{

"resourceType": "Observation",
"id": "trachcare",
"status": "final",
"category": [
  {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
        "code": "exam",
        "display": "Exam"
      }
    ],
    "text": "Exam"
  }
],
"code": {
  "coding": [
    {
      "system": "http://snomed.info/sct",
      "code": "410211008",
      "display": "Tracheostomy care assessment (procedure)"
    }
  ]
},
"subject": {
  "reference": "Patient/infant"
},
"focus": [
  {
    "reference": "Patient/infant-mom"
  }
],
"effectiveDateTime": "2018-03-11T16:07:54+00:00",
"valueString": "Mother is trained to change her child's tracheostomy tube",
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}