<?xml version=“1.0” encoding=“UTF-8”?> <Observation xmlns=“hl7.org/fhir”>

      <id value="vomiting"/>
      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<status value="final"/>
      <category>
              <text value="Signs and Symptoms"/>
      </category>
      <code>
              <coding>
                      <system value="http://loinc.org"/>
                      <code value="45708-5"/>
                      <display value="Vomiting [Minimum Data Set]"/>
              </coding>
              <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="249497008"/>
                      <display value="Vomiting symptom (finding)"/>
              </coding>
      </code>
      <subject>
              <reference value="Patient/infant"/>
      </subject>
      <effectiveDateTime value="2016-05-18T22:33:22Z"/>
      <valueCodeableConcept>
              <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="2667000"/>
                      <display value="Absent (qualifier value)"/>
              </coding>
      </valueCodeableConcept>

</Observation>