CardX - Cardiac Implantable Electronic Devices
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CardX - Cardiac Implantable Electronic Devices, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CardX-CIED/ and changes regularly. See the Directory of published versions

: IDCOExample2

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{
  "resourceType" : "Observation",
  "id" : "IDCOExample2",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/IdcoObservation"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Observation IDCOExample2</b></p><a name=\"IDCOExample2\"> </a><a name=\"hcIDCOExample2\"> </a><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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-IdcoObservation.html\">Implantable Device Cardiac Observation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 720908}\">Implantable Device Cardiac Observation - TEMPORARY CODE.</span></p><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721216}\">Battery Date Time of Measurements</span></p><p><b>value</b>: 2019-10-16 12:12:29-0900</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721280}\">Battery Status</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754113}\">Beginning of Service</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721344}\">Battery Voltage</span></p><p><b>value</b>: 6.2 V<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeV = 'V')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721408}\">Battery Impedance</span></p><p><b>value</b>: 2450 Ohm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeOhm = 'Ohm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721472}\">Battery Remaining Longevity</span></p><p><b>value</b>: 38 mo<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemo = 'mo')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721536}\">Battery Remaining Percentage</span></p><p><b>value</b>: 75 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721600}\">Battery RRT Trigger</span></p><p><b>value</b>: Battery capacity &lt; limit for 3 months</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721601}\">Battery Remaining Longevity Timeframe</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754115}\">RRT</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721602}\">Battery Remaining Percentage Timeframe</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754115}\">RRT</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721603}\">Battery RRT Reached Date Time</span></p><p><b>value</b>: 2025-03-21 12:12:29-0900</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721664}\">Capacitor Last Charge Date Time</span></p><p><b>value</b>: 2018-03-21 12:12:29-0900</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721728}\">Capacitor Charge Time</span></p><p><b>value</b>: 9.4 s<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codes = 's')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721792}\">Capacitor Charge Energy</span></p><p><b>value</b>: 30 J<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeJ = 'J')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721856}\">Capacitor Charge Type</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754177}\">Shock</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721921}\">Lead Channel Measurements Date and Time MDC_IDC_MSMT_LEADCHNL_RA_DTM_START</span></p><p><b>value</b>: 2019-03-21 12:12:29-0900</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721922}\">Lead Channel Measurements Date and Time MDC_IDC_MSMT_LEADCHNL_RA_DTM_END</span></p><p><b>value</b>: 2020-03-21 12:12:29-0900</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 721984}\">Lead Channel Status MDC_IDC_MSMT_LEADCHNL_RA_LEAD_CHANNEL_STATUS</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754241}\">Check Lead</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722049}\">Lead Channel Sensing Intrinsic Amplitude MDC_IDC_MSMT_LEADCHNL_RA_SENSING_INTR_AMPL_MAX</span></p><p><b>value</b>: 2.6 mV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemV = 'mV')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722050}\">Lead Channel Sensing Intrinsic Amplitude MDC_IDC_MSMT_LEADCHNL_RA_SENSING_INTR_AMPL_MIN</span></p><p><b>value</b>: 2.2 mV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemV = 'mV')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722051}\">Lead Channel Sensing Intrinsic Amplitude MDC_IDC_MSMT_LEADCHNL_RA_SENSING_INTR_AMPL_MEAN</span></p><p><b>value</b>: 2.5 mV<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemV = 'mV')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722112}\">Lead Channel Sensing Polarity MDC_IDC_MSMT_LEADCHNL_RA_SENSING_POLARITY</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754305}\">Unipolar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722176}\">Lead Channel Pacing Threshold Amplitude MDC_IDC_MSMT_LEADCHNL_RA_PACING_THRESHOLD_AMPLITUDE</span></p><p><b>value</b>: 0.7 V<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeV = 'V')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722240}\">Lead Channel Pacing Threshold Pulse Width MDC_IDC_MSMT_LEADCHNL_RA_PACING_THRESHOLD_PULSEWIDTH</span></p><p><b>value</b>: 0.5 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codems = 'ms')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722304}\">Lead Channel Pacing Threshold Measurement Method MDC_IDC_MSMT_LEADCHNL_RA_PACING_THRESHOLD_MEASUREMENT_METHOD</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754371}\">Device Automatic</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722368}\">Lead Channel Pacing Threshold Polarity MDC_IDC_MSMT_LEADCHNL_RA_PACING_THRESHOLD_POLARITY</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754306}\">Bipolar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722432}\">Lead Channel Impedance Value MDC_IDC_MSMT_LEADCHNL_RA_IMPEDANCE_VALUE</span></p><p><b>value</b>: 530 Ohm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeOhm = 'Ohm')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 722496}\">Lead Channel Impedance Polarity MDC_IDC_MSMT_LEADCHNL_RA_IMPEDANCE_POLARITY</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754306}\">Bipolar</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731520}\">Tachy Therapy Setting Ventricular Status</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754817}\">On</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731648}\">Zone Setting Type Category</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754945}\">VF</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731712}\">Zone Setting Vendor Type Category</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 772161}\">A Medtronic zone subclassification of ventricular fibrillation.