Get a list of observations

get

/Observation

Retrieves a list of observations that meet the supplied query parameters. Examples include laboratory, imaging, vitals, and social history observations.

Note:

  • The comments field may have RTF or other formatted data rather than simple text. A resolution to this issue is planned for a future release and an alternative is being investigated.
  • Searching records with the vital-signs category by code with a proprietary system returns an empty response.
  • When multiple pages of observation results are returned for a single query:
    • All social history observations (if any qualify for the query) are returned on the first page of results. The next item on this list does not apply to social history observations.
    • Results are sorted by effective date and time in descending order. In other words, all observations on any given page of results are newer than all observations on the next page of results.
    • If the query uses the _lastUpdated query parameter, results are sorted by last updated date andtime in descending order by page, not by effective date and time.
  • Oracle recommends searching by code, date, or both.

Request

Query Parameters
  • The maximum number of results to return per page.
    • The first page is unaffected because all social history data is displayed on the first page regardless of requested count.
    • The default count is 50 and the maximum supported count is 200.
    • From the second page onward, the returned item count may be less than requested.
  • The logical resource ID.
    • This parameter is required if patient or subject is not used.
    • Search by _id for laboratory observations supports multiple IDs from a single patient only.
  • The date range in which the observation was last updated.
    • May be provided up to two times, and must use the eq, ge, gt, le, or lt prefixes.
    • When a value is provided without a prefix, an implied eq prefix is used.
    • When provided twice, the lower value must have a ge or gt prefix and the higher value must have an le or lt prefix.
    • May not be provided with date.
    • Only clinically significant updates are qualified, such as changes to the value or code, and other significant fields. Minor updates, such as non-clinically relevant note updates, do not qualify.
    Example: _lastUpdated=gt2014-09-24 or _lastUpdated=lt2015-09-24T12:00:00.000Z
  • The Provenance resource entries to be returned as part of the bundle.
    • May be provided once with the Provenance:target value. Example: _revinclude=Provenance:target.
    • May be provided with the _id/patient/subject parameter. Example: patient=12457977&category=vital-signs&_revinclude=Provenance:target.
    • When _revinclude is provided in a request to the closed endpoint, the OAuth2 token must include the user/Provenance.read scope.
    Example: _revinclude=Provenance:target
  • The category of observations.
    When included through the search parameter or a granular scope, the code parameter is ignored.
    Example: category=laboratory
  • The code or component-code of the observation type.
    • May be a list of comma-separated values.
    • Searches only Observation.code. For example, when fetching blood pressures, the resource is only returned when the search is based on 85354-9 (Systolic and Diastolic BP). Using the 8480-6(Systolic BP) or 8462-4 (Diastolic BP) component codes does not return the resource.
    • This parameter is ignored when combined with the category search parameter or with granular scopes that include the category.
    Example: code=http://loinc.org|3094-0,http://loinc.org|3139-3
  • The date range into which the observation falls.
    • May be provided up to two times, and must use the eq, ge, gt, le, or lt prefixes.
    • When a value is provided without a prefix, an implied eq prefix is used.
    • When provided twice, the lower value must have a ge or gt prefix and the higher value must have an le or lt prefix.
    • May not be provided with _lastUpdated.
    Example: date=gt2014-09-24 or date=lt2015-09-24T12:00:00.000Z
  • The subject (patient) that the observation is about. This parameter is required if _id or subject is not used.
    Example: patient=12345
  • The subject (patient) that the observation is about.
    • This parameter is required if _id or patient are not used.
    • The subject parameter must represent a Patient resource and may use the :Patient modifier.
    Example: subject=Patient/12345 or subject:Patient=12345
Header Parameters
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Response

