Implementation Guide
23.1.0 - R4 APIs

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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example9"/>
  <meta>
    <versionId value="Example9"/>
    <lastUpdated value="2021-01-14T01:16:07.083+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 Example9</b></p><a name="Example9"> </a><a name="hcExample9"> </a><a name="Example9-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[Example9]; 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/Example9</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 2571-8}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 44}">triglyceride, serum, fasting</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>: 100 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="Example9"/>
  </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="2571-8"/>
      <display value="Triglyceride [Mass/volume] in Serum or Plasma"/>
    </coding>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"/>
      <code value="44"/>
      <display value="TRIGLYCERIDE"/>
    </coding>
    <coding>
      <code value="TRIGLYCERIDE"/>
      <display value="TRIGLYCERIDE"/>
    </coding>
    <text value="triglyceride, serum, fasting"/>
  </code>
  <subject>🔗 
    <reference value="Patient/Example1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example2"/>
  </encounter>
  <effectiveDateTime value="1998-02-27T00:00:01+00:00"/>
  <issued value="2021-01-14T01:16:07.083+00:00"/>
  <performer>🔗 
    <reference value="Practitioner/Example1"/>
  </performer>
  <valueQuantity>
    <value value="100"/>
    <unit value="mg/dL"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="mg/dL"/>
  </valueQuantity>
</Observation>