Personal Health Device Implementation Guide
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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 2.0.0-ballot2 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 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "bundle-example-1",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-001",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdPatient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-001</b></p><a name=\"patient-001\"> </a><a name=\"hcpatient-001\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdPatient.html\">PhdPatient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Sisansarah Gyannea  (no stated gender), DoB Unknown ( Medical record number: sisansarahId)</p><hr/></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "urn:oid:2.999.1.2.3.4.5.6.7.8.10",
            "value" : "sisansarahId"
          }
        ],
        "name" : [
          {
            "family" : "Gyannea",
            "given" : [
              "Sisansarah"
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Patient",
        "ifNoneExist" : "identifier=urn:oid:2.9991.2.3.4.5.6.7.8.10|sisansarahId"
      }
    },
    {
      "fullUrl" : "urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294",
      "resource" : {
        "resourceType" : "Device",
        "id" : "phg-001",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhgDevice"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_phg-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device phg-001</b></p><a name=\"phg-001\"> </a><a name=\"hcphg-001\"> </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\"/><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>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 531981}\">Application Hosting Device, a.k.a. PHG</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><span title=\"Codes:{urn:iso:std:iso:11073:10101 528457}\">Device following the IEEE 11073-10206 standard but no specific specialization</span></td><td>2</td></tr></table><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><span title=\"Codes:{urn:iso:std:iso:11073:10101 532352}\">Continua version</span></td><td>6.0</td></tr></table><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532353}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs 4}\">Pulse Oximeter certified</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532355}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 0}\">observation-upload-soap</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532355}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 3}\">observation-upload-hdata</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532355}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 7}\">observation-upload-fhir</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532355}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 2}\">capabilities</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532355}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS 6}\">aps</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 532354.0}\">negated-regulation-status</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Device is not regulated</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 68220}\">MDC_TIME_SYNC_PROTOCOL</span></p><p><b>valueCode</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532226}\">MDC_TIME_SYNC_NTPV4</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 68221}\">MDC_TIME_SYNC_ACCURACY</span></p><p><b>valueQuantity</b>: 120000000 us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeus = 'us')</span></p></blockquote></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers",
                  "code" : "SYSID",
                  "display" : "IEEE 11073 System Identifier"
                }
              ]
            },
            "system" : "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
            "value" : "4C-4E-49-12-34-56-FF-FF"
          }
        ],
        "type" : {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:11073:10101",
              "code" : "531981",
              "display" : "MDC_MOC_VMS_MDS_AHD"
            }
          ],
          "text" : "Application Hosting Device, a.k.a. PHG"
        },
        "specialization" : [
          {
            "systemType" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "528457",
                  "display" : "MDC_DEV_SPEC_PROFILE_GENERIC"
                }
              ],
              "text" : "Device following the IEEE 11073-10206 standard but no specific specialization"
            },
            "version" : "2"
          }
        ],
        "version" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532352",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_VERSION"
                }
              ],
              "text" : "Continua version"
            },
            "value" : "6.0"
          }
        ],
        "property" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532353",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs",
                    "code" : "4",
                    "display" : "Pulse Oximeter certified"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532355",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code" : "0",
                    "display" : "observation-upload-soap"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532355",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code" : "3",
                    "display" : "observation-upload-hdata"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532355",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code" : "7",
                    "display" : "observation-upload-fhir"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532355",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code" : "2",
                    "display" : "capabilities"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532355",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_AHD_CERT_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaHFS",
                    "code" : "6",
                    "display" : "aps"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
                  "code" : "532354.0",
                  "display" : "negated-regulation-status"
                }
              ]
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ],
                "text" : "Device is not regulated"
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68220",
                  "display" : "MDC_TIME_SYNC_PROTOCOL"
                }
              ]
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "urn:iso:std:iso:11073:10101",
                    "code" : "532226",
                    "display" : "MDC_TIME_SYNC_NTPV4"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68221",
                  "display" : "MDC_TIME_SYNC_ACCURACY"
                }
              ]
            },
            "valueQuantity" : [
              {
                "value" : 120000000,
                "system" : "http://unitsofmeasure.org",
                "code" : "us"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Device",
        "ifNoneExist" : "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"
      }
    },
    {
      "fullUrl" : "urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a",
      "resource" : {
        "resourceType" : "Device",
