This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-12 US Core Observation

Section Guide:

Implementation... - Actors - Exchange Interactions - Data Payloads - Interaction Methods - Interaction and Payload Matrix - Data Mapping

3-6-1 US Core Patient 3-6-2 Coverage 3-6-3 US Core Encounter 3-6-4 US Core Location 3-6-5 MedicationDispense 3-6-6 US Core Practitioner 3-6-7 US Core Procedure 3-6-8 US Core Condition

3-6-9 US Core AllergyIntolerance 3-6-10 US Core Immunization 3-6-11 US Core DiagnosticReport 3-6-12 US Core Observation 3-6-13 US Core DocumentReference 3-6-14 US Core PractitionerRole 3-6-15 US Core Device 3-6-16 US Core Organization

3-6-17 US Core CarePlan 3-6-18 US Core CareTeam 3-6-19 US Core Medication 3-6-20 US Core MedicationRequest 3-6-21 US Core MedicationStatement 3-6-22 US Core Goal Profile

The US Core IG profiles the Observation resource for a variety of purposes. For example:

• Smoking status
• Pediatric BMI for Age
• Pediatric Weight for Height

The essential fields to be provided in the US Core Observation resource are:

R4 Hierarchical Name	R4 Name	Card.	Type
Observation	Observation	0..*
Observation.id	id	0..1	id
Observation.status	status	1..1	code
Observation.category	category	1..*	CodeableConcept
Observation.code	code	1..1	CodeableConcept
Observation.subject	subject	1..1	Reference(US Core Patient Profile)
Observation.effective[x]	effective[x]	0..1	dateTime, Period
Observation.value[x]	value[x]	0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period
Observation.dataAbsentReason	dataAbsentReason	0..1	CodeableConcept

3-6-12- 1 An Example Smoking Status Resource

{
  "resourceType" : "Observation",
  "id" : "some-day-smoker",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative with Details
id: some-day-smoker
meta: 
status: final
category: Social History <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'social-history' = 'Social History', given as 'Social History'})</span>
code: Tobacco smoking status NHIS <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '72166-2' = 'Tobacco smoking status NHIS', given as 'Tobacco smoking status NHIS'})</span>
subject: <a href=\"Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: Feb 20, 2007</a>
issued: Mar 18, 2016, 5:27:04 AM
value: Current some day smoker <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '428041000124106' = 'Occasional tobacco smoker)</span>
</div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "social-history",
          "display" : "Social History"
        }
      ],
      "text" : "Social History"
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "72166-2",
        "display" : "Tobacco smoking status NHIS"
      }
    ],
    "text" : "Tobacco smoking status NHIS"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "issued" : "2016-03-18T05:27:04Z",
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "428041000124106"
      }
    ],
    "text" : "Current some day smoker"
  }
}

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