Implementation Guide
23.0.0 - R4 APIs

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: Observation Example with reference to specimen - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="SpecimenExample"/>
  <meta>
    <versionId value="2043562157423210"/>
    <lastUpdated value="2024-10-03T08:09:22.000+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="Pen"/>
      <display value="Pen"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="NewPen"/>
      <display value="New Pen"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation SpecimenExample</b></p><a name="SpecimenExample"> </a><a name="hcSpecimenExample"> </a><a name="SpecimenExample-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[2043562157423210]; Last updated: 2024-10-03 08:09:22+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 '), 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/2043562157423210</p><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}">Laboratory</span>, <span title="Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/BLRT-345 1234}">Chemistry</span></p><p><b>code</b>: <span title="Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/BLRT-345 1}">acid phosphatase, prostatic</span></p><p><b>subject</b>: <a href="Patient/2043282243886520">Patient/2043282243886520</a></p><p><b>encounter</b>: <a href="Encounter/2043562157423110">Encounter/2043562157423110</a></p><p><b>effective</b>: 2024-10-03 08:08:57+0000</p><p><b>issued</b>: 2024-10-03 08:09:22+0000</p><p><b>performer</b>: <a href="Practitioner/1197213158001100">Practitioner/1197213158001100</a></p><p><b>value</b>: 66 U/L</p><p><b>specimen</b>: <a href="Specimen/2035075500040010">Specimen/2035075500040010</a></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/BLRT-345"/>
    <value value="2043562157423210"/>
  </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>
  </category>
  <category>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/BLRT-345"/>
      <code value="1234"/>
      <display value="Chemistry"/>
    </coding>
    <text value="Chemistry"/>
  </category>
  <code>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/BLRT-345"/>
      <code value="1"/>
      <display value="ACID PHOS"/>
    </coding>
    <text value="acid phosphatase, prostatic"/>
  </code>
  <subject>
    <reference value="Patient/2043282243886520"/>
  </subject>
  <encounter>
    <reference value="Encounter/2043562157423110"/>
  </encounter>
  <effectiveDateTime value="2024-10-03T08:08:57+00:00"/>
  <issued value="2024-10-03T08:09:22.000+00:00"/>
  <performer>
    <reference value="Practitioner/1197213158001100"/>
  </performer>
  <valueQuantity>
    <value value="66"/>
    <unit value="U/L"/>
  </valueQuantity>
  <specimen>
    <reference value="Specimen/2035075500040010"/>
  </specimen>
</Observation>