2745-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: weight = 130.95212 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2745-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="130.95212" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2745-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2746-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: bmi = 43.4 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2746-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="43.4" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2746-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2747-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-03: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2747-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-754" />
        </context>
        <effectiveDateTime value="2006-05-03" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2747-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2748-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: height = 173.228 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2748-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.228" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2748-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2749-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2749-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2749-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2750-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2750-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2750-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2751-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2751-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2751-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2752-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: weight = 119.38551 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2752-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="119.38551" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2752-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2753-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: bmi = 39.8 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2753-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="39.8" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2753-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2754-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-04: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2754-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-755" />
        </context>
        <effectiveDateTime value="2006-05-04" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2754-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2755-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2755-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2755-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2756-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: heart_rate = 74.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2756-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="74.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2756-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2757-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2757-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2757-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2758-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2758-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2758-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2759-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: weight = 124.87398 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2759-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="124.87398" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2759-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2760-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: bmi = 41.3 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2760-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.3" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2760-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2761-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-05-16: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2761-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-756" />
        </context>
        <effectiveDateTime value="2006-05-16" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2761-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2762-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: height = 173.736 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2762-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.736" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2762-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2763-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: heart_rate = 71.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2763-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="71.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2763-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2764-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2764-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2764-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2765-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2765-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2765-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2766-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: weight = 125.64509 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2766-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="125.64509" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2766-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2767-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: bmi = 41.7 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2767-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.7" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2767-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2768-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-17: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2768-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-757" />
        </context>
        <effectiveDateTime value="2006-11-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2768-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2769-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: height = 173.482 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2769-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.482" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2769-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2770-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: heart_rate = 78.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2770-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="78.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2770-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2771-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2771-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2771-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2772-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2772-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2772-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2773-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: weight = 117.16291 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2773-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="117.16291" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2773-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2774-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: bmi = 38.9 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2774-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="38.9" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2774-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2775-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-20: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2775-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-758" />
        </context>
        <effectiveDateTime value="2006-11-20" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2775-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2776-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: height = 173.482 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2776-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.482" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2776-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2777-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: heart_rate = 85.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2777-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="85.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2777-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2778-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: respiratory_rate = 14.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2778-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="14.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2778-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2779-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: temperature = 36.66667 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2779-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.66667" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2779-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2780-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: weight = 135.21589 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2780-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="135.21589" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2780-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2781-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: bmi = 44.9 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2781-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="44.9" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2781-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2782-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2006-11-21: oxygen_saturation = 87.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2782-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-759" />
