US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Substance Use Status Example - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="substance-use-status"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation|8.0.0-ballot"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation substance-use-status</b></p><a name="substance-use-status"> </a><a name="hcsubstance-use-status"> </a><a name="substance-use-status-en-US"> </a><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6</code>/19a199c7-8fdf-11ec-9837-020000000000</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></p><p><b>code</b>: <span title="Codes:{http://loinc.org 11343-1}, {http://snomed.info/sct 228366006}">Substance use status</span></p><p><b>subject</b>: <a href="Patient-example.html">Amy Shaw</a></p><p><b>effective</b>: 2023-08-03</p><p><b>performer</b>: <a href="Patient-example.html">Amy Shaw</a></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 44870007}">other possible values - Misuses drugs (finding), Does not misuse drugs (finding), Has never misused drugs</span></p><p><b>note</b>: At parties</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 410942007}">Drug or medicament</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 703842006}">Amphetamine</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 228390007}">Frequency of drug misuse</span></p><p><b>value</b>: 3 times a year</p></blockquote></div>
  </text>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6"/>
    <value value="19a199c7-8fdf-11ec-9837-020000000000"/>
  </identifier>
  <status value="final"/>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="social-history"/>
      <display value="Social History"/>
    </coding>
    <text value="Social History"/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11343-1"/>
      <display value="History of Other nonmedical drug use"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/731000124108"/>
      <code value="228366006"/>
      <display value="Finding relating to drug misuse behavior (finding)"/>
    </coding>
    <text value="Substance use status"/>
  </code>
  <subject>🔗 
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </subject>
  <effectiveDateTime value="2023-08-03"/>
  <performer>🔗 
    <reference value="Patient/example"/>
    <display value="Amy Shaw"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="44870007"/>
      <display value="Misused drugs in past (finding)"/>
    </coding>
    <text
          value="other possible values - Misuses drugs (finding), Does not misuse drugs (finding), Has never misused drugs"/>
  </valueCodeableConcept>
  <note>
    <text value="At parties"/>
  </note>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/731000124108"/>
        <code value="410942007"/>
        <display value="Drug or medicament (substance)"/>
      </coding>
      <text value="Drug or medicament"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/731000124108"/>
        <code value="703842006"/>
        <display value="Amphetamine"/>
      </coding>
      <text value="Amphetamine"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/731000124108"/>
        <code value="228390007"/>
        <display value="Frequency of drug misuse (observable entity)"/>
      </coding>
      <text value="Frequency of drug misuse"/>
    </code>
    <valueString value="3 times a year"/>
  </component>
</Observation>