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 1.0.0 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 - XML Representation

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<Observation xmlns="http://hl7.org/fhir">
  <id value="SmokingExample1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="SmokingExample1"> </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;SmokingExample1&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ipa-observation.html">IPA-Observation</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Social History <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-observation-category.html">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Smoking History <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#72166-2 &quot;Tobacco smoking status&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#365980008 &quot;Finding of tobacco use and exposure (finding)&quot;)</span></p><p><b>subject</b>: <a href="Patient-PatientExample1.html">Patient/PatientExample1: Test, Patient FHIR</a> &quot; LUFHIR&quot;</p><p><b>effective</b>: 2009-01-01 --&gt; (ongoing)</p><p><b>issued</b>: May 11, 2021, 5:00:00 AM</p><p><b>performer</b>: <a href="Practitioner-PractitionerExample1.html">Practitioner/PractitionerExample1: Dr. FHIR</a> &quot; SEEGER&quot;</p><p><b>value</b>: Every Day <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#449868002 &quot;Smokes tobacco daily&quot;)</span></p><blockquote><p><b>component</b></p><p><b>code</b>: Type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#81228-9 &quot;Tobacco product&quot;)</span></p><p><b>value</b>: Cigarettes <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#65568007 &quot;Cigarette Smoker&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#81228-9 &quot;Tobacco product&quot;)</span></p><p><b>value</b>: Chew <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#81703003 &quot;Chews Tobacco&quot;)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Cigarette pack-years (observable entity) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#401201003)</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>: Years Used <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#88029-4 &quot;Tobacco use duration&quot;)</span></p><p><b>value</b>: 12.4 Years Used<span style="background: LightGoldenRodYellow"> (Details: UCUM code a = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Packs/Day <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#8663-7 &quot;Cigarettes smoked current (pack per day) - Reported&quot;; <a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#266918002 &quot;Tobacco smoking consumption (observable entity)&quot;)</span></p><p><b>value</b>: 0.3 Packs/Day<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 228963008 = 'packets/day')</span></p></blockquote></div>
  </text>
  <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="72166-2"/>
      <display value="Tobacco smoking status"/>
    </coding>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="365980008"/>
      <display value="Finding of tobacco use and exposure (finding)"/>
    </coding>
    <text value="Smoking History"/>
  </code>
  <subject>🔗 
    <reference value="Patient/PatientExample1"/>
    <display value="Test, Patient FHIR"/>
  </subject>
  <effectivePeriod>
    <start value="2009-01-01"/>
  </effectivePeriod>
  <issued value="2021-05-11T05:00:00Z"/>
  <performer>🔗 
    <reference value="Practitioner/PractitionerExample1"/>
    <display value="Dr. FHIR"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="449868002"/>
      <display value="Smokes tobacco daily"/>
    </coding>
    <text value="Every Day"/>
  </valueCodeableConcept>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="81228-9"/>
        <display value="Tobacco product"/>
      </coding>
      <text value="Type"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="65568007"/>
        <display value="Cigarette Smoker"/>
      </coding>
      <text value="Cigarettes"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="81228-9"/>
        <display value="Tobacco product"/>
      </coding>
      <text value="Type"/>
    </code>
    <valueCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="81703003"/>
        <display value="Chews Tobacco"/>
      </coding>
      <text value="Chew"/>
    </valueCodeableConcept>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="401201003"/>
        <display value="Cigarette pack-years (observable entity)"/>
      </coding>
      <text value="Cigarette pack-years (observable entity)"/>
    </code>
    <valueQuantity>
      <value value="3.72"/>
      <unit value="{PackYears}"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{PackYears}"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="88029-4"/>
        <display value="Tobacco use duration"/>
      </coding>
      <text value="Years Used"/>
    </code>
    <valueQuantity>
      <value value="12.4"/>
      <unit value="Years Used"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="a"/>
    </valueQuantity>
  </component>
  <component>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="8663-7"/>
        <display value="Cigarettes smoked current (pack per day) - Reported"/>
      </coding>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="266918002"/>
        <display value="Tobacco smoking consumption (observable entity)"/>
      </coding>
      <text value="Packs/Day"/>
    </code>
    <valueQuantity>
      <value value="0.3"/>
      <unit value="Packs/Day"/>
      <system value="http://snomed.info/sct"/>
      <code value="228963008"/>
    </valueQuantity>
  </component>
</Observation>