{
  "resourceType": "Observation",
  "id": "clinical-gender",
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "social-history",
          "display": "Social History"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "76691-5",
        "display": "Gender identity"
      }
    ],
    "text": "Gender identity"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/example"
  },
  "effectiveDateTime": "2018-02-01",
  "performer": [
    {
      "reference": "Practitioner/example"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "191788006",
        "display": "Feminism in boy (finding)"
      }
    ],
    "text": "Feminism in boy"
  },
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}