</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731776}\">Zone Setting Status</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 755009}\">Active</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731840}\">Zone Setting Detection Interval</span></p><p><b>value</b>: 300 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codems = 'ms')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732097}\">Zone Setting ATP Type MDC_IDC_SET_ZONE_TYPE_ATP_1</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 755073}\">Burst</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732097}\">Zone Setting ATP Type MDC_IDC_SET_ZONE_TYPE_ATP_1</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 755073}\">Burst</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732161}\">Zone Setting Number of ATP Sequences MDC_IDC_SET_ZONE_NUM_ATP_SEQS_1</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732225}\">The shock energy delivered at a particular sequence of a zone therapy. MDC_IDC_SET_ZONE_SHOCK_ENERGY_1</span></p><p><b>value</b>: 0.6 J<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeJ = 'J')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732289}\">Zone Setting Number of Shocks MDC_IDC_SET_ZONE_NUM_SHOCKS_1</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732226}\">The shock energy delivered at a particular sequence of a zone therapy. MDC_IDC_SET_ZONE_SHOCK_ENERGY_2</span></p><p><b>value</b>: 0.6 J<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeJ = 'J')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732290}\">Zone Setting Number of Shocks MDC_IDC_SET_ZONE_NUM_SHOCKS_2</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732227}\">The shock energy delivered at a particular sequence of a zone therapy. MDC_IDC_SET_ZONE_SHOCK_ENERGY_3</span></p><p><b>value</b>: 41 J<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeJ = 'J')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 1</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 732291}\">Zone Setting Number of Shocks MDC_IDC_SET_ZONE_NUM_SHOCKS_3</span></p><p><b>value</b>: 1</p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 2</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731648}\">Zone Setting Type Category</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 754946}\">VT</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 2</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731712}\">Zone Setting Vendor Type Category</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 772161}\">A Medtronic zone subclassification of ventricular fibrillation.</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 2</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731776}\">Zone Setting Status</span></p><p><b>value</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 755011}\">Monitor</span></p></blockquote><blockquote><p><b>component</b></p><p><b>Instance of repeatable element</b>: 2</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 731840}\">Zone Setting Detection Interval</span></p><p><b>value</b>: 375 ms<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codems = 'ms')</span></p></blockquote></div>"
  },
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "urn:iso:std:iso:11073:10101",
        "code" : "720908",
        "display" : "Implantable Device Cardiac Observation - TEMPORARY CODE."
      }
    ]
  },
  "component" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721216",
            "display" : "Battery Date Time of Measurements"
          }
        ]
      },
      "valueDateTime" : "2019-10-16T12:12:29-09:00"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721280",
            "display" : "Battery Status"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "754113",
            "display" : "Beginning of Service"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721344",
            "display" : "Battery Voltage"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 6.2,
        "unit" : "V",
        "system" : "http://unitsofmeasure.org",
        "code" : "V"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721408",
            "display" : "Battery Impedance"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 2450,
        "unit" : "Ohm",
        "system" : "http://unitsofmeasure.org",
        "code" : "Ohm"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721472",
            "display" : "Battery Remaining Longevity"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 38,
        "unit" : "mo",
        "system" : "http://unitsofmeasure.org",
        "code" : "mo"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721536",
            "display" : "Battery Remaining Percentage"
          }
        ]
      },
      "valueQuantity" : {
        "value" : 75,
        "unit" : "%",
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721600",
            "display" : "Battery RRT Trigger"
          }
        ]
      },
      "valueString" : "Battery capacity < limit for 3 months"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721601",
            "display" : "Battery Remaining Longevity Timeframe"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "754115",
            "display" : "RRT"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721602",
            "display" : "Battery Remaining Percentage Timeframe"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "754115",
            "display" : "RRT"
          }
        ]
      }
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cardx-cied/StructureDefinition/instance-idco",
          "valueInteger" : 1
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721603",
            "display" : "Battery RRT Reached Date Time"
          }
        ]
      },
      "valueDateTime" : "2025-03-21T12:12:29-09:00"
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "urn:iso:std:iso:11073:10101",
            "code" : "721664",
            "display" : "Capacitor Last Charge Date Time"
          }
        ]
      },
      "valueDateTime" : "2018-03-21T12:12:29-09:00"
    },
    {
      "code" : {
        "coding" : [
          {
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