{
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    "coding" : [{
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    "text" : "Exam"
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "410211008",
      "display" : "Tracheostomy care assessment (procedure)"
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  },
  "subject" : {
    "reference" : "Patient/infant"
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  "focus" : [{
    "reference" : "Patient/infant-mom"
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  "effectiveDateTime" : "2018-03-11T16:07:54+00:00",
  "valueString" : "Mother is trained to change her child's tracheostomy tube"
}