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Source1

{
  "resourceType": "Observation",
  "id": "stringenum-1234",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/uv/phd/StructureDefinition/PhdStringObservation"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/observation-gatewayDevice",
      "valueReference": {
        "reference": "Device/phg-ecde3d4e58532d31.000000000000"
      }
    },
    {
      "url": "http://hl7.org/fhir/uv/phd/StructureDefinition/CoincidentTimeStampReference",
      "valueReference": {
        "reference": "Observation/coin-example-1"
      }
    }
  ],
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/uv/phd/CodeSystem/PhdObservationCategories",
          "code": "phd"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "urn:iso:std:iso:11073:10101",
        "code": "8454252",
        "display": "MDC_HF_PROGRAM_ID"
      }
    ],
    "text": "Program id"
  },
  "subject": {
    "reference": "Patient/patientExample-1"
  },
  "effectiveDateTime": "2018-08-02T03:25:24.000-04:00",
  "valueString": "Endurance run",
  "device": {
    "reference": "Device/phd-00601900010E9234.F45EABA80832"
  }
}