        </context>
        <effectiveDateTime value="2006-11-21" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="87.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2782-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2783-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: height = 172.72 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2783-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="172.72" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2783-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2784-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: heart_rate = 76.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2784-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="76.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2784-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2785-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: respiratory_rate = 13.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2785-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="13.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2785-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2786-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2786-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2786-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2787-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: weight = 134.39942 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2787-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="134.39942" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2787-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2788-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: bmi = 45.0 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2788-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="45.0" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2788-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2789-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-06: oxygen_saturation = 91.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2789-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-760" />
        </context>
        <effectiveDateTime value="2007-07-06" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="91.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2789-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2790-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: height = 173.228 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2790-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.228" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2790-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2791-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: heart_rate = 77.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2791-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="77.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2791-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2792-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: respiratory_rate = 13.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2792-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="13.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2792-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2793-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2793-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2793-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2794-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: weight = 134.89837 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2794-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="134.89837" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2794-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2795-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: bmi = 44.9 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2795-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="44.9" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2795-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2796-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2007-07-09: oxygen_saturation = 91.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2796-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-761" />
        </context>
        <effectiveDateTime value="2007-07-09" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="91.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2796-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2797-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: height = 173.99 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2797-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="173.99" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2797-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2798-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: heart_rate = 86.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2798-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="86.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2798-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2799-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2799-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2799-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2800-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2800-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2800-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2801-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: weight = 138.25495 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2801-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="138.25495" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2801-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2802-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: bmi = 45.6 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2802-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="45.6" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2802-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2803-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-26: oxygen_saturation = 89.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2803-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-762" />
        </context>
        <effectiveDateTime value="2008-02-26" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="89.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2803-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2804-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: height = 174.498 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2804-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="174.498" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2804-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2805-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: heart_rate = 74.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2805-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="74.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2805-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2806-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2806-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2806-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2807-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2807-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2807-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2808-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: weight = 121.88027 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2808-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="121.88027" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2808-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2809-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: bmi = 40.0 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2809-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="40.0" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2809-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2810-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-02-28: oxygen_saturation = 88.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2810-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-763" />
        </context>
        <effectiveDateTime value="2008-02-28" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="88.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2810-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2811-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: height = 174.498 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2811-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="174.498" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2811-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2812-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: heart_rate = 73.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2812-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="73.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2812-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2813-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: respiratory_rate = 15.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2813-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="15.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2813-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2814-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2814-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2814-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2815-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: weight = 125.01006 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2815-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="125.01006" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2815-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2816-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: bmi = 41.0 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2816-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="41.0" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2816-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2817-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-11-19: oxygen_saturation = 89.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2817-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-764" />
