Implementation Guide
23.1.0 - R4 APIs
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<Observation xmlns="http://hl7.org/fhir">
<id value="Example1"/>
<meta>
<lastUpdated value="2010-07-07T16:10:56.620+05:30"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
<display value="Normal"/>
</security>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="New"/>
<display value="New"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="Pen"/>
<display value="Pen"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="NewPen"/>
<display value="New Pen"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation Example1</b></p><a name="Example1"> </a><a name="hcExample1"> </a><a name="Example1-en-US"> </a><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">Last updated: 2010-07-07 16:10:56+0530</p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-athena-observation-profile.html">Measurements and simple assertions</a>, <a href="http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a></p><p style="margin-bottom: 0px">Tags: New (Details: EditTags code New = ' New ', stated as ' New '), Pen (Details: EditTags code Pen = ' Pen ', stated as ' Pen '), New Pen (Details: EditTags code NewPen = ' NewPen ', stated as ' New Pen ')</p><p style="margin-bottom: 0px">Security Label: Normal (Details: Confidentiality code N = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Unspecified Identifier/1225794524351060</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training 1234}, { http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Chemistry</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 3024-7}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 24}">thyroxine, serum, free</span></p><p><b>subject</b>: <a href="Patient-Example1.html">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>encounter</b>: <a href="Encounter-Example1.html">Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --> 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2010-11-17 18:00:00+0530</p><p><b>issued</b>: 2010-07-07 16:10:56+0530</p><p><b>performer</b>: <a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></p><p><b>value</b>: 0.9 ng/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codeng/dL = 'ng/dL')</span></p><p><b>interpretation</b>: <span title="Codes:{http://hl7.org/fhir/v2/0078 L}">Low</span></p><h3>ReferenceRanges</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>4.5-12.0</td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="U"/>
<display value="Unspecified Identifier"/>
</coding>
<text value="Unspecified Identifier"/>
</type>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ObservationId/Training"/>
<value value="1225794524351060"/>
</identifier>
<status value="final">
<extension
url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
<valueCoding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/obsstatus"/>
<code value="F"/>
<display value="Final results; complete and verified"/>
</valueCoding>
</extension>
</status>
<category>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training"/>
<code value="1234"/>
<display value="Chemistry"/>
</coding>
<coding>
<system
value=" http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<text value="Chemistry"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="3024-7"/>
<display value="Thyroxine (T4) free [Mass/volume] in Serum or Plasma"/>
</coding>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"/>
<code value="24"/>
<display value="T4, FREE"/>
</coding>
<text value="thyroxine, serum, free"/>
</code>
<subject>🔗
<reference value="Patient/Example1"/>
</subject>
<encounter>🔗
<reference value="Encounter/Example1"/>
</encounter>
<effectiveDateTime value="2010-11-17T18:00:00+05:30"/>
<issued value="2010-07-07T16:10:56.620+05:30"/>
<performer>🔗
<reference value="Practitioner/Example1"/>
</performer>
<valueQuantity>
<value value="0.9"/>
<unit value="ng/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="ng/dL"/>
</valueQuantity>
<interpretation>
<coding>
<system value="http://hl7.org/fhir/v2/0078"/>
<code value="L"/>
<display value="Low"/>
</coding>
<text value="Low"/>
</interpretation>
<referenceRange>
<text value="4.5-12.0"/>
</referenceRange>
</Observation>