Observation read

get/Observation/{id}
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This resource contains one or more results, findings, or measurements to inform a patient’s clinical condition (e.g., vitals, imaging results, lab results, device measurements).

Observations can help to identify baselines and patterns or define personal characteristics for a patient (e.g., height, weight, eye color). A DiagnosticReport resource may reference Observation resources to provide the metadata for a complete diagnostic report.

You can review, retrieve, create, or update observations for a patient.

read

Review a specific Observation resource with one or more defined observations for a patient.

To use a read interaction, you must know the related resource ID, which you may not have in your real workflows. A read is likely only a follow-up option after receiving the specific resource in a recent FHIR® passthrough or data on demand exchange.

Typically, you should use the more flexible _search with query parameters, unless you're guaranteed to request data directly from a FHIR® server using the resource ID. Learn more about using FHIR® identifiers.

Request parameters

cURL request example

bash
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curl 'https://api.redoxengine.com/fhir/R4/{destinationSlug}/{environmentFlag}/Observation/{id}' \
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--request GET \
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--header 'Authorization: Bearer $API_TOKEN'

Request Parameters

  • id
    required, string

    Observation identifier

Response fields and example

Vital Signs: Blood Pressure
json
1
{}

    Used to contain patient blood pressure readings

  • resourceType
    required, string

    Identifies the type of the resource

    Value: Observation
  • status
    required, string

    The status of the result value.

    Possible Values: registered, preliminary, final, amended, corrected, cancelled, entered-in-error, unknown
  • category
    required, Array of VSCat or Other

    A code that classifies the general type of observation being made.

      A codeable concept containing an array of codings and a text value.

    • coding
      required, Array of object

      A reference to a code defined by a terminology system.

      • system
        required, string

        The identification of the code system that defines the meaning of the symbol in the code.

        Value: http://terminology.hl7.org/CodeSystem/observation-category
      • code
        required, string

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

        Value: vital-signs
      • display
        required, string

        A representation of the meaning of the code in the system, following the rules of the system.

        Value: Vital Signs
    • text
      string

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

  • code
    required, object

    Blood Pressure.

    • coding
      Array of object

      A reference to a code defined by a terminology system.

      • system
        string

        The identification of the code system that defines the meaning of the symbol in the code.

      • code
        string

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    • text
      string

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

  • subject
    required, object

    The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

    Must be a resource of type Patient.

    • reference
      string

      A reference to another resource. This is typically either a relative reference which includes the resource type and ID, or an internal reference which starts with # and refers to a contained resource.

  • component
    required, Array of SystolicBP, DiastolicBP or Other

    Used when reporting systolic and diastolic blood pressure.

    • code
      required, object

      Describes what was observed. Sometimes this is called the observation "code".

      • coding
        Array of object

        A reference to a code defined by a terminology system.

        • system
          string

          The identification of the code system that defines the meaning of the symbol in the code.

        • code
          string

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      • text
        string

        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    • dataAbsentReason
      object

      Provides a reason why the expected value in the element Observation.component.value[x] is missing.

      • coding
        Array of object

        A reference to a code defined by a terminology system.

        • system
          string

          The identification of the code system that defines the meaning of the symbol in the code.

        • code
          string

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      • text
        string

        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    • interpretation
      Array of object

      A categorical assessment of an observation value. For example, high, low, normal.

      • coding
        Array of object

        A reference to a code defined by a terminology system.

        • system
          string

          The identification of the code system that defines the meaning of the symbol in the code.

        • code
          string

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      • text
        string

        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

    • valueQuantity
      object

      Vital Sign Value recorded with UCUM.

      Only one of valueQuantity, valueCodeableConcept, valueString, valueRange, valueRatio may be present.

      • value
        required, number

        The value of the measured amount. The value includes an implicit precision in the presentation of the value.

      • _value
        object

        This element contains extensions for value. Depending on the extensions present it could be used in place of value or contain additional information about value. See the extension element for more details on the possible extensions being sent.

        • extension
          Array of Precision or Other

          A Precision extension allows the communication of values more precise than a JSON number, for example, 3.10 as opposed to just 3.1.

            Explicit precision of the number. If the actual value is 3.10, the value field will contain the number 3.1 while the precision extension will contain 2.

            See http://hl7.org/fhir/StructureDefinition/quantity-precision for more information

          • url
            required, string

            Source of the definition for the extension code - a logical name or a URL.

            Value: http://hl7.org/fhir/StructureDefinition/quantity-precision
          • valueInteger
            required, number

            Number of significant decimal places after the decimal.

      • unit
        required, string

        A human-readable form of the unit.

      • system
        required, string

        The identification of the system that provides the coded form of the unit.

        Value: http://unitsofmeasure.org
      • code
        required, string

        Coded responses from the common UCUM units for vital signs value set.

