Implementation Guide
23.0.0 - R4 APIs
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<Observation xmlns="http://hl7.org/fhir">
<id value="sexAtBirth-Example1"/>
<meta>
<versionId value="2029474021777360"/>
<lastUpdated value="2024-04-23T06:47:39.090+08:00"/>
<profile
value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"/>
<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 sexAtBirth-Example1</b></p><a name="sexAtBirth-Example1"> </a><a name="hcsexAtBirth-Example1"> </a><a name="sexAtBirth-Example1-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[2029474021777360]; Last updated: 2024-04-23 06:47:39+0800</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-athena-observation-profile.html">Measurements and simple assertions</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/2029474021777360</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:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/1000-4-9390 1102}">Exam</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 76689-9}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390 418493}">sex at birth</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 --> 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2024-04-23 06:47:01+0800</p><p><b>issued</b>: 2024-04-23 06:47:39+0800</p><p><b>performer</b>: <a href="Practitioner-Example1.html">Practitioner Harry S. Winston </a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 248152002}">Female</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/1000-4-9390"/>
<value value="2029474021777360"/>
</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="social-history"/>
<display value="Social History"/>
</coding>
</category>
<category>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/1000-4-9390"/>
<code value="1102"/>
<display value="Exam"/>
</coding>
<text value="Exam"/>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="76689-9"/>
<display value="Sex assigned at birth"/>
</coding>
<coding>
<system
value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390"/>
<code value="418493"/>
<display value="SEXATBIRTH"/>
</coding>
<text value="sex at birth"/>
</code>
<subject>🔗
<reference value="Patient/Example1"/>
</subject>
<encounter>🔗
<reference value="Encounter/Example1"/>
</encounter>
<effectiveDateTime value="2024-04-23T06:47:01+08:00"/>
<issued value="2024-04-23T06:47:39.090+08:00"/>
<performer>🔗
<reference value="Practitioner/Example1"/>
</performer>
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="248152002"/>
<display value="Female (finding)"/>
</coding>
<text value="Female"/>
</valueCodeableConcept>
</Observation>