Supported Media Types

Default Response

This operation supports the following authorization types: Example Request:
GET https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation?patient=12724066
Example Response:
{
  "resourceType": "Bundle",
  "id": "79c71e5b-2793-4ace-bc5e-190e38784e80",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation?patient=12724066"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SH-1-73080191",
      "resource": {
        "resourceType": "Observation",
        "id": "SH-1-73080191",
        "meta": {
          "versionId": "73080191",
          "lastUpdated": "2020-06-11T04:05:33.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Code</b>: Alcohol</p><p><b>Issued Date</b>: Jun 11, 2020  4:05 A.M. UTC</p></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://snomed.info/sct",
              "code": "363905002",
              "display": "Details of alcohol drinking behavior (observable entity)"
            }
          ],
          "text": "Alcohol"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/18565902"
        },
        "effectiveDateTime": "2022-06-01T10:39:02Z",
        "issued": "2020-06-11T04:05:33.000Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "hasMember": [
          {
            "reference": "Observation/SH-73080191-q4625817"
          },
          {
            "reference": "Observation/SH-73080191-q4625813"
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SH-73080191-q4625817",
      "resource": {
        "resourceType": "Observation",
        "id": "SH-73080191-q4625817",
        "meta": {
          "versionId": "73080191",
          "lastUpdated": "2020-06-11T04:05:33.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Question</b>: SHX Alcohol use</p><p><b>Response</b>: Past</p><p><b>Issued Date</b>: Jun 11, 2020  4:05 A.M. UTC</p></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://snomed.info/sct",
              "code": "363905002",
              "display": "Details of alcohol drinking behavior (observable entity)"
            }
          ],
          "text": "SHX Alcohol use"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/18565902"
        },
        "effectiveDateTime": "2022-06-01T10:39:02Z",
        "issued": "2020-06-11T04:05:33.000Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "410513005",
              "display": "In the past (qualifier value)"
            }
          ],
          "text": "Past"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SH-73080191-q4625813",
      "resource": {
        "resourceType": "Observation",
        "id": "SH-73080191-q4625813",
        "meta": {
          "versionId": "73080191",
          "lastUpdated": "2020-06-11T04:05:33.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Question</b>: SHX Alcohol type</p><p><b>Response</b>: Liquor</p><p><b>Issued Date</b>: Jun 11, 2020  4:05 A.M. UTC</p></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://snomed.info/sct",
              "code": "363905002",
              "display": "Details of alcohol drinking behavior (observable entity)"
            }
          ],
          "text": "SHX Alcohol type"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/18565902"
        },
        "effectiveDateTime": "2022-06-01T10:39:02Z",
        "issued": "2020-06-11T04:05:33.000Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "6524003",
              "display": "Distilled spirits (substance)"
            }
          ],
          "text": "Liquor"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/VS-CV-55046871-SECT-8098",
      "resource": {
        "resourceType": "Observation",
        "id": "VS-CV-55046871-SECT-8098",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2022-06-17T10:41:35Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\\"http://www.w3.org/1999/xhtml\\"><p><b>Observation</b></p><p><b>Patient Id</b>: 15116458</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Vital Signs</p><p><b>Code</b>: SpO2</p><p><b>Result</b>: 95 %</p><p><b>Effective Date</b>: Jun  5, 2022  3:00 A.M. CDT</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/eb2384f8-839e-4c6e-8b29-18e71db1a0b1/codeSet/72",
              "code": "3623994",
              "display": "SpO2",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "2708-6",
              "display": "Oxygen saturation in Arterial blood"
            },
            {
              "system": "http://loinc.org",
              "code": "59408-5",
              "display": "Oxygen saturation in Arterial blood by Pulse oximetry"
            }
          ],
          "text": "SpO2"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/18565902"
        },
        "effectiveDateTime": "2022-06-05T08:00:38.000Z",
        "issued": "2022-06-05T08:00:38Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "valueQuantity": {
          "value": 95,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/eb2384f8-839e-4c6e-8b29-18e71db1a0b1/codeSet/72",
                  "code": "703569",
                  "display": "Oxygen Flow Rate",
                  "userSelected": true
                },
                {
                  "system": "http://loinc.org",
                  "code": "3151-8"
                }
              ],
              "text": "Oxygen Flow Rate"
            },
            "valueQuantity": {
              "value": 7,
              "unit": "L/min",
              "system": "http://unitsofmeasure.org",
              "code": "L/min"
            }