        "id" : "phd-001",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdDevice"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Device_phd-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Device phd-001</b></p><a name=\"phd-001\"> </a><a name=\"hcphd-001\"> </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\"/><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>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 65573}\">Personal Health Device</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><span title=\"Codes:{urn:iso:std:iso:11073:10101 528388}\">Pulse Oximeter</span></td><td>1</td></tr></table><blockquote><p><b>version</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 531976}\">Firmware revision</span></p><p><b>value</b>: 0.9C</p></blockquote><blockquote><p><b>version</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532352}\">Continua version</span></p><p><b>value</b>: 1.0</p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532353}\">Each element of the certified interfaces list as a separate property</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs 4}\">Pulse Oximeter certified</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 532354.0}\">negated-regulation-status</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 N}\">Device is regulated</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 68220}\">Time synchronization protocol</span></p><p><b>valueCode</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 532224}\">No time synchronization</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.0}\">real time clock supported</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.1}\">setting the time supported</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/ASN1ToHL7 68219.2}\">relative time supported</span></p><p><b>valueCode</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0136 Y}\">Yes</span></p></blockquote><blockquote><p><b>property</b></p><p><b>type</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 68222}\">Resolution of absolute time clock</span></p><p><b>valueQuantity</b>: 1000000 us<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeus = 'us')</span></p></blockquote></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers",
                  "code" : "SYSID",
                  "display" : "IEEE 11073 System Identifier"
                }
              ]
            },
            "system" : "urn:oid:1.2.840.10004.1.1.1.0.0.1.0.0.1.2680",
            "value" : "00-1C-05-04-00-00-78-25"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ContinuaDeviceIdentifiers",
                  "code" : "BTMAC",
                  "display" : "Bluetooth MAC Address"
                }
              ]
            },
            "system" : "http://hl7.org/fhir/sid/eui-48/bluetooth",
            "value" : "00-1C-05-00-78-25"
          }
        ],
        "manufacturer" : "Nonin Medical, Inc.",
        "serialNumber" : "0400007825",
        "deviceName" : [
          {
            "name" : "Nonin_Medical_Inc._323552",
            "type" : "user-friendly-name"
          }
        ],
        "modelNumber" : "Model 3150",
        "type" : {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:11073:10101",
              "code" : "65573",
              "display" : "MDC_MOC_VMS_MDS_SIMP"
            }
          ],
          "text" : "Personal Health Device"
        },
        "specialization" : [
          {
            "systemType" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "528388",
                  "display" : "MDC_DEV_SPEC_PROFILE_PULS_OXIM"
                }
              ],
              "text" : "Pulse Oximeter"
            },
            "version" : "1"
          }
        ],
        "version" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "531976",
                  "display" : "MDC_ID_PROD_SPEC_FW"
                }
              ],
              "text" : "Firmware revision"
            },
            "value" : "0.9C"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532352",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_VERSION"
                }
              ],
              "text" : "Continua version"
            },
            "value" : "1.0"
          }
        ],
        "property" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "532353",
                  "display" : "MDC_REG_CERT_DATA_CONTINUA_CERT_DEV_LIST"
                }
              ],
              "text" : "Each element of the certified interfaces list as a separate property"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/ContinuaPHDInterfaceIDs",
                    "code" : "4",
                    "display" : "Pulse Oximeter certified"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
                  "code" : "532354.0",
                  "display" : "negated-regulation-status"
                }
              ]
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "N",
                    "display" : "No"
                  }
                ],
                "text" : "Device is regulated"
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68220",
                  "display" : "MDC_TIME_SYNC_PROTOCOL"
                }
              ],
              "text" : "Time synchronization protocol"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "urn:iso:std:iso:11073:10101",
                    "code" : "532224",
                    "display" : "MDC_TIME_SYNC_NONE"
                  }
                ],
                "text" : "No time synchronization"
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
                  "code" : "68219.0",
                  "display" : "mds-time-capab-real-time-clock"
                }
              ],
              "text" : "real time clock supported"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
                  "code" : "68219.1",
                  "display" : "mds-time-capab-set-clock"
                }
              ],
              "text" : "setting the time supported"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/ASN1ToHL7",
                  "code" : "68219.2",
                  "display" : "mds-time-capab-relative-time"
                }
              ],
              "text" : "relative time supported"
            },
            "valueCode" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0136",
                    "code" : "Y",
                    "display" : "Yes"
                  }
                ]
              }
            ]
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68222",
                  "display" : "MDC_TIME_RES_ABS"
                }
              ],
              "text" : "Resolution of absolute time clock"
            },
            "valueQuantity" : [
              {
                "value" : 1000000,
                "unit" : "us",
                "system" : "http://unitsofmeasure.org",
                "code" : "us"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Device",
        "ifNoneExist" : "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"
      }
    },
    {
      "fullUrl" : "urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "cts-001",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdCoincidentTimeStampObservation"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_cts-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation cts-001</b></p><a name=\"cts-001\"> </a><a name=\"hccts-001\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdCoincidentTimeStampObservation.html\">PhdCoincidentTimeStampObservation</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 67975}\">Uses Absolute time clock</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a\">Bundle: type = transaction</a></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>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294\">Bundle: type = transaction</a></p></div>"
