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Guide d'implémentation FHIR - Mesures de santé
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: bundle-example-bio - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="bundle-example-bio"/>
  <meta>
    <profile
             value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-bundle-flux-alimentation-biologie"/>
  </meta>
  <type value="transaction"/>
  <entry>
    <fullUrl value="urn:uuid:25207dab-e2f1-4513-a499-48e508847382"/>
    <resource>
      <DiagnosticReport>
        <id value="cholesterol-dr"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-diagnostic-report"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="DiagnosticReport_cholesterol-dr"> </a><p class="res-header-id"><b>Narratif généré : RapportDiagnostique cholesterol-dr</b></p><a name="cholesterol-dr"> </a><a name="hccholesterol-dr"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-diagnostic-report.html">DiagnosticReport mesures biologie</a></p></div><h2><span title="Codes:{http://loinc.org 11502-2}">Compte rendu du laboratoire [Recherche] Patient ; Document</span> </h2><table class="grid"/><p><b>Report Details</b></p><table class="grid"><tr><td><b>Code</b></td><td><b>Valeur</b></td><td><b>Reference Range</b></td><td><b>Drapeaux</b></td><td><b>When For</b></td></tr><tr><td><a href="Observation-cholesterol-total-example.html"><span title="Codes:{http://loinc.org 2093-3}">Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique</span></a></td><td>0.4 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span> - 11.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-cholesterol-hdl-example.html"><span title="Codes:{http://loinc.org 2085-9}">HDL Cholesterol</span></a></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>&gt;3.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-cholesterol-ldl-example.html"><span title="Codes:{http://loinc.org 2089-1}">LDL Cholesterol</span></a></td><td>7.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>&lt;2.6 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-cholesterol-trigly-example.html"><span title="Codes:{http://loinc.org 2571-8}">LDL Cholesterol</span></a></td><td>5.6 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span> - 21.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>Final</td><td>2024-10-15</td></tr><tr><td><a href="Observation-glycemia-example.html"><span title="Codes:{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 4548-4}">Hémoglobine A1c %</span></a></td><td>92 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td>70 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span> - 100 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td>Final</td><td>2022-11-06</td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="11502-2"/>
            <display
                     value="Compte rendu du laboratoire [Recherche] Patient ; Document"/>
          </coding>
        </code>
        <result>🔗 
          <reference value="Observation/cholesterol-total-example"/>
        </result>
        <result>🔗 
          <reference value="Observation/cholesterol-hdl-example"/>
        </result>
        <result>🔗 
          <reference value="Observation/cholesterol-ldl-example"/>
        </result>
        <result>🔗 
          <reference value="Observation/cholesterol-trigly-example"/>
        </result>
        <result>🔗 
          <reference value="Observation/glycemia-example"/>
        </result>
      </DiagnosticReport>
    </resource>
    <request>
      <method value="POST"/>
      <url value="DiagnosticReport"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:0f6a9f7f-d307-4497-b7e3-2059dc7344d4"/>
    <resource>
      <Observation>
        <id value="cholesterol-ldl-example"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-ldl"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cholesterol-ldl-example"> </a><p class="res-header-id"><b>Narratif généré : Observation cholesterol-ldl-example</b></p><a name="cholesterol-ldl-example"> </a><a name="hccholesterol-ldl-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-ldl.html">Cholestérol - LDL</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2089-1}">LDL Cholesterol</span></p><p><b>subject</b>: <a href="Patient-ExamplefrPatient001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 7.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes:{https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789 DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.6 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2089-1"/>
            <display value="LDL Cholesterol"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/ExamplefrPatient001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="7.8"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system
                    value="https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <high>
            <value value="2.6"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:7375171a-805e-440d-aa55-eb0ced35625c"/>
    <resource>
      <Observation>
        <id value="cholesterol-hdl-example"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-hdl"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cholesterol-hdl-example"> </a><p class="res-header-id"><b>Narratif généré : Observation cholesterol-hdl-example</b></p><a name="cholesterol-hdl-example"> </a><a name="hccholesterol-hdl-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-hdl.html">Cholestérol - HDL</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2085-9}">HDL Cholesterol</span></p><p><b>subject</b>: <a href="Patient-ExamplefrPatient001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes:{https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789 DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td></tr><tr><td style="display: none">*</td><td>3.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2085-9"/>
            <display value="HDL Cholesterol"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/ExamplefrPatient001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="2.8"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system
                    value="https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <low>
            <value value="3.1"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1cd043f1-996c-49e8-bb03-b02a865505af"/>
    <resource>
      <Observation>
