Implementation Guide
23.1.0 - R4 APIs
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{
"resourceType" : "Observation",
"id" : "Example3",
"meta" : {
"lastUpdated" : "2020-10-12T05:11:20.853+05:30",
"profile" : [
🔗 "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"🔗 ,
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"
],
"security" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code" : "N",
"display" : "Normal"
}
],
"tag" : [
{
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
"code" : "New",
"display" : "New"
},
{
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
"code" : "Pencil",
"display" : "Pencil"
},
{
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
"code" : "NewPencil",
"display" : "New Pencil"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Example3</b></p><a name=\"Example3\"> </a><a name=\"hcExample3\"> </a><a name=\"Example3-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: 2020-10-12 05:11:20+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-smokingstatus.html\">US Core Smoking Status Observation Profile</a></p><p style=\"margin-bottom: 0px\">Tags: New (Details: EditTags code New = ' New ', stated as ' New '), Pencil (Details: EditTags code Pencil = ' Pencil ', stated as ' Pencil '), New Pencil (Details: EditTags code NewPencil = ' NewPencil ', stated as ' New Pencil ')</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/1918081631276050</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 1612}, {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">tobacco use</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11366-2}, {http://loinc.org 72166-2}, {http://snomed.info/sct 229819007}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 300015}\">smoking status</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>: 2020-10-12 00:19:40+0530</p><p><b>issued</b>: 2020-10-12 05:11:20+0530</p><p><b>performer</b>: <a href=\"Practitioner/1225652472001060\">Practitioner/1225652472001060</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org 72166-2}, {http://snomed.info/sct 449868002}\">Current every day smoker</span></p></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "U",
"display" : "Unspecified Identifier"
}
],
"text" : "Unspecified Identifier"
},
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ObservationId/Training",
"value" : "1918081631276050"
}
],
"status" : "final",
"_status" : {
"extension" : [
{
"url" : "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode",
"valueCoding" : {
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/obsstatus",
"code" : "F",
"display" : "Final results; complete and verified"
}
}
]
},
"category" : [
{
"coding" : [
{
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training",
"code" : "1612",
"display" : "tobacco use"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history",
"display" : "Social History"
}
],
"text" : "tobacco use"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11366-2",
"display" : "History of tobacco use Narrative"
},
{
"system" : "http://loinc.org",
"code" : "72166-2",
"display" : "Tobacco smoking status"
},
{
"system" : "http://snomed.info/sct",
"code" : "229819007",
"display" : "Tobacco use and exposure"
},
{
"system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training",
"code" : "300015",
"display" : "SMOK STATUS"
}
],
"text" : "smoking status"
},
"subject" : {
🔗 "reference" : "Patient/Example1"
},
"encounter" : {
🔗 "reference" : "Encounter/Example1"
},
"effectiveDateTime" : "2020-10-12T00:19:40+05:30",
"issued" : "2020-10-12T05:11:20.853+05:30",
"performer" : [
{
"reference" : "Practitioner/1225652472001060"
}
],
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "72166-2",
"display" : "Tobacco smoking status"
},
{
"system" : "http://snomed.info/sct",
"code" : "449868002",
"display" : "Smokes tobacco daily (finding)"
}
],
"text" : "Current every day smoker"
}
}