Implementation Guide
23.1.0 - R4 APIs
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<Observation xmlns="http://hl7.org/fhir">
<id value="Example8"/>
<meta>
<versionId value="Example8"/>
<lastUpdated value="2021-01-14T01:16:07.060+00:00"/>
<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="Pencil"/>
<display value="Pencil"/>
</tag>
<tag>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
<code value="NewPencil"/>
<display value="New Pencil"/>
</tag>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation Example8</b></p><a name="Example8"> </a><a name="hcExample8"> </a><a name="Example8-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 -> versionId=id[Example8]; 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/Example8</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 2085-9}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 26}">HDL 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 --> (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>: 60 mg/dL<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg/dL = 'mg/dL')</span></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="Example8"/>
</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="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
<display value="Laboratory"/>
</coding>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training"/>
<code value="1234"/>
<display value="Chemistry"/>
</coding>
<coding>
<code value="ML-11LIPID"/>
<display value="Lipids"/>
</coding>
<text value="Chemistry"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="2085-9"/>
<display value="Cholesterol in HDL [Mass/volume] in Serum or Plasma"/>
</coding>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"/>
<code value="26"/>
<display value="HDL"/>
</coding>
<coding>
<code value="HDL"/>
<display value="HDL"/>
</coding>
<text value="HDL cholesterol, serum"/>
</code>
<subject>🔗
<reference value="Patient/Example1"/>
</subject>
<encounter>🔗
<reference value="Encounter/Example2"/>
</encounter>
<effectiveDateTime value="1998-02-27T00:00:01+00:00"/>
<issued value="2021-01-14T01:16:07.060+00:00"/>
<performer>🔗
<reference value="Practitioner/Example1"/>
</performer>
<valueQuantity>
<value value="60"/>
<unit value="mg/dL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg/dL"/>
</valueQuantity>
</Observation>