{
  "resourceType" : "Observation",
  "id" : "lumis-st-settings-observation",
  "meta" : {
    "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-device-settings-observation"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<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>"
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      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
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    "status" : "preliminary",
    "code" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system",
        "code" : "cycle-sensitivity"
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    "valueCodeableConcept" : {
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  {
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    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
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    "status" : "preliminary",
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    "valueCodeableConcept" : {
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    "valueQuantity" : {
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    "device" : {
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  {
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    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
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    "status" : "preliminary",
    "code" : {
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    "valueQuantity" : {
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    "device" : {
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    "resourceType" : "Observation",
    "id" : "lumis-rampdownenable",
    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
    },
    "status" : "preliminary",
    "code" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system",
        "code" : "therapy-ramp-down-state"
      }]
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/settings-option",
        "code" : "ON"
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    },
    "device" : {
      "reference" : "Device/lumis"
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  {
    "resourceType" : "Observation",
    "id" : "lumis-rampenable",
    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
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    "status" : "preliminary",
    "code" : {
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    },
    "valueCodeableConcept" : {
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        "code" : "AUTO"
      }]
    },
    "device" : {
      "reference" : "Device/lumis"
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  },
  {
    "resourceType" : "Observation",
    "id" : "lumis-ramptime",
    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
    },
    "status" : "preliminary",
    "code" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system",
        "code" : "therapy-ramp-time"
      }]
    },
    "valueQuantity" : {
      "value" : 20
    },
    "device" : {
      "reference" : "Device/lumis"
    }
  },
  {
    "resourceType" : "Observation",
    "id" : "lumis-riseenable",
    "meta" : {
      "profile" : ["http://resmed.com/fhir/core/StructureDefinition/resmed-settings-metric-observation"]
    },
    "status" : "preliminary",
    "code" : {
      "coding" : [{
        "system" : "http://terminology.resmed.com/CodeSystem/resmed-observation-metrics-code-system",
        "code" : "rise-time-enable"
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