Implementation Guide
23.1.0 - R4 APIs

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: Observation Example supporting US Core Laboratory Result Observation Profile - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "Example7",
  "meta" : {
    "versionId" : "Example7",
    "lastUpdated" : "2021-01-14T01:16:07.050+00:00",
    "profile" : [
      🔗 "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"🔗 ,
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
    ],
    "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 Example7</b></p><a name=\"Example7\"> </a><a name=\"hcExample7\"> </a><a name=\"Example7-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\">version: versionId: id (PrimitiveType/Observation.meta.versionId): element = id -&gt; versionId=id[Example7]; Last updated: 2021-01-14 01:16:07+0000</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 '), 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/Example7</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training 1234}\">Chemistry</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2093-3}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 14}\">cholesterol, serum</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-Example2.html\">Encounter: extension = No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Consultation in laboratory medicine for test interpretation; priority = urgent; period = 1998-02-27 00:00:00+0000 --&gt; (ongoing)</a></p><p><b>effective</b>: 1998-02-27 00:00:01+0000</p><p><b>issued</b>: 2021-01-14 01:16:07+0000</p><p><b>performer</b>: <a href=\"Practitioner-Example1.html\">Practitioner Harry S. Winston </a></p><p><b>value</b>: 150 mg/dL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg/dL = 'mg/dL')</span></p><p><b>interpretation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation L}\">Low</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" : "Example7"
    }
  ],
  "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" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "laboratory",
          "display" : "Laboratory"
        },
        {
          "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training",
          "code" : "1234",
          "display" : "Chemistry"
        },
        {
          "code" : "ML-11LIPID",
          "display" : "Lipids"
        }
      ],
      "text" : "Chemistry"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "2093-3",
        "display" : "Cholesterol [Mass/volume] in Serum or Plasma"
      },
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training",
        "code" : "14",
        "display" : "CHOLESTEROL"
      },
      {
        "code" : "CHOLESTEROL",
        "display" : "CHOLESTEROL"
      }
    ],
    "text" : "cholesterol, serum"
  },
  "subject" : {
    🔗 "reference" : "Patient/Example1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example2"
  },
  "effectiveDateTime" : "1998-02-27T00:00:01+00:00",
  "issued" : "2021-01-14T01:16:07.050+00:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/Example1"
    }
  ],
  "valueQuantity" : {
    "value" : 150,
    "unit" : "mg/dL",
    "system" : "http://unitsofmeasure.org",
    "code" : "mg/dL"
  },
  "interpretation" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
          "code" : "L",
          "display" : "Low"
        }
      ],
      "text" : "Low"
    }
  ]
}