        Value: mm[Hg]
  • effectiveDateTime
    required, string

    Often just a dateTime for Vital Signs.

  • id
    string

    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

  • extension
    Array of ObservationAttachment or Other

    May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      An attachment representing the value of the Observation.

    • url
      required, string

      Source of the definition for the extension code - a logical name or a URL.

      Value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.valueAttachment
    • valueAttachment
      object

      Attachment representing the value of the Observation.

      • contentType
        string

        Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.

      • data
        string

        The actual data of the attachment - a sequence of bytes, base64 encoded.

  • identifier
    Array of object

    A unique identifier assigned to this observation.

    • extension
      Array of Boolean, String, CodeableConcept, Coding, HumanName or Reference

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      • url
        required, string

        Source of the definition for the extension code - a logical name or a URL.

      • valueBoolean
        boolean

        A single value for the extension.

    • use
      string

      The purpose of this identifier.

      Possible Values: usual, official, temp, secondary, old (If known)
    • system
      string

      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

    • value
      string

      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

  • encounter
    object

    The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.

    Must be a resource of type Encounter.

    • reference
      string

      A reference to another resource. This is typically either a relative reference which includes the resource type and ID, or an internal reference which starts with # and refers to a contained resource.

  • performer
    Array of object

    Who was responsible for asserting the observed value as "true".

    Must reference one of the following types of resources:

    • Organization
    • Practitioner
    • reference
      string

      A reference to another resource. This is typically either a relative reference which includes the resource type and ID, or an internal reference which starts with # and refers to a contained resource.

  • dataAbsentReason
    object

    Provides a reason why the expected value in the element Observation.value[x] is missing.

    • coding
      Array of object

      A reference to a code defined by a terminology system.

      • system
        string

        The identification of the code system that defines the meaning of the symbol in the code.

      • code
        string

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    • text
      string

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

  • interpretation
    Array of object

    A categorical assessment of an observation value. For example, high, low, normal.

    • coding
      Array of object

      A reference to a code defined by a terminology system.

      • system
        string

        The identification of the code system that defines the meaning of the symbol in the code.

      • code
        string

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    • text
      string

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

  • note
    Array of object

    Comments about the observation or the results.

    • text
      required, string

      The text of the annotation in markdown format.

  • bodySite
    object

    Indicates the site on the subject's body where the observation was made (i.e. the target site).

    • coding
      Array of object

      A reference to a code defined by a terminology system.

      • system
        string

        The identification of the code system that defines the meaning of the symbol in the code.

      • code
        string

        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

    • text
      string

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

  • referenceRange
    Array of object

    Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

    • low
      object

      The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).

      • value
        number

        The value of the measured amount. The value includes an implicit precision in the presentation of the value.

      • _value
        object

        This element contains extensions for value. Depending on the extensions present it could be used in place of value or contain additional information about value. See the extension element for more details on the possible extensions being sent.

        • extension
          Array of Precision or Other

          A Precision extension allows the communication of values more precise than a JSON number, for example, 3.10 as opposed to just 3.1.

            Explicit precision of the number. If the actual value is 3.10, the value field will contain the number 3.1 while the precision extension will contain 2.

            See http://hl7.org/fhir/StructureDefinition/quantity-precision for more information

          • url
            required, string

            Source of the definition for the extension code - a logical name or a URL.

            Value: http://hl7.org/fhir/StructureDefinition/quantity-precision
          • valueInteger
            required, number

            Number of significant decimal places after the decimal.

      • unit
        string

        A human-readable form of the unit.

    • high
      object

      The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).

      • value
        number

        The value of the measured amount. The value includes an implicit precision in the presentation of the value.

      • _value
        object

        This element contains extensions for value. Depending on the extensions present it could be used in place of value or contain additional information about value. See the extension element for more details on the possible extensions being sent.

        • extension
          Array of Precision or Other

          A Precision extension allows the communication of values more precise than a JSON number, for example, 3.10 as opposed to just 3.1.

            Explicit precision of the number. If the actual value is 3.10, the value field will contain the number 3.1 while the precision extension will contain 2.

            See http://hl7.org/fhir/StructureDefinition/quantity-precision for more information

          • url
            required, string

            Source of the definition for the extension code - a logical name or a URL.

            Value: http://hl7.org/fhir/StructureDefinition/quantity-precision
          • valueInteger
            required, number

            Number of significant decimal places after the decimal.

      • unit
        string

        A human-readable form of the unit.

    • text
      string

      Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of "Negative" or a list or table of "normals".

  • valueQuantity
    object

    Vital Signs value are recorded using the Quantity data type. For supporting observations such as Cuff size could use other datatypes such as CodeableConcept.

    • value
      number

      The value of the measured amount. The value includes an implicit precision in the presentation of the value.

    • system
      string

      The identification of the system that provides the coded form of the unit.

    • code
      string

      A computer processable form of the unit in some unit representation system.