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

      <id value="656"/>
      <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<identifier>
              <value value="patientId-urn:oid:1.2.4~0000000000000000~152584~20170503155426~820"/>
      </identifier>
      <status value="final"/>
      <code>
              <coding>
                      <system value="urn:iso:std:iso:11073:10101"/>
                      <code value="152584"/>
                      <display value="MDC_FLOW_AWAY_EXP_FORCED_PEAK"/>
              </coding>
      </code>
      <subject>
              <reference value="Patient/PatientId-patientId"/>
      </subject>
      <effectiveDateTime value="2017-05-03T15:54:26-04:00"/>
      <performer>
              <reference value="Patient/PatientId-patientId"/>
      </performer>
      <valueQuantity>
              <value value="820"/>
              <unit value="cL/s"/>
              <system value="urn:iso:std:iso:11073:10101"/>
              <code value="265201"/>
      </valueQuantity>
      <!--  -

Removed the .related type qualified-by - if needed would be an extension

      <related>
              <type value="qualified-by"/>
              <target>
                      <identifier>
                              <value value="3.14159.20170619185932"/>
                      </identifier>
              </target>
      </related>
-->

</Observation>