<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="lumis-settings-bundle"/>
  <implicitRules value="therapy-settings"/>
  <type value="transaction"/>
  <entry>
    <fullUrl value="http://example.org/fhir/Observation/lumis-st-settings-observation"/>
    <resource>
      <Observation>
        <id value="lumis-st-settings-observation"/>
        <meta>
          <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-device-settings-observation"/>
        </meta>
        <text>
          <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="lumis-st-settings-observation"> </a></p><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">Resource Observation &quot;lumis-st-settings-observation&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-resmed-device-settings-observation.html">ResMed Device Settings Observation</a></p></div><p><b>ResMedReceivedDateTime</b>: May 7, 2021, 6:28:17 PM</p><p><b>status</b>: preliminary</p><p><b>code</b>: Parent observation for device therapy settings, as reported by the device <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-code-system.html">ResMed observation CodeSystem</a>#therapy-settings)</span></p><p><b>subject</b>: <a href="Device-lumis.html">Device/lumis</a></p><p><b>effective</b>: 2021-05-07</p><p><b>issued</b>: May 7, 2021, 6:28:17 PM</p><p><b>hasMember</b>: </p><ul><li><a name="lumis-cycle"> </a></li><li><a name="lumis-desatrule"> </a></li><li><a name="lumis-epap"> </a></li><li><a name="lumis-ipap"> </a></li><li><a name="lumis-rampdownenable"> </a></li><li><a name="lumis-rampenable"> </a></li><li><a name="lumis-ramptime"> </a></li><li><a name="lumis-riseenable"> </a></li><li><a name="lumis-risetime"> </a></li><li><a name="lumis-start-epap"> </a></li><li><a name="lumis-timax"> </a></li><li><a name="lumis-timin"> </a></li><li><a name="lumis-trigger"> </a></li></ul><blockquote><p/><p><a name="lumis-cycle"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: cycle-sensitivity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#cycle-sensitivity)</span></p><p><b>value</b>: Med (=2) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-level-code-system.html">ResMed settings values for levels</a>#MED)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-desatrule"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: Desaturation rule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-respiratory-setting-code-system.html">ResMed Respiratory Setting CodeSystem</a>#desaturation-rule)</span></p><p><b>value</b>: 3 percent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-desat-code-system.html">ResMed settings values for desat rules</a>#3PERCENT)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-epap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: target-expiratory-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#target-expiratory-pressure)</span></p><p><b>value</b>: 8</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-ipap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: target-inspiratory-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#target-inspiratory-pressure)</span></p><p><b>value</b>: 20</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-rampdownenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-down-state <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-down-state)</span></p><p><b>value</b>: On <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#ON)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-rampenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-state <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-state)</span></p><p><b>value</b>: Auto <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#AUTO)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-ramptime"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-time)</span></p><p><b>value</b>: 20</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-riseenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: rise-time-enable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#rise-time-enable)</span></p><p><b>value</b>: On <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#ON)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-risetime"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: rise-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#rise-time)</span></p><p><b>value</b>: 500</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-start-epap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: start-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#start-pressure)</span></p><p><b>value</b>: 5</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-timax"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: set-max-inspiratory-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#set-max-inspiratory-time)</span></p><p><b>value</b>: 0.5</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-timin"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: set-min-inspiratory-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#set-min-inspiratory-time)</span></p><p><b>value</b>: 0.2</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><blockquote><p/><p><a name="lumis-trigger"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: trigger-sensitivity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#trigger-sensitivity)</span></p><p><b>value</b>: Med (=2) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-level-code-system.html">ResMed settings values for levels</a>#MED)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><h3>Components</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Value[x]</b></td></tr><tr><td style="display: none">*</td><td>therapy-mode <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-mode)</span></td><td>Spont <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-therapy-mode-code-system.html">ResMed therapy mode CodeSystem</a>#SPONT)</span></td></tr></table><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-cycle</b><a name="lumis-cycle"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: cycle-sensitivity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#cycle-sensitivity)</span></p><p><b>value</b>: Med (=2) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-level-code-system.html">ResMed settings values for levels</a>#MED)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-desatrule</b><a name="lumis-desatrule"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: Desaturation rule <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-respiratory-setting-code-system.html">ResMed Respiratory Setting CodeSystem</a>#desaturation-rule)</span></p><p><b>value</b>: 3 percent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-desat-code-system.html">ResMed settings values for desat rules</a>#3PERCENT)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-epap</b><a name="lumis-epap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: target-expiratory-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#target-expiratory-pressure)</span></p><p><b>value</b>: 8</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-ipap</b><a name="lumis-ipap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: target-inspiratory-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#target-inspiratory-pressure)</span></p><p><b>value</b>: 20</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-rampdownenable</b><a name="lumis-rampdownenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-down-state <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-down-state)</span></p><p><b>value</b>: On <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#ON)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-rampenable</b><a name="lumis-rampenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-state <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-state)</span></p><p><b>value</b>: Auto <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#AUTO)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-ramptime</b><a