International Patient Access
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International Patient Access, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ipa/ and changes regularly. See the Directory of published versions

: Observation social history smoking Example - JSON Representation

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{
  "resourceType" : "Observation",
  "id" : "SmokingExample1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation SmokingExample1</b></p><a name=\"SmokingExample1\"> </a><a name=\"hcSmokingExample1\"> </a><a name=\"SmokingExample1-en-US\"> </a><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 72166-2}, {http://snomed.info/sct 365980008}\">Smoking History</span></p><p><b>subject</b>: <a href=\"Patient-PatientExample1.html\">Test, Patient FHIR</a></p><p><b>effective</b>: 2009-01-01 --&gt; (ongoing)</p><p><b>issued</b>: 2021-05-11 05:00:00+0000</p><p><b>performer</b>: <a href=\"Practitioner-PractitionerExample1.html\">Dr. FHIR</a></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 449868002}\">Every Day</span></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81228-9}\">Type</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 65568007}\">Cigarettes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 81228-9}\">Type</span></p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 81703003}\">Chew</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 401201003}\">Cigarette pack-years (observable entity)</span></p><p><b>value</b>: 3.72 {PackYears}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{PackYears} = '{PackYears}')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 88029-4}\">Years Used</span></p><p><b>value</b>: 12.4 Years Used<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 8663-7}, {http://snomed.info/sct 266918002}\">Packs/Day</span></p><p><b>value</b>: 0.3 Packs/Day<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code228963008 = 'packets/day')</span></p></blockquote></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" : "72166-2",
        "display" : "Tobacco smoking status"
      },
      {
        "system" : "http://snomed.info/sct",
        "code" : "365980008",
        "display" : "Finding of tobacco use and exposure (finding)"
      }
    ],
    "text" : "Smoking History"
  },
  "subject" : {
    🔗 "reference" : "Patient/PatientExample1",
    "display" : "Test, Patient FHIR"
  },
  "effectivePeriod" : {
    "start" : "2009-01-01"
  },
  "issued" : "2021-05-11T05:00:00Z",
  "performer" : [
    {
      🔗 "reference" : "Practitioner/PractitionerExample1",
      "display" : "Dr. FHIR"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "449868002",
        "display" : "Smokes tobacco daily"
      }
    ],
    "text" : "Every Day"
  },
  "component" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "81228-9",
            "display" : "Tobacco product"
          }
        ],
        "text" : "Type"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "65568007",
            "display" : "Cigarette Smoker"
          }
        ],
        "text" : "Cigarettes"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "81228-9",
            "display" : "Tobacco product"
          }
        ],
        "text" : "Type"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "81703003",
            "display" : "Chews Tobacco"
          }
        ],
        "text" : "Chew"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "code" : "401201003",
            "display" : "Cigarette pack-years (observable entity)"
          }
        ],
        "text" : "Cigarette pack-years (observable entity)"
      },
      "valueQuantity" : {
        "value" : 3.72,
        "unit" : "{PackYears}",
        "system" : "http://unitsofmeasure.org",
        "code" : "{PackYears}"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "88029-4",
            "display" : "Tobacco use duration"
          }
        ],
        "text" : "Years Used"
      },
      "valueQuantity" : {
        "value" : 12.4,
        "unit" : "Years Used",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    },
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "8663-7",
            "display" : "Cigarettes smoked current (pack per day) - Reported"
          },
          {
            "system" : "http://snomed.info/sct",
            "code" : "266918002",
            "display" : "Tobacco smoking consumption (observable entity)"
          }
        ],
        "text" : "Packs/Day"
      },
      "valueQuantity" : {
        "value" : 0.3,
        "unit" : "Packs/Day",
        "system" : "http://snomed.info/sct",
        "code" : "228963008"
      }
    }
  ]
}