<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir">
  <id value="clinical-gender"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <status value="final"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="social-history"/>
      <display value="Social History"/>
    </coding>
  </category>
  <!-- 0..1 Plain text representation of the concept -->
  <code>
    <!-- 0..1 Representation defined by the system -->
    <coding>
      <system value="http://loinc.org"/>
      <!-- 0..1 Identity of the terminology system -->
      <code value="76691-5"/>
      <!-- 0..1 Symbol in syntax defined by the system -->
      <display value="Gender identity"/>
    </coding>
    <text value="Gender identity"/>
  </code>
  <subject>
    <reference value="Patient/example"/>
  </subject>
  <encounter>
    <reference value="Encounter/example"/>
  </encounter>
  <effectiveDateTime value="2018-02-01"/>
  <performer>
    <!-- 0..* Reference(Practitioner|PractitionerRole|Organization|     CareTeam|Patient|RelatedPerson)Who is responsible for the observation -->
    <reference value="Practitioner/example"/>
  </performer>
  <!-- 0..1 Plain text representation of the concept -->
  <valueCodeableConcept>
    <!-- 0..1 Representation defined by the system -->
    <coding>
      <system value="http://snomed.info/sct"/>
      <!-- 0..1 Identity of the terminology system -->
      <code value="191788006"/>
      <!-- 0..1 Symbol in syntax defined by the system -->
      <display value="Feminism in boy (finding)"/>
    </coding>
    <text value="Feminism in boy"/>
  </valueCodeableConcept>
</Observation>