<?xml version="1.0" encoding="UTF-8"?>

  <!-- -
Removed the .related type qualified-by  - if needed would be an extension 

	<related>
		<type value="qualified-by"/>
		<target>
			<identifier>
				<value value="3.14159.20170619185932"/>
			</identifier>
		</target>
	</related>
 -->
<Observation xmlns="http://hl7.org/fhir">
  <id value="656"/>
  <identifier>
    <value value="patientId-urn:oid:1.2.4~0000000000000000~152584~20170503155426~820"/>
  </identifier>
  <status value="final"/>
  <code>
    <coding>
      <system value="urn:iso:std:iso:11073:10101"/>
      <code value="152584"/>
      <display value="MDC_FLOW_AWAY_EXP_FORCED_PEAK"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/PatientId-patientId"/>
  </subject>
  <effectiveDateTime value="2017-05-03T15:54:26-04:00"/>
  <performer>
    <reference value="Patient/PatientId-patientId"/>
  </performer>
  <valueQuantity>
    <value value="820"/>
    <unit value="cL/s"/>
    <system value="urn:iso:std:iso:11073:10101"/>
    <code value="265201"/>
  </valueQuantity>
</Observation>