In the Body Tab, Make sure you select raw and JSON, and add the following Transaction payload. You are encouranged to make changes and play around with request payload and see how the server reacts to it.
In the given Payload the Patient Johnathan Wick with Identifier dont-kill-my-dog will be created if he does not exist along with the Observation referenced to him. If he already exists in the database, only the Observation will be created referenced to him.