<?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 with Details</b></p><p><b>id</b>: alcohol-type</p><p><b>status</b>: final</p><p><b>category</b>: Social History <span>(Details : {http://terminology.hl7.org/CodeSystem/observation-category code &#39;social-history&#39; = &#39;Social History&#39;, given as &#39;Social History&#39;})</span></p><p><b>code</b>: Type of alcohol consumed <span>(Details : {http://acme-rehab.org code &#39;alcohol-type&#39; = &#39;alcohol-type&#39;, given as &#39;Type of alcohol consumed&#39;})</span></p><p><b>subject</b>: <a>Peter James Chalmers</a></p><p><b>effective</b>: 11/12/2014 4:44:16 AM</p><blockquote><p><b>component</b></p><p><b>code</b>: alcohol-type <span>(Details : {http://acme-rehab.org code &#39;alcohol-type&#39; = &#39;alcohol-type)</span></p><p><b>value</b>: Wine <span>(Details : {SNOMED CT code &#39;35748005&#39; = &#39;Wine&#39;, given as &#39;Wine (substance)&#39;})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: alcohol-type <span>(Details : {http://acme-rehab.org code &#39;alcohol-type&#39; = &#39;alcohol-type)</span></p><p><b>value</b>: Beer <span>(Details : {SNOMED CT code &#39;53410008&#39; = &#39;Beer&#39;, given as &#39;Beer (substance)&#39;})</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: alcohol-type <span>(Details : {http://acme-rehab.org code &#39;alcohol-type&#39; = &#39;alcohol-type)</span></p><p><b>value</b>: Liquor <span>(Details : {SNOMED CT code &#39;6524003&#39; = &#39;Distilled spirits&#39;, given as &#39; Distilled spirits (substance)&#39;})</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>