Personal Health Device Implementation Guide
1.1.0 - STU 1 International flag

Personal Health Device Implementation Guide, published by HL7 International / Health Care Devices. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/phd/ and changes regularly. See the Directory of published versions

: Example of a first time Bundle upload - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="nonin-hdp-1542718631721"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="http://example.org/Patient/patient-001"/>
    <resource>
      <Patient>
        <id value="patient-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-001"> </a><p><b>Generated Narrative: Patient</b><a name="patient-001"> </a><a name="hcpatient-001"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourcePatient &quot;patient-001&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdPatient.html">PhdPatient</a></p></div><p><b>identifier</b>: Medical record number/sisansarahId</p><p><b>name</b>: Sisansarah Gyannea </p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
            <text value="Medical record number"/>
          </type>
          <system value="urn:oid:1.2.3.4.5.6.6.8.10"/>
          <value value="sisansarahId"/>
        </identifier>
        <name>
          <family value="Gyannea"/>
          <given value="Sisansarah"/>
        </name>
      </Patient>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Patient"/>
      <ifNoneExist
                   value="identifier=urn:oid:1.2.3.4.5.6.6.8.10|sisansarahId"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Device/phg-001"/>
    <resource>
      <Device>
        <id value="phg-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_phg-001"> </a><p><b>Generated Narrative: Device</b><a name="phg-001"> </a><a name="hcphg-001"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceDevice &quot;phg-001&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhgDevice.html">PhgDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier/4C-4E-49-12-34-56-FF-FF</p><p><b>type</b>: MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#531981 &quot;MDC_MOC_VMS_MDS_AHD&quot;)</span></p><h3>Versions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Value</b></td></tr><tr><td style="display: none">*</td><td>MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532352)</span></td><td>6.0</td></tr></table><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532353)</span></p><p><b>valueCode</b>: Pulse Oximeter certified <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaPHD.html">Continua Device Interfaces</a>#4)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: Continua certified Health&amp;Fitness interfaces list <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532355)</span></p><p><b>valueCode</b>: observation-upload-soap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaHFS.html">Continua Health and Fitness Continua Service Interfaces</a>#0)</span>, observation-upload-hdata <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaHFS.html">Continua Health and Fitness Continua Service Interfaces</a>#3)</span>, observation-upload-fhir <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaHFS.html">Continua Health and Fitness Continua Service Interfaces</a>#7)</span>, capabilities <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaHFS.html">Continua Health and Fitness Continua Service Interfaces</a>#2)</span>, aps <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaHFS.html">Continua Health and Fitness Continua Service Interfaces</a>#6)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: regulation-status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ASN1ToHL7.html">ASN1 bits to HL7 enumerated values</a>#532354.0)</span></p><p><b>valueCode</b>: Device is Unregulated <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68220)</span></p><p><b>valueCode</b>: MDC_TIME_SYNC_NTPV4: NTPV4 time synchronization <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532226)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_ACCURACY: unknown code 68221 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68221)</span></p><p><b>valueQuantity</b>: 120000000 us<span style="background: LightGoldenRodYellow"> (Details: UCUM code us = 'us')</span></p></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="SYSID"/>
              <display value="IEEE 11073 System Identifier"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
          <value value="4C-4E-49-12-34-56-FF-FF"/>
        </identifier>
        <type>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="531981"/>
            <display value="MDC_MOC_VMS_MDS_AHD"/>
          </coding>
          <text value="MDC_MOC_VMS_MDS_AHD: Continua compliant Gateway"/>
        </type>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532352"/>
            </coding>
            <text
                  value="MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"/>
          </type>
          <value value="6.0"/>
        </version>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532353"/>
            </coding>
            <text
                  value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD"/>
              <code value="4"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532355"/>
            </coding>
            <text
                  value="MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST: Continua certified Health&amp;Fitness interfaces list"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="0"/>
            </coding>
          </valueCode>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="3"/>
            </coding>
          </valueCode>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="7"/>
            </coding>
