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{
"resourceType" : "Observation",
"id" : "SmokingExample1",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Observation social history smoking Example"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is a Observation example for the *IPA Observation Profile*."
}
],
"profile" : [
"http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-observation"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 \"SmokingExample1\" </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/3.0.0/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 \"Tobacco smoking status\"; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#365980008 \"Finding of tobacco use and exposure (finding)\")</span></p><p><b>subject</b>: <a href=\"Patient-PatientExample1.html\">Patient/PatientExample1: Test, Patient FHIR</a> \" LUFHIR\"</p><p><b>effective</b>: 2009-01-01 --> (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> \" SEEGER\"</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 \"Smokes tobacco daily\")</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 \"Tobacco product\")</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 \"Cigarette Smoker\")</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 \"Tobacco product\")</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 \"Chews Tobacco\")</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 \"Tobacco use duration\")</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 \"Cigarettes smoked current (pack per day) - Reported\"; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#266918002 \"Tobacco smoking consumption (observable entity)\")</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>"
},
"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"
}
}
]
}