          },
          {
            "code": {
              "coding": [
                {
                  "system": "https://fhir.cerner.com/eb2384f8-839e-4c6e-8b29-18e71db1a0b1/codeSet/72",
                  "code": "2700657",
                  "display": "FIO2",
                  "userSelected": true
                },
                {
                  "system": "http://loinc.org",
                  "code": "3150-0",
                  "display": "Inhaled Oxygen concentration"
                }
              ],
              "text": "Inhaled Oxygen concentration"
            },
            "valueQuantity": {
              "value": 21,
              "unit": "%",
              "system": "http://unitsofmeasure.org",
              "code": "%"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/VS-197292857",
      "resource": {
        "resourceType": "Observation",
        "id": "VS-197292857",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2020-07-06T21:13:24.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Vital Signs</p><p><b>Code</b>: Temperature Axillary</p><p><b>Result</b>: 27 degC</p><p><b>Interpretation</b>: LOW</p><p><b>Effective Date</b>: Jul  6, 2020  9:11 P.M. UTC</p><p><b>Reference Range</b>: 35.2-36.7 degC</p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.cerner.com/ceuuid",
            "value": "CE87caf4b7-9397-4667-9897-702218017c9e-197292857-2020070621132500"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/72",
              "code": "703535",
              "display": "Temperature Axillary",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "8328-7",
              "display": "Axillary temperature"
            },
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ],
          "text": "Temperature Axillary"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/97953477"
        },
        "effectiveDateTime": "2020-07-06T21:11:00.000Z",
        "issued": "2020-07-06T21:13:23.000Z",
        "performer": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://terminology.hl7.org/CodeSystem-v2-0443.html",
                      "code": "OP",
                      "display": "ordering provider"
                    }
                  ],
                  "text": "ordering provider"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/1994008"
          },
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "LA",
                      "display": "legal authenticator"
                    }
                  ],
                  "text": "legal authenticator"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ],
                  "text": "primary performer"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/1974008"
          }
        ],
        "valueQuantity": {
          "value": 27,
          "unit": "degC",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/52",
                "code": "211",
                "display": "LOW",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "L",
                "display": "Low"
              }
            ],
            "text": "LOW"
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 35.2,
              "unit": "degC",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 36.7,
              "unit": "degC",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SH-12724066-o495740014",
      "resource": {
        "resourceType": "Observation",
        "id": "SH-12724066-o495740014",
        "meta": {
          "versionId": "0",
          "lastUpdated": "2024-12-17T08:52:31.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Code</b>: History of Occupation</p><p><b>Effective Date</b>: Apr 30, 2020  8:00 P.M. CDT</p><p><b>Result</b>: Bank President [Chief Executives]</p><p><b>Components</b>:</p><dl><dd><b>Code</b>: History of Occupation Industry</dd><dd><b>Result</b>: Accountants' associations [Professional Organizations ]</dd></dl></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": "11341-5"
            }
          ],
          "text": "History of Occupation"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "effectivePeriod": {
          "start": "2020-05-01T01:00:00.000Z",
          "end": "2021-07-01T01:00:00.000Z"
        },
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH",
              "code": "11-1011.00.003173",
              "display": "Bank President [Chief Executives]"
            }
          ],
          "text": "Bank President [Chief Executives]"
        },
        "component": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "86188-0"
                }
              ],
              "text": "History of Occupation Industry"
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/PHOccupationalDataForHealthODH",
                  "code": "813920.000034",
                  "display": "Accountants' associations [Professional Organizations ]"
                }
              ],
              "text": "Accountants' associations [Professional Organizations ]"
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/L-206763699",
      "resource": {
        "resourceType": "Observation",
        "id": "L-206763699",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2024-07-18T14:54:40.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Observation</b></p><p><b>Patient Id</b>: 12981145</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Code</b>: Pregnancy Status</p><p><b>Result</b>: Not pregnant</p><p><b>Effective Date</b>: Jul 18, 2024  2:54 P.M. UTC</p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.cerner.com/ceuuid",
