US Core Implementation Guide
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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-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions

Example Observation: Taps Item Example 75889-6

Page standards status: Informative

Generated Narrative: Observation

Resource Observation "TAPS-item-example-75889-6"

Profile: US Core Observation Screening Assessment Profile (version 7.0.0-ballot)

status: final

category: Survey (Observation Category Codes#survey)

code: How often have you had four or more drinks in one day during the past year [Reported] (LOINC#75889-6)

subject: Patient/example " SHAW"

effective: 2023-08-14 20:40:49+0000

performer: Practitioner/practitioner-1 " BONE"

value: Never (LOINC#LA6270-8)

note: A question asked to determine if the patient is considered a 'risky drinker'. This term was created for, but not limited in use to, an electronic Clinical Quality Measure (eCQM) to be used in the CMS EHR Incentive Program for Meaningful Use. The eCQM allows for multiple ways to screen for alcohol misuse, including AUDIT-C [LOINC: 75626-2] or one of two questions that assess whether the patient consumes alcohol [LOINC: 75855-7] and the frequency of heavy drinking days (this LOINC). The LOINC for five (5) or more drinks per day is [LOINC: 88037-7].

derivedFrom: QuestionnaireResponse/TAPS: Tobacco, Alcohol, Prescription medications, and other Substance use screen [TAPS] QuestionnaireResponse Example