        },
        "status" : "final",
        "code" : {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:11073:10101",
              "code" : "67975",
              "display" : "MDC_ATTR_TIME_ABS"
            }
          ],
          "text" : "Uses Absolute time clock"
        },
        "subject" : {
          "reference" : "urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"
        },
        "effectiveDateTime" : "2019-09-20T12:40:07.936-04:00",
        "valueDateTime" : "2019-09-20T12:40:09.000-04:00",
        "device" : {
          "reference" : "urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"
        }
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:752b1a27-bbed-47d6-bbb8-b649a5261c52",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "pulse-ox-001",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_pulse-ox-001\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation pulse-ox-001</b></p><a name=\"pulse-ox-001\"> </a><a name=\"hcpulse-ox-001\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdNumericObservation.html\">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294\">Bundle: type = transaction</a></p><p><b>Coincident Timestamp Reference</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-323f0631-6bca-47aa-8adf-69fdaf910108\">Bundle: type = transaction</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories phd}\">PHD generated Observation</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 150456}, {http://loinc.org 2708-6}\">MDC_PULS_OXIM_SAT_O2</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-5b7842fe-978d-4182-a41f-0d07a8617bc2\">Bundle: type = transaction</a></p><p><b>effective</b>: 2019-09-20 12:40:16-0400</p><p><b>value</b>: 98 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code% = '%')</span></p><p><b>device</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a\">Bundle: type = transaction</a></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><span title=\"Codes:{urn:iso:std:iso:11073:10101 68193}\">Supplemental information</span></td><td><span title=\"Codes:{urn:iso:std:iso:11073:10101 150588}\">Stable mean</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
            "valueReference" : {
              "reference" : "urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference",
            "valueReference" : {
              "reference" : "urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108"
            }
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
                "code" : "phd"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs",
                "display" : "Vital Signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:11073:10101",
              "code" : "150456",
              "display" : "MDC_PULS_OXIM_SAT_O2"
            },
            {
              "system" : "http://loinc.org",
              "code" : "2708-6",
              "display" : "Oxygen saturation in Arterial blood"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2"
        },
        "effectiveDateTime" : "2019-09-20T12:40:16.936-04:00",
        "valueQuantity" : {
          "value" : 98,
          "unit" : "%",
          "system" : "http://unitsofmeasure.org",
          "code" : "%"
        },
        "device" : {
          "reference" : "urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68193",
                  "display" : "MDC_ATTR_SUPPLEMENTAL_TYPES"
                }
              ],
              "text" : "Supplemental information"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150588",
                  "display" : "MDC_MODALITY_SPOT"
                }
              ],
              "text" : "Stable mean"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    },
    {
      "fullUrl" : "urn:uuid:9b676667-4eea-4837-8c6e-df5c1bce9b38",
      "resource" : {
        "resourceType" : "Observation",
        "id" : "pulse-ox-002",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdNumericObservation"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_pulse-ox-002\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation pulse-ox-002</b></p><a name=\"pulse-ox-002\"> </a><a name=\"hcpulse-ox-002\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PhdNumericObservation.html\">PhdNumericObservation</a></p></div><p><b>Observation Gateway Device</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-d44b0315-947e-4da5-bb6d-533eceb7a294\">Bundle: type = transaction</a></p><p><b>Coincident Timestamp Reference</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-323f0631-6bca-47aa-8adf-69fdaf910108\">Bundle: type = transaction</a></p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories phd}\">PHD generated Observation</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{urn:iso:std:iso:11073:10101 149530}, {http://loinc.org 8867-4}\">MDC_PULS_OXIM_PULS_RATE</span></p><p><b>subject</b>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-5b7842fe-978d-4182-a41f-0d07a8617bc2\">Bundle: type = transaction</a></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>: <a href=\"Bundle-bundle-example-1.html#urn-uuid-c87cc91b-8b31-4e6f-b636-75e52891d10a\">Bundle: type = transaction</a></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><span title=\"Codes:{urn:iso:std:iso:11073:10101 68193}\">Supplemental information</span></td><td><span title=\"Codes:{urn:iso:std:iso:11073:10101 150588}\">Stable mean</span></td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
            "valueReference" : {
              "reference" : "urn:uuid:d44b0315-947e-4da5-bb6d-533eceb7a294"
            }
          },
          {
            "url" : "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference",
            "valueReference" : {
              "reference" : "urn:uuid:323f0631-6bca-47aa-8adf-69fdaf910108"
            }
          }
        ],
        "status" : "final",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
                "code" : "phd"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
                "code" : "vital-signs"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:11073:10101",
              "code" : "149530",
              "display" : "MDC_PULS_OXIM_PULS_RATE"
            },
            {
              "system" : "http://loinc.org",
              "code" : "8867-4",
              "display" : "Heart rate"
            }
          ]
        },
        "subject" : {
          "reference" : "urn:uuid:5b7842fe-978d-4182-a41f-0d07a8617bc2"
        },
        "effectiveDateTime" : "2019-09-20T12:40:16.936-04:00",
        "valueQuantity" : {
          "value" : 47,
          "unit" : "{beat}/min}",
          "system" : "http://unitsofmeasure.org",
          "code" : "/min"
        },
        "device" : {
          "reference" : "urn:uuid:c87cc91b-8b31-4e6f-b636-75e52891d10a"
        },
        "component" : [
          {
            "code" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "68193",
                  "display" : "MDC_ATTR_SUPPLEMENTAL_TYPES"
                }
              ],
              "text" : "Supplemental information"
            },
            "valueCodeableConcept" : {
              "coding" : [
                {
                  "system" : "urn:iso:std:iso:11073:10101",
                  "code" : "150588",
                  "display" : "MDC_MODALITY_SPOT"
                }
              ],
              "text" : "Stable mean"
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Observation"
      }
    }
  ]
}