name="lumis-ramptime"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: therapy-ramp-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#therapy-ramp-time)</span></p><p><b>value</b>: 20</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-riseenable</b><a name="lumis-riseenable"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: rise-time-enable <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#rise-time-enable)</span></p><p><b>value</b>: On <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-option-code-system.html">ResMed settings values for enable/disable options</a>#ON)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-risetime</b><a name="lumis-risetime"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: rise-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#rise-time)</span></p><p><b>value</b>: 500</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-start-epap</b><a name="lumis-start-epap"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: start-pressure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#start-pressure)</span></p><p><b>value</b>: 5</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-timax</b><a name="lumis-timax"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: set-max-inspiratory-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#set-max-inspiratory-time)</span></p><p><b>value</b>: 0.5</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-timin</b><a name="lumis-timin"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: set-min-inspiratory-time <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#set-min-inspiratory-time)</span></p><p><b>value</b>: 0.2</p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote><hr/><blockquote><p><b>Generated Narrative: Observation #lumis-trigger</b><a name="lumis-trigger"> </a></p><p><b>status</b>: preliminary</p><p><b>code</b>: trigger-sensitivity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-observation-metrics-code-system.html">ResMed Observation Metrics CodeSystem</a>#trigger-sensitivity)</span></p><p><b>value</b>: Med (=2) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-resmed-settings-level-code-system.html">ResMed settings values for levels</a>#MED)</span></p><p><b>device</b>: <a href="Device-lumis.html">Device/lumis</a></p></blockquote></div>
        </text>
        <contained>
          <Observation>
            <id value="lumis-cycle"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="cycle-sensitivity"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-level"/>
                <code value="MED"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-desatrule"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-respiratory-setting-code-system"/>
                <code value="desaturation-rule"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-desat"/>
                <code value="3PERCENT"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-epap"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="target-expiratory-pressure"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="8"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-ipap"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="target-inspiratory-pressure"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="20"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-rampdownenable"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="therapy-ramp-down-state"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-option"/>
                <code value="ON"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-rampenable"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="therapy-ramp-state"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-option"/>
                <code value="AUTO"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-ramptime"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="therapy-ramp-time"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="20"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-riseenable"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="rise-time-enable"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-option"/>
                <code value="ON"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-risetime"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="rise-time"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="500"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-start-epap"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="start-pressure"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="5"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-timax"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="set-max-inspiratory-time"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="0.5"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-timin"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="set-min-inspiratory-time"/>
              </coding>
            </code>
            <valueQuantity>
              <value value="0.2"/>
            </valueQuantity>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <contained>
          <Observation>
            <id value="lumis-trigger"/>
            <meta>
              <profile value="http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"/>
            </meta>
            <status value="preliminary"/>
            <code>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
                <code value="trigger-sensitivity"/>
              </coding>
            </code>
            <valueCodeableConcept>
              <coding>
                <system value="http://terminology.resmed.com/CodeSystem/settings-level"/>
                <code value="MED"/>
              </coding>
            </valueCodeableConcept>
            <device>
              <reference value="Device/lumis"/>
            </device>
          </Observation>
        </contained>
        <extension url="http://resmed.com/fhir/core/StructureDefinition/ResMedReceivedDateTime">
          <valueInstant value="2021-05-07T13:28:17.239-05:00"/>
        </extension>
        <status value="preliminary"/>
        <code>
          <coding>
            <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-code-system"/>
            <code value="therapy-settings"/>
          </coding>
        </code>
        <subject>
          <reference value="Device/lumis"/>
        </subject>
        <effectiveDateTime value="2021-05-07"/>
        <issued value="2021-05-07T13:28:17.239-05:00"/>
        <hasMember>
          <reference value="#lumis-cycle"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-desatrule"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-epap"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-ipap"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-rampdownenable"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-rampenable"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-ramptime"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-riseenable"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-risetime"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-start-epap"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-timax"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-timin"/>
        </hasMember>
        <hasMember>
          <reference value="#lumis-trigger"/>
        </hasMember>
        <component>
          <code>
            <coding>
              <system value="http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system"/>
              <code value="therapy-mode"/>
            </coding>
          </code>
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.resmed.com/CodeSystem/therapy-mode"/>
              <code value="SPONT"/>
            </coding>
          </valueCodeableConcept>
        </component>
      </Observation>
    </resource>
    <request>
      <method value="POST"/>
      <url value="Observation"/>
    </request>
  </entry>
</Bundle>