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 7.0.0 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

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: Audit-C Item Example 75626-2 - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "AUDIT-C-item-example-75626-2",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment|7.0.0"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"AUDIT-C-item-example-75626-2\"> </a><a name=\"hcAUDIT-C-item-example-75626-2\"> </a></p><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\">Resource Observation &quot;AUDIT-C-item-example-75626-2&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-core-observation-screening-assessment.html\">US Core Observation Screening Assessment Profile (version 7.0.0)</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Survey <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#survey)</span></p><p><b>code</b>: Total score [AUDIT-C] <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#75626-2)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example</a> &quot; SHAW&quot;</p><p><b>effective</b>: 2023-08-14 20:40:49+0000</p><p><b>performer</b>: <a href=\"Practitioner-practitioner-1.html\">Practitioner/practitioner-1</a> &quot; BONE&quot;</p><p><b>value</b>: 0 score<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code 1 = '1')</span></p><p><b>note</b>: The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. A score of 4 or more for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patients alcohol intake over that past few months to confirm accuracy. [PMID: 12695273]</p><p><b>derivedFrom</b>: <a href=\"QuestionnaireResponse-AUDIT-C.html\">QuestionnaireResponse/AUDIT-C: Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] QuestionnaireResponse Example</a></p></div>"
  },
  "status" : "final",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
          "code" : "survey",
          "display" : "Survey"
        }
      ]
    }
  ],
  "code" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "75626-2",
        "display" : "Total score [AUDIT-C]"
      }
    ],
    "text" : "Total score [AUDIT-C]"
  },
  "subject" : {
    🔗 "reference" : "Patient/example"
  },
  "effectiveDateTime" : "2023-08-14T20:40:49.675000+00:00",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/practitioner-1"
    }
  ],
  "valueQuantity" : {
    "value" : 0,
    "unit" : "score",
    "system" : "http://unitsofmeasure.org",
    "code" : "1"
  },
  "note" : [
    {
      "text" : "The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. A score of 4 or more for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patients alcohol intake over that past few months to confirm accuracy. [PMID: 12695273]"
    }
  ],
  "derivedFrom" : [
    {
      🔗 "reference" : "QuestionnaireResponse/AUDIT-C",
      "display" : "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] QuestionnaireResponse Example"
    }
  ]
}