        </context>
        <effectiveDateTime value="2008-11-19" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="89.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2817-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2818-height" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: height = 174.752 cm</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2818-height" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8302-2" />
            <display value="height" />
          </coding>
          <text value="height" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="174.752" />
          <unit value="cm" />
          <system value="http://unitsofmeasure.org" />
          <code value="8302-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2818-height" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2819-heartrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: heart_rate = 71.0 {beats}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2819-heartrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8867-4" />
            <display value="heart_rate" />
          </coding>
          <text value="heart_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="71.0" />
          <unit value="{beats}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="8867-4" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2819-heartrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2820-respiratoryrate" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: respiratory_rate = 13.0 {breaths}/min</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2820-respiratoryrate" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="9279-1" />
            <display value="respiratory_rate" />
          </coding>
          <text value="respiratory_rate" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="13.0" />
          <unit value="{breaths}/min" />
          <system value="http://unitsofmeasure.org" />
          <code value="9279-1" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2820-respiratoryrate" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2821-temperature" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: temperature = 36.61111 Cel</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2821-temperature" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="8310-5" />
            <display value="temperature" />
          </coding>
          <text value="temperature" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="36.61111" />
          <unit value="Cel" />
          <system value="http://unitsofmeasure.org" />
          <code value="8310-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2821-temperature" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2822-weight" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: weight = 121.56276 kg</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2822-weight" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3141-9" />
            <display value="weight" />
          </coding>
          <text value="weight" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="121.56276" />
          <unit value="kg" />
          <system value="http://unitsofmeasure.org" />
          <code value="3141-9" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2822-weight" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2823-bmi" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: bmi = 39.8 kg/m2</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2823-bmi" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="39156-5" />
            <display value="bmi" />
          </coding>
          <text value="bmi" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="39.8" />
          <unit value="kg/m2" />
          <system value="http://unitsofmeasure.org" />
          <code value="39156-5" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2823-bmi" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-2824-oxygensaturation" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2009-07-29: oxygen_saturation = 91.0 %{HemoglobinSaturation}</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-2824-oxygensaturation" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="vital-signs" />
            <display value="Vital Signs" />
          </coding>
          <text value="Vital Signs" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2710-2" />
            <display value="oxygen_saturation" />
          </coding>
          <text value="oxygen_saturation" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <context>
          <reference value="Encounter/smart-765" />
        </context>
        <effectiveDateTime value="2009-07-29" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="91.0" />
          <unit value="%{HemoglobinSaturation}" />
          <system value="http://unitsofmeasure.org" />
          <code value="2710-2" />
        </valueQuantity>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-2824-oxygensaturation" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1671-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2004-05-17: TSH SerPl DL&lt;=0.005 mU/L-aCnc = 0.011 mcU/mL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1671-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="11580-8" />
            <display value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
          </coding>
          <text value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2004-05-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="0.011" />
          <unit value="mcU/mL" />
          <system value="http://unitsofmeasure.org" />
          <code value="11580-8" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.4" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </low>
          <high>
            <value value="4.2" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1671-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1672-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2004-05-17: T4 Free SerPl-mCnc = 1.9 ng/dL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1672-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="3024-7" />
            <display value="T4 Free SerPl-mCnc" />
          </coding>
          <text value="T4 Free SerPl-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2004-05-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="1.9" />
          <unit value="ng/dL" />
          <system value="http://unitsofmeasure.org" />
          <code value="3024-7" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.9" />
            <unit value="ng/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="ng/dL" />
          </low>
          <high>
            <value value="1.9" />
            <unit value="ng/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="ng/dL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1672-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1673-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2004-05-23: TSH SerPl DL&lt;=0.005 mU/L-aCnc = 0.014 mcU/mL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1673-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="11580-8" />
            <display value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
          </coding>
          <text value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2004-05-23" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="0.014" />
          <unit value="mcU/mL" />
          <system value="http://unitsofmeasure.org" />
          <code value="11580-8" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.4" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </low>
          <high>
            <value value="4.2" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1673-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1674-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2004-07-12: TSH SerPl DL&lt;=0.005 mU/L-aCnc = 4.734 mcU/mL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1674-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="11580-8" />
            <display value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
          </coding>
          <text value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2004-07-12" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="4.734" />
          <unit value="mcU/mL" />
          <system value="http://unitsofmeasure.org" />
          <code value="11580-8" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.4" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </low>
          <high>
            <value value="4.2" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1674-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1675-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-08-18: TSH SerPl DL&lt;=0.005 mU/L-aCnc = 2.011 mcU/mL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1675-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="11580-8" />
            <display value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
          </coding>
          <text value="TSH SerPl DL&lt;=0.005 mU/L-aCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2008-08-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="2.011" />
          <unit value="mcU/mL" />
          <system value="http://unitsofmeasure.org" />
          <code value="11580-8" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.4" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </low>
          <high>
            <value value="4.2" />
