Implementation Guide
23.0.0 - R4 APIs

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: Observation Example supporting USCDI Hunger Vital Sign 88122-7 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "HVS-item-example-88123-5"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "2033280918670560" ] ;
fhir:lastUpdated [ fhir:v "2024-06-06T08:15:36.653-07:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile>     ] [
fhir:v "https://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment"^^xsd:anyURI ;
fhir:link <https://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ]     ] ) ;
    ( fhir:tag [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "New" ] ;
fhir:display [ fhir:v "New" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Pen" ] ;
fhir:display [ fhir:v "Pen" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NewPen" ] ;
fhir:display [ fhir:v "New Pen" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation HVS-item-example-88123-5</b></p><a name=\"HVS-item-example-88123-5\"> </a><a name=\"hcHVS-item-example-88123-5\"> </a><a name=\"HVS-item-example-88123-5-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[2033280918670560]; Last updated: 2024-06-06 08:15:36-0700</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/2033280918670560</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 88121-9}, {http://loinc.org 88123-5}, {http://loinc.org 95399-2}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390 568878}\">Within the past year was there a time when the food you bought didn't last and you didn't have money to get 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>: 2024-06-06 08:15:18-0700</p><p><b>issued</b>: 2024-06-06 08:15:36-0700</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>"
  ] ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U" ] ;
fhir:display [ fhir:v "Unspecified Identifier" ]       ] ) ;
fhir:text [ fhir:v "Unspecified Identifier" ]     ] ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ObservationId/1000-4-9390"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2033280918670560" ]
  ] ) ; # 
  fhir:status [
fhir:v "final" ;
    ( fhir:extension [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/obsstatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "F" ] ;
fhir:display [ fhir:v "Final results; complete and verified" ]       ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/us-core-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "sdoh" ] ;
fhir:display [ fhir:v "SDOH" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "survey" ] ;
fhir:display [ fhir:v "Survey" ]     ] )
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:88121-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "88121-9" ]     ] [
a loinc:88123-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "88123-5" ]     ] [
a loinc:95399-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "95399-2" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390"^^xsd:anyURI ] ;
fhir:code [ fhir:v "568878" ] ;
fhir:display [ fhir:v "FOODRANOUT" ]     ] ) ;
fhir:text [ fhir:v "Within the past year was there a time when the food you bought didn't last and you didn't have money to get more?" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/Example1" ]
  ] ; # 
  fhir:effective [ fhir:v "2024-06-06T08:15:18-07:00"^^xsd:dateTime] ; # 
  fhir:issued [ fhir:v "2024-06-06T08:15:36.653-07:00"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/Example1" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a loinc:LA6729-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LA6729-3" ]     ] ) ;
fhir:text [ fhir:v "Sometimes true" ]
  ] . #