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

      <id value="trachcare"/>
      <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>
              <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">

      </valueString>

</Observation>