            <unit value="mcU/mL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mcU/mL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1675-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1676-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-08-18: LDLc SerPl Calc-mCnc = 105 mg/dL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1676-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="13457-7" />
            <display value="LDLc SerPl Calc-mCnc" />
          </coding>
          <text value="LDLc SerPl Calc-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2008-08-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="105.0" />
          <unit value="mg/dL" />
          <system value="http://unitsofmeasure.org" />
          <code value="13457-7" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </low>
          <high>
            <value value="100.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1676-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1677-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-08-18: Trigl SerPl-mCnc = 60 mg/dL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1677-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2571-8" />
            <display value="Trigl SerPl-mCnc" />
          </coding>
          <text value="Trigl SerPl-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2008-08-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="60.0" />
          <unit value="mg/dL" />
          <system value="http://unitsofmeasure.org" />
          <code value="2571-8" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </low>
          <high>
            <value value="150.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1677-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1678-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-08-18: Cholest SerPl-mCnc = 179 mg/dL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1678-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2093-3" />
            <display value="Cholest SerPl-mCnc" />
          </coding>
          <text value="Cholest SerPl-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2008-08-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="179.0" />
          <unit value="mg/dL" />
          <system value="http://unitsofmeasure.org" />
          <code value="2093-3" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </low>
          <high>
            <value value="200.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1678-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1679-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2008-08-18: HDLc SerPl-mCnc = 62 mg/dL</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1679-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="2085-9" />
            <display value="HDLc SerPl-mCnc" />
          </coding>
          <text value="HDLc SerPl-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2008-08-18" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
        </performer>
        <valueQuantity>
          <value value="62.0" />
          <unit value="mg/dL" />
          <system value="http://unitsofmeasure.org" />
          <code value="2085-9" />
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="0.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </low>
          <high>
            <value value="0.0" />
            <unit value="mg/dL" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/dL" />
          </high>
          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1679-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <Observation>
        <id value="smart-1680-lab" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">2004-05-17: CRP SerPl HS-mCnc = 2.1 mg/L</div>
        </text>
        <identifier>
          <use value="official" />
          <system value="http://www.bmc.nl/zorgportal/identifiers/observations" />
          <value value="smart-1680-lab" />
        </identifier>
        <status value="unknown" />
        <category>
          <coding>
            <system value="http://hl7.org/fhir/observation-category" />
            <code value="laboratory" />
            <display value="Laboratory" />
          </coding>
          <text value="Laboratory" />
        </category>
        <code>
          <coding>
            <system value="http://loinc.org" />
            <code value="30522-7" />
            <display value="CRP SerPl HS-mCnc" />
          </coding>
          <text value="CRP SerPl HS-mCnc" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <effectiveDateTime value="2004-05-17" />
        <performer>
          <reference value="Practitioner/smart-Practitioner-71614502" />
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          <value value="2.1" />
          <unit value="mg/L" />
          <system value="http://unitsofmeasure.org" />
          <code value="30522-7" />
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        <referenceRange>
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            <unit value="mg/L" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/L" />
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          <high>
            <value value="3.0" />
            <unit value="mg/L" />
            <system value="http://unitsofmeasure.org" />
            <code value="mg/L" />
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          <type>
            <coding>
              <system value="http://hl7.org/fhir/referencerange-meaning" />
              <code value="normal" />
              <display value="Normal Range" />
            </coding>
            <text value="Normal Range" />
          </type>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Observation/smart-1680-lab" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-232" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Doxycycline 100 MG Oral Tablet (rxnorm: 197633)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="197633" />
            <display value="Doxycycline 100 MG Oral Tablet" />
          </coding>
          <text value="Doxycycline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 bid" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2003-10-25" />
              </boundsPeriod>
              <frequency value="2" />
              <period value="1" />
              <periodUnit value="d" />
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          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
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        <dispenseRequest>
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          <quantity>
            <value value="60.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
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          <expectedSupplyDuration>
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            <unit value="days" />
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      </MedicationRequest>
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    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-232" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-357" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 60 tablets = 30 day supply of Doxycycline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="197633" />
            <display value="Doxycycline 100 MG Oral Tablet" />
          </coding>
          <text value="Doxycycline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-232" />
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        <quantity>
          <value value="60.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
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        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
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        <whenHandedOver value="2003-10-25" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-357" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-233" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Sertraline 100 MG Oral Tablet [Zoloft] (rxnorm: 208149)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 daily" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2003-10-25" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="30.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-233" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-361" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet [Zoloft]</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-233" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-03-28" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-361" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-359" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet [Zoloft]</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-233" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2003-12-16" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-359" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-362" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet [Zoloft]</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-233" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-07-07" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-362" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-360" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet [Zoloft]</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-233" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-02-23" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-360" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-358" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet [Zoloft]</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="208149" />
            <display value="Sertraline 100 MG Oral Tablet [Zoloft]" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet [Zoloft]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-233" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2003-10-25" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-358" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-234" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Yasmin 28 Day Pack (rxnorm: 748857)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="748857" />