            "value": "CE87caf4b7-9397-4667-9897-702218017c9e-206763699-2024071814544100"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History",
                "userSelected": false
              }
            ],
            "text": "Social History"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/72",
              "code": "704785",
              "display": "Pregnancy Status",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "82810-3",
              "display": "Pregnancy status",
              "userSelected": false
            }
          ],
          "text": "Pregnancy Status"
        },
        "subject": {
          "reference": "Patient/12981145"
        },
        "encounter": {
          "reference": "Encounter/98082140"
        },
        "effectiveDateTime": "2024-07-18T14:54:00.000Z",
        "issued": "2024-07-18T14:54:22.000Z",
        "performer": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ],
                  "text": "primary performer"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/12780979"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "60001007",
              "display": "Not pregnant (finding)",
              "userSelected": false
            }
          ],
          "text": "Not pregnant"
        }
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/L-206763697",
      "resource": {
        "resourceType": "Observation",
        "id": "L-206763697",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2024-07-18T14:54:40.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Observation</b></p><p><b>Patient Id</b>: 12981145</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Social History</p><p><b>Code</b>: Pregnancy Intention</p><p><b>Result</b>: Wants to become pregnant</p><p><b>Effective Date</b>: Jul 18, 2024  2:54 P.M. UTC</p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.cerner.com/ceuuid",
            "value": "CE87caf4b7-9397-4667-9897-702218017c9e-206763697-2024071814544100"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History",
                "userSelected": false
              }
            ],
            "text": "Social History"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/72",
              "code": "2575443883",
              "display": "Pregnancy Intention",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "86645-9",
              "display": "Pregnancy intention in the next year - Reported",
              "userSelected": false
            }
          ],
          "text": "Pregnancy Intention"
        },
        "subject": {
          "reference": "Patient/12981145"
        },
        "encounter": {
          "reference": "Encounter/98082140"
        },
        "effectiveDateTime": "2024-07-18T14:54:00.000Z",
        "issued": "2024-07-18T14:54:22.000Z",
        "performer": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ],
                  "text": "primary performer"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/12780979"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "454411000124108",
              "display": "Wants to become pregnant (finding)",
              "userSelected": false
            }
          ],
          "text": "Wants to become pregnant"
        }
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/L-197294976",
      "resource": {
        "resourceType": "Observation",
        "id": "L-197294976",
        "meta": {
          "versionId": "2",
          "lastUpdated": "2020-08-04T21:56:16.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Observation</b></p><p><b>Patient Id</b>: 12742837</p><p><b>Status</b>: Final</p><p><b>Categories</b>: Laboratory</p><p><b>Code</b>: Coronavirus COVID-19</p><p><b>Result</b>: Detected</p><p><b>Interpretation</b>: Abnormal</p><p><b>Effective Date</b>: Aug  3, 2020  4:00 P.M. UTC</p><p><b>Reference Range</b>: Not Detected</p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.cerner.com/ceuuid",
            "value": "CE87caf4b7-9397-4667-9897-702218017c9e-197294976-2020080316283100"
          }
        ],
        "basedOn": [
          {
            "reference": "ServiceRequest/314714343"
          }
        ],
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory",
                "userSelected": false
              }
            ],
            "text": "Laboratory"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/72",
              "code": "2572358253",
              "display": "Coronavirus COVID-19",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "94500-6",
              "display": "SARS-CoV-2 (COVID-19) RNA [Presence] in Respiratory specimen by NAA with probe detection",
              "userSelected": false
            }
          ],
          "text": "Coronavirus COVID-19"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/97954258"
        },
        "effectiveDateTime": "2020-08-03T16:00:00.000Z",
        "issued": "2020-08-03T16:28:26.000Z",
        "performer": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "LA",
                      "display": "legal authenticator"
                    }
                  ],
                  "text": "legal authenticator"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ],
                  "text": "primary performer"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/12736052"
          },
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0912",
                      "code": "OP",