        <id value="cholesterol-trigly-example"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-trigly"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cholesterol-trigly-example"> </a><p class="res-header-id"><b>Narratif généré : Observation cholesterol-trigly-example</b></p><a name="cholesterol-trigly-example"> </a><a name="hccholesterol-trigly-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-trigly.html">Cholestérol - triglycerides</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2571-8}">LDL Cholesterol</span></p><p><b>subject</b>: <a href="Patient-ExamplefrPatient001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 5.6 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes:{https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789 DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>21.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2571-8"/>
            <display value="LDL Cholesterol"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/ExamplefrPatient001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="5.6"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system
                    value="https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <low>
            <value value="2.8"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
          <high>
            <value value="21.1"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:91bc2d03-5406-490c-89f5-23cce837494d"/>
    <resource>
      <Observation>
        <id value="cholesterol-total-example"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-cholesterol-total"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_cholesterol-total-example"> </a><p class="res-header-id"><b>Narratif généré : Observation cholesterol-total-example</b></p><a name="cholesterol-total-example"> </a><a name="hccholesterol-total-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-cholesterol-total.html">Cholestérol - total</a></p></div><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://loinc.org 2093-3}">Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique</span></p><p><b>subject</b>: <a href="Patient-ExamplefrPatient001.html">Pierre Durand</a></p><p><b>effective</b>: 2024-10-15</p><p><b>value</b>: 0.4 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></p><p><b>method</b>: <span title="Codes:{https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789 DEG}">DEG</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>2.8 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td><td>11.1 mmol/L<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemmol/L = 'mmol/L')</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="2093-3"/>
            <display
                     value="Cholestérol [Masse/Volume] Sérum/Plasma ; Numérique"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/ExamplefrPatient001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2024-10-15"/>
        <valueQuantity>
          <value value="0.4"/>
          <unit value="mmol/L"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mmol/L"/>
        </valueQuantity>
        <method>
          <coding>
            <system
                    value="https://smt.esante.gouv.fr/fhir/ValueSet/1.2.250.1.213.1.1.5.789"/>
            <code value="DEG"/>
          </coding>
        </method>
        <referenceRange>
          <low>
            <value value="2.8"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </low>
          <high>
            <value value="11.1"/>
            <unit value="mmol/L"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mmol/L"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:eae3dfd3-ccc1-438e-b8fe-fe725dce7947"/>
    <resource>
      <Observation>
        <id value="glycemia-example"/>
        <meta>
          <profile
                   value="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-observation-glucose"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_glycemia-example"> </a><p class="res-header-id"><b>Narratif généré : Observation glycemia-example</b></p><a name="glycemia-example"> </a><a name="hcglycemia-example"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profil: <a href="StructureDefinition-mesures-observation-glucose.html">Glycémie</a></p></div><p><b>Raison de la mesure</b>: Malaise du patient</p><p><b>Moment de la mesure</b>: <span title="Codes:{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 16915-1}">Glucose post prandial</span></p><p><b>Nombre de jours</b>: <span title="Codes:{https://mos.esante.gouv.fr/NOS/TRE_R308-TAASIP/FHIR/TRE-R308-TAASIP GEN-275}">7j</span></p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital Signs</span></p><p><b>code</b>: <span title="Codes:{https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc 4548-4}">Hémoglobine A1c %</span></p><p><b>subject</b>: <a href="Patient-ExamplefrPatient001.html">Pierre Durand</a></p><p><b>effective</b>: 2022-11-06</p><p><b>value</b>: 92 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Low</b></td><td><b>High</b></td></tr><tr><td style="display: none">*</td><td>70 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td><td>100 milligramme par décilitre<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg/dL = 'mg/dL')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-reason-for-measurement">
          <valueString value="Malaise du patient"/>
        </extension>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-moment-of-measurement">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc"/>
              <code value="16915-1"/>
              <display value="Glucose post prandial"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="https://interop.esante.gouv.fr/ig/fhir/mesures/StructureDefinition/mesures-number-of-days">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://mos.esante.gouv.fr/NOS/TRE_R308-TAASIP/FHIR/TRE-R308-TAASIP"/>
              <code value="GEN-275"/>
              <display value="7j"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="vital-signs"/>
          </coding>
        </category>
        <code>
          <coding>
            <system
                    value="https://mos.esante.gouv.fr/NOS/TRE_A04-Loinc/FHIR/TRE-A04-Loinc"/>
            <code value="4548-4"/>
          </coding>
        </code>
        <subject>🔗 
          <reference value="Patient/ExamplefrPatient001"/>
          <type value="Patient"/>
          <display value="Pierre Durand"/>
        </subject>
        <effectiveDateTime value="2022-11-06"/>
        <valueQuantity>
          <value value="92"/>
          <unit value="milligramme par décilitre"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="mg/dL"/>
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="70"/>
            <unit value="milligramme par décilitre"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg/dL"/>
          </low>
          <high>
            <value value="100"/>
            <unit value="milligramme par décilitre"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg/dL"/>
          </high>
        </referenceRange>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
</Bundle>