Implementation Guide
23.1.0 - R4 APIs
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<Observation xmlns="http://hl7.org/fhir">
<id value="Example6"/>
<meta>
<lastUpdated value="2020-10-09T04:13:35.730+05:30"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile"/>
<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 Example6</b></p><a name="Example6"> </a><a name="hcExample6"> </a><a name="Example6-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: 2020-10-09 04:13:35+0530</p><p style="margin-bottom: 0px">Profiles: <a href="StructureDefinition-athena-observation-profile.html">Measurements and simple assertions</a>, <code>http://hl7.org/fhir/us/core/StructureDefinition/head-occipital-frontal-circumference-percentile</code></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/1917834570192180</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 1300}, {http://terminology.hl7.org/CodeSystem/observation-category exam}, { http://terminology.hl7.org/CodeSystem/observation-category vital-signs}">Vital signs</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8289-1}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 5346}">head circumference percentile</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>: 2020-10-09 03:33:53+0530</p><p><b>issued</b>: 2020-10-09 04:13:35+0530</p><p><b>performer</b>: <a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></p><p><b>value</b>: 95</p></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="1917834570192180"/>
</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="1300"/>
<display value="Vital signs"/>
</coding>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
<display value="Exam"/>
</coding>
<coding>
<system
value=" http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
<display value="Vital Signs"/>
</coding>
<text value="Vital signs"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8289-1"/>
<display value="Head Occipital-frontal circumference Percentile"/>
</coding>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"/>
<code value="5346"/>
<display value="HC %TILE"/>
</coding>
<text value="head circumference percentile"/>
</code>
<subject>🔗
<reference value="Patient/Example1"/>
</subject>
<encounter>🔗
<reference value="Encounter/Example1"/>
</encounter>
<effectiveDateTime value="2020-10-09T03:33:53+05:30"/>
<issued value="2020-10-09T04:13:35.730+05:30"/>
<performer>🔗
<reference value="Practitioner/Example1"/>
</performer>
<valueQuantity>
<value value="95"/>
</valueQuantity>
</Observation>