                      "display": "Ordering Provider"
                    }
                  ],
                  "text": "Ordering Provider"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/4122622"
          }
        ],
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)",
              "userSelected": false
            },
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)",
              "userSelected": false
            },
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)",
              "userSelected": false
            },
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)",
              "userSelected": false
            },
            {
              "system": "http://snomed.info/sct",
              "code": "260373001",
              "display": "Detected (qualifier value)",
              "userSelected": false
            }
          ],
          "text": "Detected"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/52",
                "code": "201",
                "display": "ABN",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "A",
                "display": "Abnormal",
                "userSelected": false
              }
            ],
            "text": "Abnormal"
          }
        ],
        "specimen": {
          "reference": "Specimen/275667708"
        },
        "referenceRange": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            },
            "text": "Not Detected"
          }
        ]
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SA-123456-123456",
      "resource": {
        "resourceType": "Observation",
        "id": "SA-123456-123456",
        "meta": {
            "lastUpdated": "2020-06-11T04:05:33.000Z"
        },
        "text": {
            "status": "generated",
            "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: SDOH, Survey</p><p><b>Issued Date</b>: Jun 11, 2020  4:05 A.M. UTC</p></div>"
        },
        "status": "final",
        "category": [
            {
                "coding": [
                    {
                        "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
                        "code": "sdoh",
                        "display": "sdoh"
                    }
                ],
                "text": "sdoh"
            },
            {
                "coding": [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                        "code": "survey",
                        "display": "Survey"
                    }
                ],
                "text": "Survey"
            }
        ],
        "code": {
            "coding": [
                {
                    "system": "https://fhir.cerner.com/91fd1841-fb25-42f3-a48e-1264a2c6b72a/codeSet/72",
                    "userSelected": true
                },
                {
                    "system": "http://loinc.org",
                    "code": "93025-5"
                }
            ]
        },
         "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/123123123"
        },
        "effectiveDateTime": "2022-06-01T10:39:02Z",
        "issued": "2020-06-11T04:05:33.000Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "hasMember": [
            {
                "reference": "Observation/SA-123456-789987"
            }
        ]
      },
      "search": {
          "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-open.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/SA-123456-789987",
      "resource": {
        "resourceType": "Observation",
        "id": "SA-123456-789987",
        "meta": {
          "versionId": "73080191",
          "lastUpdated": "2020-06-11T04:05:33.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Observation</b></p><p><b>Patient Id</b>: 12724066</p><p><b>Status</b>: Final</p><p><b>Categories</b>: SDOH, Survey</p><p><b>Issued Date</b>: Jun 11, 2020  4:05 A.M. UTC</p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          },
          {
            "coding": [
              {
               "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ],
            "text": "Survey"
          }
        ],
        "code": {
          "coding": [
            {
                "system": "https://fhir.cerner.com/91fd1841-fb25-42f3-a48e-1264a2c6b72a/codeSet/72",
                "userSelected": true
            },
            {
                "system": "http://loinc.org",
                "code": "93025-5"
            }
          ],
          "text": "CM Preferred Spoken Language"
        },
        "subject": {
          "reference": "Patient/12724066"
        },
        "encounter": {
          "reference": "Encounter/123123123"
        },
        "effectiveDateTime": "2022-06-01T10:39:02Z",
        "issued": "2020-06-11T04:05:33.000Z",
        "performer": [
          {
            "reference": "Practitioner/15441459"
          }
        ],
        "valueCodeableConcept": {
            "coding": [
                {
                    "system": "http://snomed.info/sct",
                    "code": "373067005",
                    "display": "No (qualifier value)"
                }
            ],
            "text": "No"
        }
      }
  ]
}
Headers
  • Unique Oracle-assigned identifier for the request. If you need to contact Oracle about a particular request, provide the X-Request-Id, if present.
  • Unique Oracle-assigned identifier for the request. If you need to contact Oracle about a particular request, provide the opc-Request-Id, if present.