          </valueCode>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="2"/>
            </coding>
          </valueCode>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS"/>
              <code value="6"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
              <code value="532354.0"/>
              <display value="regulation-status"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
            </coding>
            <text value="Device is Unregulated"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68220"/>
            </coding>
            <text
                  value="MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"/>
          </type>
          <valueCode>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532226"/>
            </coding>
            <text value="MDC_TIME_SYNC_NTPV4: NTPV4 time synchronization"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68221"/>
            </coding>
            <text value="MDC_TIME_SYNC_ACCURACY: unknown code 68221"/>
          </type>
          <valueQuantity>
            <value value="120000000"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="us"/>
          </valueQuantity>
        </property>
      </Device>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Device"/>
      <ifNoneExist
                   value="identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|4C-4E-49-12-34-56-FF-FF"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Device/phd-001"/>
    <resource>
      <Device>
        <id value="phd-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Device_phd-001"> </a><p><b>Generated Narrative: Device</b><a name="phd-001"> </a><a name="hcphd-001"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceDevice &quot;phd-001&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdDevice.html">PhdDevice</a></p></div><p><b>identifier</b>: IEEE 11073 System Identifier/00-1C-05-04-00-00-78-25, Bluetooth MAC Address/00-1C-05-00-78-25</p><p><b>manufacturer</b>: Nonin Medical, Inc.</p><p><b>serialNumber</b>: 0400007825</p><h3>DeviceNames</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Name</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>Nonin_Medical_Inc._323552</td><td>user-friendly-name</td></tr></table><p><b>modelNumber</b>: Model 3150</p><p><b>type</b>: MDC_MOC_VMS_MDS_SIMP: Personal Health Device <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#65573 &quot;MDC_MOC_VMS_MDS_SIMP&quot;)</span></p><h3>Specializations</h3><table class="grid"><tr><td style="display: none">-</td><td><b>SystemType</b></td><td><b>Version</b></td></tr><tr><td style="display: none">*</td><td>MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#528388)</span></td><td>1</td></tr></table><blockquote><p><b>version</b></p><p><b>type</b>: MDC_ID_PROD_SPEC_FW: Firmware revision <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#531976)</span></p><p><b>value</b>: 0.9C</p></blockquote><blockquote><p><b>version</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532352)</span></p><p><b>value</b>: 1.0</p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532353)</span></p><p><b>valueCode</b>: Pulse Oximeter certified <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ContinuaPHD.html">Continua Device Interfaces</a>#4)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: regulation-status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ASN1ToHL7.html">ASN1 bits to HL7 enumerated values</a>#532354.0)</span></p><p><b>valueCode</b>: Device is Regulated <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#N)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68220)</span></p><p><b>valueCode</b>: MDC_TIME_SYNC_NONE: No time synchronization <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#532224)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-real-time-clock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ASN1ToHL7.html">ASN1 bits to HL7 enumerated values</a>#68219.0)</span></p><p><b>valueCode</b>: real time clock supported <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-set-clock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ASN1ToHL7.html">ASN1 bits to HL7 enumerated values</a>#68219.1)</span></p><p><b>valueCode</b>: setting the time supported <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: mds-time-capab-relative-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-ASN1ToHL7.html">ASN1 bits to HL7 enumerated values</a>#68219.2)</span></p><p><b>valueCode</b>: relative time supported <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/v2/0136/index.html">v2 Y/N Indicator</a>#Y)</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_RES_ABS: Resolution of absolute time clock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68222)</span></p><p><b>valueQuantity</b>: 1000000 us<span style="background: LightGoldenRodYellow"> (Details: UCUM code us = 'us')</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: MDC_TIME_RES_REL: Resolution of relative time clock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68223)</span></p><p><b>valueQuantity</b>: 10000 us<span style="background: LightGoldenRodYellow"> (Details: UCUM code us = 'us')</span></p></blockquote></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="SYSID"/>
              <display value="IEEE 11073 System Identifier"/>
            </coding>
          </type>
          <system value="urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680"/>
          <value value="00-1C-05-04-00-00-78-25"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaDeviceIdentifiers"/>
              <code value="BTMAC"/>
              <display value="Bluetooth MAC Address"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/eui-48/bluetooth"/>
          <value value="00-1C-05-00-78-25"/>
        </identifier>
