International Patient Access
1.1.0 - STU1

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><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\"/><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>: <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 {pack-years}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code1 = '1')</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" : "{pack-years}",
            "system" : "http://unitsofmeasure.org",
            "code" : "1"
          }
        },
        {
          "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"
          }
        }
      ]
    }