Example of a multi-select values/answers Observation with individual answers/values as components (id = "alcohol-type")

<?xml version="1.0" encoding="UTF-8"?>

<Observation xmlns="http://hl7.org/fhir">
  <id value="alcohol-type"/> <!--     the mandatory quality flags:     --><text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: Observation</b> <a name="alcohol-type"> </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;alcohol-type&quot; </p> </div> <p> <b> status</b> : <span title="   the mandatory quality flags:   ">final</span> </p> <p> <b> category</b> : <span title="  
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED
      -and/or the source system may provides its own &quot;local&quot; code, which
         may be less or more granular than LOINC.
  In this example there is only local codes
    ">Social History <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a> #social-history)</span> </span> </p> <p> <b> code</b> : Type of alcohol consumed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span> </p> <p> <b> subject</b> : <a href="patient-example.html">Patient/example: Peter James Chalmers</a>  &quot;Peter CHALMERS&quot;</p> <p> <b> effective</b> : 2014-12-11T04:44:16Z</p> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span> </span> </p> <p> <b> value</b> : <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Wine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #35748005 &quot;Wine (substance)&quot;)</span> </span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span> </span> </p> <p> <b> value</b> : <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Beer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #53410008 &quot;Beer (substance)&quot;)</span> </span> </p> </blockquote> <blockquote> <p> <b> component</b> </p> <p> <b> code</b> : <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span> </span> </p> <p> <b> value</b> : <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Liquor <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #6524003 &quot; Distilled spirits (substance)&quot;)</span> </span> </p> </blockquote> </div> </text> <status value="final"/> <!--    
    Observations are often coded in multiple code systems.
      - LOINC
    - or SNOMED
      -and/or the source system may provides its own "local" code, which may be
   less or more granular than LOINC.
  In this example there is only local codes
      --><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> <!--     Local - unable to identify a proper LOINC code     --><coding> 
      <system value="http://acme-rehab.org"/> 
      <code value="alcohol-type"/> 
      <display value="Type of alcohol consumed"/> 
    </coding> 
    <text value="Type of alcohol consumed"/> 
  </code> 
  <subject> 
    <reference value="Patient/example"/> 
    <display value="Peter James Chalmers"/> 
  </subject> 
  <effectiveDateTime value="2014-12-11T04:44:16Z"/> <!--     When the code is the same as component.code the value element must be empty
   per invariant obs-7
       --><!--    Using components since multi-select values/answers share the same attributes
   (such as id, performer, effective date, status, comment..    --><!--    answer 1    --><component> <!--    component.code is same as code    --><code> <!--     Local - unable to identify a proper LOINC code     --><coding> 
        <system value="http://acme-rehab.org"/> 
        <code value="alcohol-type"/> 
      </coding> 
    </code> <!--    coded value using SNONED-CT, could also use a local code here or only text 
       --><valueCodeableConcept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="35748005"/> 
        <display value="Wine (substance)"/> 
      </coding> 
      <text value="Wine"/> 
    </valueCodeableConcept> 
  </component> <!--    answer 2    --><component> <!--    component.code is same as code    --><code> <!--     Local - unable to identify a proper LOINC code     --><coding> 
        <system value="http://acme-rehab.org"/> 
        <code value="alcohol-type"/> 
      </coding> 
    </code> <!--    coded value using SNONED-CT, could also use a local code here or only text 
       --><valueCodeableConcept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="53410008"/> 
        <display value="Beer (substance)"/> 
      </coding> 
      <text value="Beer"/> 
    </valueCodeableConcept> 
  </component> <!--    answer 3    --><component> <!--    component.code is same as code    --><code> <!--     Local - unable to identify a proper LOINC code     --><coding> 
        <system value="http://acme-rehab.org"/> 
        <code value="alcohol-type"/> 
      </coding> 
    </code> <!--    coded value using SNONED-CT, could also use a local code here or only text 
       --><valueCodeableConcept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="6524003"/> 
        <display value=" Distilled spirits (substance)"/> 
      </coding> 
      <text value="Liquor"/> 
    </valueCodeableConcept> 
  </component> 
</Observation>