        <manufacturer value="Nonin Medical, Inc."/>
        <serialNumber value="0400007825"/>
        <deviceName>
          <name value="Nonin_Medical_Inc._323552"/>
          <type value="user-friendly-name"/>
        </deviceName>
        <modelNumber value="Model 3150"/>
        <type>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="65573"/>
            <display value="MDC_MOC_VMS_MDS_SIMP"/>
          </coding>
          <text value="MDC_MOC_VMS_MDS_SIMP: Personal Health Device"/>
        </type>
        <specialization>
          <systemType>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="528388"/>
            </coding>
            <text value="MDC_DEV_SPEC_PROFILE_PULS_OXIM: Pulse Oximeter"/>
          </systemType>
          <version value="1"/>
        </specialization>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="531976"/>
            </coding>
            <text value="MDC_ID_PROD_SPEC_FW: Firmware revision"/>
          </type>
          <value value="0.9C"/>
        </version>
        <version>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532352"/>
            </coding>
            <text
                  value="MDC_REG_CERT_DATA_CONTINUA_VERSION: Continua version"/>
          </type>
          <value value="1.0"/>
        </version>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532353"/>
            </coding>
            <text
                  value="MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST: Continua certified device list"/>
          </type>
          <valueCode>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHD"/>
              <code value="4"/>
            </coding>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
              <code value="532354.0"/>
              <display value="regulation-status"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="N"/>
            </coding>
            <text value="Device is Regulated"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68220"/>
            </coding>
            <text
                  value="MDC_TIME_SYNC_PROTOCOL: Time synchronization protocol"/>
          </type>
          <valueCode>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="532224"/>
            </coding>
            <text value="MDC_TIME_SYNC_NONE: No time synchronization"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
              <code value="68219.0"/>
              <display value="mds-time-capab-real-time-clock"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
            </coding>
            <text value="real time clock supported"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
              <code value="68219.1"/>
              <display value="mds-time-capab-set-clock"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
            </coding>
            <text value="setting the time supported"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/uv/phd/CodeSystem/ASN1ToHL7"/>
              <code value="68219.2"/>
              <display value="mds-time-capab-relative-time"/>
            </coding>
          </type>
          <valueCode>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0136"/>
              <code value="Y"/>
            </coding>
            <text value="relative time supported"/>
          </valueCode>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68222"/>
            </coding>
            <text
                  value="MDC_TIME_RES_ABS: Resolution of absolute time clock"/>
          </type>
          <valueQuantity>
            <value value="1000000"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="us"/>
          </valueQuantity>
        </property>
        <property>
          <type>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68223"/>
            </coding>
            <text
                  value="MDC_TIME_RES_REL: Resolution of relative time clock"/>
          </type>
          <valueQuantity>
            <value value="10000"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="us"/>
          </valueQuantity>
        </property>
      </Device>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Device"/>
      <ifNoneExist
                   value="identifier=urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680|00-1C-05-04-00-00-78-25"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="http://example.org/Observation/cts-001"/>
    <resource>
      <Observation>
        <id value="cts-001"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cts-001"> </a><p><b>Generated Narrative: Observation</b><a name="cts-001"> </a><a name="hccts-001"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceObservation &quot;cts-001&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdCoincidentTimeStampObservation.html">PhdCoincidentTimeStampObservation</a></p></div><p><b>Observation Gateway Device</b>: See on this page: Device/phg-001</p><p><b>status</b>: final</p><p><b>code</b>: MDC_ATTR_TIME_ABS: Uses Absolute time clock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#67975)</span></p><p><b>subject</b>: See on this page: Patient/patient-001</p><p><b>effective</b>: 2019-09-20 12:40:07-0400</p><p><b>value</b>: 2019-09-20 12:40:09-0400</p><p><b>device</b>: See on this page: Device/phd-001</p></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
          <valueReference>
            <reference value="Device/phg-001"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="67975"/>
          </coding>
          <text value="MDC_ATTR_TIME_ABS: Uses Absolute time clock"/>
        </code>
        <subject>
          <reference value="Patient/patient-001"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:07.936-04:00"/>
        <valueDateTime value="2019-09-20T12:40:09.000-04:00"/>
        <device>
