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
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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 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 --> (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>
</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>