            <display value="Yasmin 28 Day Pack" />
          </coding>
          <text value="Yasmin 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 daily" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2003-11-03" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="30.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-234" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-349" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Yasmin 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="748857" />
            <display value="Yasmin 28 Day Pack" />
          </coding>
          <text value="Yasmin 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-234" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2003-11-03" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-349" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-235" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">tazarotene 1 MG/ML Topical Cream [Tazorac] (rxnorm: 284497)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="284497" />
            <display value="tazarotene 1 MG/ML Topical Cream [Tazorac]" />
          </coding>
          <text value="tazarotene 1 MG/ML Topical Cream [Tazorac]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="apply qhs" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2003-11-24" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-235" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-236" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Doxycycline 100 MG Oral Capsule (rxnorm: 199026)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="199026" />
            <display value="Doxycycline 100 MG Oral Capsule" />
          </coding>
          <text value="Doxycycline 100 MG Oral Capsule" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 bid" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2003-12-21" />
              </boundsPeriod>
              <frequency value="2" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="60.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-236" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-341" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 60 tablets = 30 day supply of Doxycycline 100 MG Oral Capsule</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="199026" />
            <display value="Doxycycline 100 MG Oral Capsule" />
          </coding>
          <text value="Doxycycline 100 MG Oral Capsule" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-236" />
        </authorizingPrescription>
        <quantity>
          <value value="60.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-03-28" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-341" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-340" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 60 tablets = 30 day supply of Doxycycline 100 MG Oral Capsule</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="199026" />
            <display value="Doxycycline 100 MG Oral Capsule" />
          </coding>
          <text value="Doxycycline 100 MG Oral Capsule" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-236" />
        </authorizingPrescription>
        <quantity>
          <value value="60.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2003-12-21" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-340" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-237" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Benzoyl Peroxide 0.05 MG/MG / Clindamycin 0.01 MG/MG Topical Gel [Benzaclin] (rxnorm: 284544)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="284544" />
            <display value="Benzoyl Peroxide 0.05 MG/MG / Clindamycin 0.01 MG/MG Topical Gel [Benzaclin]" />
          </coding>
          <text value="Benzoyl Peroxide 0.05 MG/MG / Clindamycin 0.01 MG/MG Topical Gel [Benzaclin]" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="apply bid to face" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2004-03-28" />
              </boundsPeriod>
              <frequency value="2" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-237" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-238" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Low-Ogestrel 28 Day Pack (rxnorm: 750244)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="750244" />
            <display value="Low-Ogestrel 28 Day Pack" />
          </coding>
          <text value="Low-Ogestrel 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 daily" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2004-07-07" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="30.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-238" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-355" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Low-Ogestrel 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="750244" />
            <display value="Low-Ogestrel 28 Day Pack" />
          </coding>
          <text value="Low-Ogestrel 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-238" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-09-08" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-355" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-353" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Low-Ogestrel 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="750244" />
            <display value="Low-Ogestrel 28 Day Pack" />
          </coding>
          <text value="Low-Ogestrel 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-238" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-07-07" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-353" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-354" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Low-Ogestrel 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="750244" />
            <display value="Low-Ogestrel 28 Day Pack" />
          </coding>
          <text value="Low-Ogestrel 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-238" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-08-04" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-354" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-356" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Low-Ogestrel 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="750244" />
            <display value="Low-Ogestrel 28 Day Pack" />
          </coding>
          <text value="Low-Ogestrel 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-238" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-10-04" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-356" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-239" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Metronidazole 250 MG Oral Tablet (rxnorm: 314106)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="314106" />
            <display value="Metronidazole 250 MG Oral Tablet" />
          </coding>
          <text value="Metronidazole 250 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 tid x7 days" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2004-07-18" />
              </boundsPeriod>
              <frequency value="3" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="90.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-239" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-371" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 90 tablets = 30 day supply of Metronidazole 250 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="314106" />
            <display value="Metronidazole 250 MG Oral Tablet" />
          </coding>
          <text value="Metronidazole 250 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-239" />
        </authorizingPrescription>
        <quantity>
          <value value="90.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2004-07-18" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-371" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-240" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Alprazolam 0.25 MG Oral Tablet (rxnorm: 308047)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="308047" />
            <display value="Alprazolam 0.25 MG Oral Tablet" />
          </coding>
          <text value="Alprazolam 0.25 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 tid prn" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2008-08-30" />
              </boundsPeriod>
              <frequency value="3" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <asNeededBoolean value="true" />
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="24.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="8" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-240" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-350" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 24 tablets = 8 day supply of Alprazolam 0.25 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="308047" />
            <display value="Alprazolam 0.25 MG Oral Tablet" />
          </coding>
          <text value="Alprazolam 0.25 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-240" />
        </authorizingPrescription>
        <quantity>