          <reference value="Device/phd-001"/>
        </device>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:752b1a27-bbed-47d6-bbb8-b649a5261c52"/>
    <resource>
      <Observation>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdNumericObservation.html">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: See on this page: Device/phg-001</p><p><b>status</b>: final</p><p><b>category</b>: PHD generated Observation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-PhdObservationCategories.html">PHD Observation Categories Code System</a>#phd-observation)</span>, Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: MDC_PULS_OXIM_SAT_O2: Blood 0₂ <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#150456; <a href="https://loinc.org/">LOINC</a>#2708-6)</span></p><p><b>subject</b>: See on this page: Patient/patient-001</p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 98 Superfluous mandatory field!<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><p><b>device</b>: See on this page: Device/phd-001</p><p><b>derivedFrom</b>: See on this page: Observation/cts-001</p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68193)</span></td><td>MDC_MODALITY_SPOT: Stable mean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#150588)</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
          <valueReference>
            <reference value="Device/phg-001"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories"/>
            <code value="phd-observation"/>
          </coding>
        </category>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="150456"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2708-6"/>
          </coding>
          <text value="MDC_PULS_OXIM_SAT_O2: Blood 0₂"/>
        </code>
        <subject>
          <reference value="Patient/patient-001"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
        <valueQuantity>
          <value value="98"/>
          <unit value="Superfluous mandatory field!"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </valueQuantity>
        <device>
          <reference value="Device/phd-001"/>
        </device>
        <derivedFrom>
          <reference value="Observation/cts-001"/>
        </derivedFrom>
        <component>
          <code>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68193"/>
            </coding>
            <text
                  value="MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="150588"/>
            </coding>
            <text value="MDC_MODALITY_SPOT: Stable mean"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:9b676667-4eea-4837-8c6e-df5c1bce9b38"/>
    <resource>
      <Observation>
        <meta>
          <profile
                   value="http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_null"> </a><p><b>Generated Narrative: Observation</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-PhdNumericObservation.html">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: See on this page: Device/phg-001</p><p><b>status</b>: final</p><p><b>category</b>: PHD generated Observation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-PhdObservationCategories.html">PHD Observation Categories Code System</a>#phd-observation)</span>, Vital Signs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html">Observation Category Codes</a>#vital-signs)</span></p><p><b>code</b>: MDC_PULS_OXIM_PULS_RATE: Pulse rate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#149530; <a href="https://loinc.org/">LOINC</a>#8867-4)</span></p><p><b>subject</b>: See on this page: Patient/patient-001</p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 47 {beat}/min}<span style="background: LightGoldenRodYellow"> (Details: UCUM code /min = '/min')</span></p><p><b>device</b>: See on this page: Device/phd-001</p><p><b>derivedFrom</b>: See on this page: Observation/cts-001</p><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#68193)</span></td><td>MDC_MODALITY_SPOT: Stable mean <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-mdc.html">ISO 11073-10101 Health informatics - Point-of-care</a>#150588)</span></td></tr></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice">
          <valueReference>
            <reference value="Device/phg-001"/>
          </valueReference>
        </extension>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories"/>
            <code value="phd-observation"/>
          </coding>
        </category>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
            <display value="Vital Signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system value="urn:iso:std:iso:11073:10101"/>
            <code value="149530"/>
          </coding>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8867-4"/>
          </coding>
          <text value="MDC_PULS_OXIM_PULS_RATE: Pulse rate"/>
        </code>
        <subject>
          <reference value="Patient/patient-001"/>
        </subject>
        <effectiveDateTime value="2019-09-20T12:40:16.936-04:00"/>
        <valueQuantity>
          <value value="47"/>
          <unit value="{beat}/min}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/min"/>
        </valueQuantity>
        <device>
          <reference value="Device/phd-001"/>
        </device>
        <derivedFrom>
          <reference value="Observation/cts-001"/>
        </derivedFrom>
        <component>
          <code>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="68193"/>
            </coding>
            <text
                  value="MDC_ATTR_SUPPLEMENTAL_TYPES: Supplemental information"/>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="150588"/>
            </coding>
            <text value="MDC_MODALITY_SPOT: Stable mean"/>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
</Bundle>