{
  "resourceType" : "Observation",
  "id" : "vomiting",
  "status" : "final",
  "category" : [{
    "text" : "Signs and Symptoms"
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "45708-5",
      "display" : "Vomiting [Minimum Data Set]"
    },
    {
      "system" : "http://snomed.info/sct",
      "code" : "249497008",
      "display" : "Vomiting symptom (finding)"
    }]
  },
  "subject" : {
    "reference" : "Patient/infant"
  },
  "effectiveDateTime" : "2016-05-18T22:33:22Z",
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "2667000",
      "display" : "Absent (qualifier value)"
    }]
  }
}