x-revinclude Response

This operation supports the following authorization types: Example Request:
https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation?patient=12457977&category=vital-signs&_revinclude=Provenance:target
Example Response:
{
  "resourceType": "Bundle",
  "id": "79c71e5b-2793-4ace-bc5e-190e38784e80",
  "type": "searchset",
  "link": [
    {
      "relation": "self",
      "url": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation?patient=12457977&category=vital-signs&_revinclude=Provenance%3Atarget"
    }
  ],
  "entry": [
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Observation/VS-196190669",
      "resource": {
        "resourceType": "Observation",
        "id": "VS-196190669",
        "meta": {
          "versionId": "2",
          "lastUpdated": "2017-02-25T02:41:03.000Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Observation</b></p><p><b>Patient Id</b>:12457977</p><p><b>Status</b>: Entered in Error</p><p><b>Categories</b>: Vital Signs</p><p><b>Code</b>: Temperature Temporal Artery</p><p><b>Result</b>: 39 degC</p><p><b>Interpretation</b>: Normal</p><p><b>Effective Date</b>: Feb 24, 2017  8:37 P.M. CST</p><p><b>Reference Range</b>: 36-38 degC</p></div>"
        },
        "identifier": [
          {
            "system": "https://fhir.cerner.com/ceuuid",
            "value": "CE87caf4b7-9397-4667-9897-702218017c9e-196190669-2017022502373000"
          }
        ],
        "status": "entered-in-error",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ],
            "text": "Vital Signs"
          }
        ],
        "code": {
          "coding": [
            {
              "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/72",
              "code": "4157752",
              "display": "Temperature Temporal Artery",
              "userSelected": true
            },
            {
              "system": "http://loinc.org",
              "code": "75539-7",
              "display": "Body temperature - Temporal artery"
            },
            {
              "system": "http://loinc.org",
              "code": "8310-5",
              "display": "Body temperature"
            }
          ],
          "text": "Temperature Temporal Artery"
        },
        "subject": {
          "reference": "Patient/12457977"
        },
        "encounter": {
          "reference": "Encounter/97697398"
        },
        "effectiveDateTime": "2017-02-25T02:37:00.000Z",
        "issued": "2017-02-25T02:41:03.000Z",
        "performer": [
          {
            "extension": [
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "LA",
                      "display": "legal authenticator"
                    }
                  ],
                  "text": "legal authenticator"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              },
              {
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code": "PPRF",
                      "display": "primary performer"
                    }
                  ],
                  "text": "primary performer"
                },
                "url": "http://hl7.org/fhir/StructureDefinition/event-performerFunction"
              }
            ],
            "reference": "Practitioner/11638346"
          }
        ],
        "valueQuantity": {
          "value": 39,
          "unit": "degC",
          "system": "http://unitsofmeasure.org",
          "code": "Cel"
        },
        "interpretation": [
          {
            "coding": [
              {
                "system": "https://fhir.cerner.com/ec2458f2-1e24-41c8-b71b-0e701af7583d/codeSet/52",
                "code": "214",
                "userSelected": true
              },
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ],
        "note": [
          {
            "authorReference": {
              "reference": "Practitioner/11638346"
            },
            "time": "2017-02-25T02:41:03.000Z",
            "text": "Other\\n"
          }
        ],
        "referenceRange": [
          {
            "low": {
              "value": 36,
              "unit": "degC",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "high": {
              "value": 38,
              "unit": "degC",
              "system": "http://unitsofmeasure.org",
              "code": "Cel"
            },
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
                  "code": "normal",
                  "display": "Normal Range"
                }
              ],
              "text": "Normal Range"
            }
          }
        ]
      },
      "search": {
        "mode": "match"
      }
    },
    {
      "fullUrl": "https://fhir-ehr.cerner.com/r4/ec2458f2-1e24-41c8-b71b-0e701af7583d/Provenance/vit-4",
      "resource": {
        "resourceType": "Provenance",
        "id": "vit-4",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2020-12-03T16:28:02Z"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'><p><b>Provenance</b></p><p><b>Target</b>:</p><ul><li>Observation/VS-196190669</li></ul><p><b>Recorded</b>: Oct 25, 2019  9:57 A.M. CDT</p><p><b>Agents</b>:</p><dl><dt>Unknown</dt><dd><b>Agent Type</b>: Author</dd><dd><b>Agent Role</b>: Source</dd></dl><p><b>Entity Source</b>: DocumentReference/S-100</p></div>"
        },
        "target": [
          {
            "reference": "Observation/VS-196190669"
          }
        ],
        "recorded": "2019-10-25T14:57:43Z",
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author"
                }
              ],
              "text": "Author"
            },
            "role": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
                    "code": "SOURCE"
                  }
                ],
                "text": "Source"
              }
            ],
            "who": {
              "reference": "Organization/101",
              "display": "Unknown"
            }
          }
        ],
        "entity": [
          {
            "role": "source",
            "what": {
              "reference": "DocumentReference/S-100"
            }
          }
        ]
      },
      "search": {
        "mode": "include"
      }
    }
  ]
}
Headers
  • Unique Oracle-assigned identifier for the request. If you need to contact Oracle about a particular request, provide the X-Request-Id, if present.
  • Unique Oracle-assigned identifier for the request. If you need to contact Oracle about a particular request, provide the opc-Request-Id, if present.
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