<Observation xmlns="http://hl7.org/fhir"><id value="trachcare"/><status value="final"/><category><coding><system value="http://terminology.hl7.org/CodeSystem/observation-category"/><code value="exam"/><display value="Exam"/></coding><text value="Exam"/></category><code><coding><system value="http://snomed.info/sct"/><code value="410211008"/><display value="Tracheostomy care assessment (procedure)"/></coding></code><subject><reference value="Patient/infant"/></subject><focus><reference value="Patient/infant-mom"/></focus><effectiveDateTime value="2018-03-11T16:07:54+00:00"/><valueString value="Mother is trained to change her child's tracheostomy tube"/></Observation>