          <value value="24.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="8" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-08-30" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-350" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-241" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Apri 28 Day Pack (rxnorm: 753482)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 daily" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2008-08-30" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="28.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="28" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-241" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-368" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-03-12" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-368" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-366" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-12-25" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-366" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-363" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-08-30" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-363" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-369" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-04-25" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-369" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-370" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-05-28" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-370" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-365" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-11-13" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-365" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-364" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-10-21" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-364" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-367" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 28 tablets = 28 day supply of Apri 28 Day Pack</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="753482" />
            <display value="Apri 28 Day Pack" />
          </coding>
          <text value="Apri 28 Day Pack" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-241" />
        </authorizingPrescription>
        <quantity>
          <value value="28.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="28" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-01-15" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-367" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-242" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Sertraline 100 MG Oral Tablet (rxnorm: 312938)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 daily" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2008-10-03" />
              </boundsPeriod>
              <frequency value="1" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="30.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="30" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-242" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-345" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-242" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-11-13" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-345" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-347" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-242" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-02-05" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-347" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-348" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-242" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-03-19" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-348" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-344" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-242" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-10-03" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-344" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-346" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 30 tablets = 30 day supply of Sertraline 100 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="312938" />
            <display value="Sertraline 100 MG Oral Tablet" />
          </coding>
          <text value="Sertraline 100 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-242" />
        </authorizingPrescription>
        <quantity>
          <value value="30.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="30" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2008-12-25" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-346" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationRequest>
        <id value="smart-MedicationRequest-243" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Ciprofloxacin 500 MG Oral Tablet (rxnorm: 309309)</div>
        </text>
        <status value="active" />
        <intent value="order" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="309309" />
            <display value="Ciprofloxacin 500 MG Oral Tablet" />
          </coding>
          <text value="Ciprofloxacin 500 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <dosageInstruction>
          <text value="1 bid" />
          <timing>
            <repeat>
              <boundsPeriod>
                <start value="2009-03-05" />
              </boundsPeriod>
              <frequency value="2" />
              <period value="1" />
              <periodUnit value="d" />
            </repeat>
          </timing>
          <doseQuantity>
            <value value="1.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </doseQuantity>
        </dosageInstruction>
        <dispenseRequest>
          <numberOfRepeatsAllowed value="1" />
          <quantity>
            <value value="14.0" />
            <unit value="{tablet}" />
            <system value="http://unitsofmeasure.org" />
            <code value="{tablet}" />
          </quantity>
          <expectedSupplyDuration>
            <value value="7" />
            <unit value="days" />
            <system value="http://unitsofmeasure.org" />
            <code value="d" />
          </expectedSupplyDuration>
        </dispenseRequest>
      </MedicationRequest>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationRequest/smart-MedicationRequest-243" />
    </request>
  </entry>
  <entry>
    <resource>
      <MedicationDispense>
        <id value="smart-MedicationDispense-351" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Dispensed 14 tablets = 7 day supply of Ciprofloxacin 500 MG Oral Tablet</div>
        </text>
        <status value="completed" />
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm" />
            <code value="309309" />
            <display value="Ciprofloxacin 500 MG Oral Tablet" />
          </coding>
          <text value="Ciprofloxacin 500 MG Oral Tablet" />
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <authorizingPrescription>
          <reference value="MedicationRequest/smart-MedicationRequest-243" />
        </authorizingPrescription>
        <quantity>
          <value value="14.0" />
          <unit value="tablets" />
          <system value="http://unitsofmeasure.org" />
          <code value="{tablets}" />
        </quantity>
        <daysSupply>
          <value value="7" />
          <unit value="days" />
          <system value="http://unitsofmeasure.org" />
          <code value="d" />
        </daysSupply>
        <whenHandedOver value="2009-03-05" />
      </MedicationDispense>
    </resource>
    <request>
      <method value="PUT" />
      <url value="MedicationDispense/smart-MedicationDispense-351" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-212" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Acne</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="88616000" />
            <display value="Acne" />
          </coding>
          <text value="Acne" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2003-11-24" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-212" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-213" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Hypothyroidism</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="40930008" />
            <display value="Hypothyroidism" />
          </coding>
          <text value="Hypothyroidism" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2004-05-17" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-213" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-214" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Thyrotoxicosis without goiter OR other cause</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="34486009" />
            <display value="Thyrotoxicosis without goiter OR other cause" />
          </coding>
          <text value="Thyrotoxicosis without goiter OR other cause" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2004-05-17" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-214" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-215" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Abnormal results of thyroid function studies</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="312399001" />
            <display value="Abnormal results of thyroid function studies" />
          </coding>
          <text value="Abnormal results of thyroid function studies" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2004-06-06" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-215" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-216" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Leukorrhea</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="271939006" />
            <display value="Leukorrhea" />
          </coding>
          <text value="Leukorrhea" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2004-06-28" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-216" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-217" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Papanicolaou smear of cervix with atypical squamous cells of undetermined significance (ASC-US)</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="441087007" />
            <display value="Papanicolaou smear of cervix with atypical squamous cells of undetermined significance (ASC-US)" />
          </coding>
          <text value="Papanicolaou smear of cervix with atypical squamous cells of undetermined significance (ASC-US)" />
        </code>
        <subject>
          <reference value="Patient/smart-2169591" />
        </subject>
        <onsetDateTime value="2004-06-28" />
      </Condition>
    </resource>
    <request>
      <method value="PUT" />
      <url value="Condition/smart-Condition-217" />
    </request>
  </entry>
  <entry>
    <resource>
      <Condition>
        <id value="smart-Condition-218" />
        <text>
          <status value="generated" />
          <div xmlns="http://www.w3.org/1999/xhtml">Herpes simplex without complication</div>
        </text>
        <clinicalStatus value="active" />
        <verificationStatus value="confirmed" />
        <code>
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