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<Observation xmlns="http://hl7.org/fhir">
<id value="SmokingExample1"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Observation social history smoking Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is a Observation example for the *IPA Observation Profile*."/>
</extension>
<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</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>
</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>