Implementation Guide
25.0.0 - R4 APIs

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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="HVS-item-example-88123-5"/>
  <meta>
    <versionId value="2033280918670560"/>
    <lastUpdated value="2024-06-06T08:15:36.653-07:00"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"/>
    <profile
             value="https://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment"/>
    <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 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: 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), Pen (Details: EditTags code Pen), New Pen (Details: EditTags code NewPen = 'New Pen')</p><p style="margin-bottom: 0px">Security Label: Normal (Details: Confidentiality code N = '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 = Initial Visit,Office Visit,-&gt;Practitioner Harry S. Winston ; 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>
  </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="2033280918670560"/>
  </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="http://hl7.org/fhir/us/core/CodeSystem/us-core-category"/>
      <code value="sdoh"/>
      <display value="SDOH"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="survey"/>
      <display value="Survey"/>
    </coding>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="88121-9"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="88123-5"/>
    </coding>
    <coding>
      <system value="http://loinc.org"/>
      <code value="95399-2"/>
    </coding>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/1000-4-9390"/>
      <code value="568878"/>
      <display value="FOODRANOUT"/>
    </coding>
    <text
          value="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?"/>
  </code>
  <subject>🔗 
    <reference value="Patient/Example1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example1"/>
  </encounter>
  <effectiveDateTime value="2024-06-06T08:15:18-07:00"/>
  <issued value="2024-06-06T08:15:36.653-07:00"/>
  <performer>🔗 
    <reference value="Practitioner/Example1"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://loinc.org"/>
      <code value="LA6729-3"/>
    </coding>
    <text value="Sometimes true"/>
  </valueCodeableConcept>
</Observation>