An exam finding using pattern 3 described in the "Using Codes in Observation" Section

{
  "resourceType": "Observation",
  "id": "abdo-tender",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 &quot;abdo-tender&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Abdominal tenderness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43478001 &quot;Abdominal tenderness (finding)&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2018-04-02T10:30:10+01:00 --&gt; (ongoing)</p><p><b>issued</b>: 04/04/2018 12:30:10 AM</p><p><b>value</b>: true</p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p></div>"

  "resourceType" : "Observation",
  "id" : "abdo-tender",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"abdo-tender\"> </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;abdo-tender&quot; </p></div><p><b>status</b>: final</p><p><b>category</b>: Exam <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#exam)</span></p><p><b>code</b>: Abdominal tenderness <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#43478001 &quot;Abdominal tenderness (finding)&quot;)</span></p><p><b>subject</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example.html\">Encounter/example</a></p><p><b>effective</b>: 2018-04-02T10:30:10+01:00 --&gt; (ongoing)</p><p><b>issued</b>: 4 Apr 2018, 12:30:10 am</p><p><b>value</b>: true</p><p><b>interpretation</b>: Abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a>#A)</span></p></div>"

  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "exam",
          "display": "Exam"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "43478001",
        "display": "Abdominal tenderness (finding)"
      }
    ],
    "text": "Abdominal tenderness"

  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "exam",
      "display" : "Exam"
    }]
  }],
  "code" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "43478001",
      "display" : "Abdominal tenderness (finding)"
    }],
    "text" : "Abdominal tenderness"

  },
  "subject": {
    "reference": "Patient/example"

  "subject" : {
    "reference" : "Patient/example"

  },
  "encounter": {
    "reference": "Encounter/example"

  "encounter" : {
    "reference" : "Encounter/example"

  },
  "effectivePeriod": {
    "start": "2018-04-02T10:30:10+01:00"

  "effectivePeriod" : {
    "start" : "2018-04-02T10:30:10+01:00"

  },
  "issued": "2018-04-03T15:30:10+01:00",
  "valueBoolean": true,
  "interpretation": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code": "A",
          "display": "Abnormal"
        }
      ],
      "text": "Abnormal"
    }
  ]

  "issued" : "2018-04-03T15:30:10+01:00",
  "valueBoolean" : true,
  "interpretation" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
      "code" : "A",
      "display" : "Abnormal"
    }],
    "text" : "Abnormal"
  }]

}