Implementation Guide
23.0.0 - R4 APIs

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: Observation Example supporting USCDI Hunger Vital Sign 88123-5 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "HVS-item-example-88122-7",
  "meta" : {
    "versionId" : "2031968221307580",
    "lastUpdated" : "2024-05-22T03:38:41.787-07:00",
    "profile" : [
      🔗 "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile",
      "https://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment"
    ],
    "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" : "Pen",
        "display" : "Pen"
      },
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags",
        "code" : "NewPen",
        "display" : "New Pen"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation HVS-item-example-88122-7</b></p><a name=\"HVS-item-example-88122-7\"> </a><a name=\"hcHVS-item-example-88122-7\"> </a><a name=\"HVS-item-example-88122-7-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[2031968221307580]; Last updated: 2024-05-22 03:38:41-0700</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-athena-observation-profile.html\">Measurements and simple assertions</a>, <code>https://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment</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/2031968221307580</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span>, <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-category sdoh}\">SDOH</span>, <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category survey}\">Survey</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 95400-8}, {http://loinc.org 88121-9}, {http://loinc.org 88122-7}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390 568877}\">Within the past year did you worry whether your food would run out before you got money to buy more?</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 --&gt; 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2024-05-22 03:37:02-0700</p><p><b>issued</b>: 2024-05-22 03:38:41-0700</p><p><b>performer</b>: <a href=\"Practitioner-Example1.html\">Practitioner Harry S. Winston </a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org LA6729-3}\">Sometimes true</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/1000-4-9390",
      "value" : "2031968221307580"
    }
  ],
  "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" : "social-history",
          "display" : "Social History"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
          "code" : "sdoh",
          "display" : "SDOH"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "95400-8"
      },
      {
        "system" : "http://loinc.org",
        "code" : "88121-9"
      },
      {
        "system" : "http://loinc.org",
        "code" : "88122-7"
      },
      {
        "system" : "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390",
        "code" : "568877",
        "display" : "FOODWORRY"
      }
    ],
    "text" : "Within the past year did you worry whether your food would run out before you got money to buy more?"
  },
  "subject" : {
    🔗 "reference" : "Patient/Example1"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/Example1"
  },
  "effectiveDateTime" : "2024-05-22T03:37:02-07:00",
  "issued" : "2024-05-22T03:38:41.787-07:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/Example1"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "LA6729-3"
      }
    ],
    "text" : "Sometimes true"
  }
}