Implementation Guide
23.1.0 - R4 APIs

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: Observation Example supporting US Core Smoking Status Observation Profile - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Observation ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "Example3"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2020-10-12T05:11:20.853+05:30"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"^^xsd:anyURI ;
fhir:link <https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile>     ] [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus>     ] ) ;
    ( fhir:security [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-Confidentiality"^^xsd:anyURI ] ;
fhir:code [ fhir:v "N" ] ;
fhir:display [ fhir:v "Normal" ]     ] ) ;
    ( fhir:tag [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "New" ] ;
fhir:display [ fhir:v "New" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Pencil" ] ;
fhir:display [ fhir:v "Pencil" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"^^xsd:anyURI ] ;
fhir:code [ fhir:v "NewPencil" ] ;
fhir:display [ fhir:v "New Pencil" ]     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation Example3</b></p><a name=\"Example3\"> </a><a name=\"hcExample3\"> </a><a name=\"Example3-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\">Last updated: 2020-10-12 05:11:20+0530</p><p style=\"margin-bottom: 0px\">Profiles: <a href=\"StructureDefinition-athena-observation-profile.html\">Measurements and simple assertions</a>, <a href=\"http://hl7.org/fhir/us/core/STU3.1/StructureDefinition-us-core-smokingstatus.html\">US Core Smoking Status Observation Profile</a></p><p style=\"margin-bottom: 0px\">Tags: New (Details: EditTags code New  = ' New ', stated as ' New '), Pencil (Details: EditTags code Pencil  = ' Pencil ', stated as ' Pencil '), New Pencil (Details: EditTags code NewPencil  = ' NewPencil ', stated as ' New Pencil ')</p><p style=\"margin-bottom: 0px\">Security Label: Normal (Details: Confidentiality code N  = ' normal ', stated as ' Normal ')</p></div><p><b>identifier</b>: Unspecified Identifier/1918081631276050</p><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training 1612}, {http://terminology.hl7.org/CodeSystem/observation-category social-history}\">tobacco use</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 11366-2}, {http://loinc.org 72166-2}, {http://snomed.info/sct 229819007}, {https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training 300015}\">smoking status</span></p><p><b>subject</b>: <a href=\"Patient-Example1.html\">Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)</a></p><p><b>encounter</b>: <a href=\"Encounter-Example1.html\">Encounter: extension = No display for Extension ,No display for Extension ,No display for Extension ; status = finished; class = ambulatory (ActCode#AMB); type = Office Visit; priority = routine; period = 2020-08-17 21:04:20-0600 --&gt; 2020-08-17 21:07:17-0600</a></p><p><b>effective</b>: 2020-10-12 00:19:40+0530</p><p><b>issued</b>: 2020-10-12 05:11:20+0530</p><p><b>performer</b>: <a href=\"Practitioner/1225652472001060\">Practitioner/1225652472001060</a></p><p><b>value</b>: <span title=\"Codes:{http://loinc.org 72166-2}, {http://snomed.info/sct 449868002}\">Current every day smoker</span></p></div>"
  ] ; # 
  fhir:identifier ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "U" ] ;
fhir:display [ fhir:v "Unspecified Identifier" ]       ] ) ;
fhir:text [ fhir:v "Unspecified Identifier" ]     ] ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ObservationId/Training"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1918081631276050" ]
  ] ) ; # 
  fhir:status [
fhir:v "final" ;
    ( fhir:extension [
fhir:url [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/obsstatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "F" ] ;
fhir:display [ fhir:v "Final results; complete and verified" ]       ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1612" ] ;
fhir:display [ fhir:v "tobacco use" ]     ] [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/observation-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "social-history" ] ;
fhir:display [ fhir:v "Social History" ]     ] ) ;
fhir:text [ fhir:v "tobacco use" ]
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
a loinc:11366-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11366-2" ] ;
fhir:display [ fhir:v "History of tobacco use Narrative" ]     ] [
a loinc:72166-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "72166-2" ] ;
fhir:display [ fhir:v "Tobacco smoking status" ]     ] [
a sct:229819007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "229819007" ] ;
fhir:display [ fhir:v "Tobacco use and exposure" ]     ] [
fhir:system [ fhir:v "https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"^^xsd:anyURI ] ;
fhir:code [ fhir:v "300015" ] ;
fhir:display [ fhir:v "SMOK STATUS" ]     ] ) ;
fhir:text [ fhir:v "smoking status" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/Example1" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/Example1" ]
  ] ; # 
  fhir:effective [ fhir:v "2020-10-12T00:19:40+05:30"^^xsd:dateTime] ; # 
  fhir:issued [ fhir:v "2020-10-12T05:11:20.853+05:30"^^xsd:dateTime] ; # 
  fhir:performer ( [
fhir:reference [ fhir:v "Practitioner/1225652472001060" ]
  ] ) ; # 
  fhir:value [
a fhir:CodeableConcept ;
    ( fhir:coding [
a loinc:72166-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "72166-2" ] ;
fhir:display [ fhir:v "Tobacco smoking status" ]     ] [
a sct:449868002 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "449868002" ] ;
fhir:display [ fhir:v "Smokes tobacco daily (finding)" ]     ] ) ;
fhir:text [ fhir:v "Current every day smoker" ]
  ] . #