Implementation Guide
23.1.0 - R4 APIs

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

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<Observation xmlns="http://hl7.org/fhir">
  <id value="Example3"/>
  <meta>
    <lastUpdated value="2020-10-12T05:11:20.853+05:30"/>
    <profile
             value="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-observation-profile"/>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus"/>
    <security>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
      <display value="Normal"/>
    </security>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="New"/>
      <display value="New"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="Pencil"/>
      <display value="Pencil"/>
    </tag>
    <tag>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/codesystem/athenaFlex/EditTags"/>
      <code value="NewPencil"/>
      <display value="New Pencil"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="U"/>
        <display value="Unspecified Identifier"/>
      </coding>
      <text value="Unspecified Identifier"/>
    </type>
    <system
            value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/namingsystem/ObservationId/Training"/>
    <value value="1918081631276050"/>
  </identifier>
  <status value="final">
    <extension
               url="https://docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-originalCode">
      <valueCoding>
        <system
                value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/obsstatus"/>
        <code value="F"/>
        <display value="Final results; complete and verified"/>
      </valueCoding>
    </extension>
  </status>
  <category>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HIERGRPS/Training"/>
      <code value="1612"/>
      <display value="tobacco use"/>
    </coding>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/observation-category"/>
      <code value="social-history"/>
      <display value="Social History"/>
    </coding>
    <text value="tobacco use"/>
  </category>
  <code>
    <coding>
      <system value="http://loinc.org"/>
      <code value="11366-2"/>
      <display value="History of tobacco use Narrative"/>
    </coding>
    <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="229819007"/>
      <display value="Tobacco use and exposure"/>
    </coding>
    <coding>
      <system
              value="https://docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/HDID/Training"/>
      <code value="300015"/>
      <display value="SMOK STATUS"/>
    </coding>
    <text value="smoking status"/>
  </code>
  <subject>🔗 
    <reference value="Patient/Example1"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/Example1"/>
  </encounter>
  <effectiveDateTime value="2020-10-12T00:19:40+05:30"/>
  <issued value="2020-10-12T05:11:20.853+05:30"/>
  <performer>
    <reference value="Practitioner/1225652472001060"/>
  </performer>
  <valueCodeableConcept>
    <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="449868002"/>
      <display value="Smokes tobacco daily (finding)"/>
    </coding>
    <text value="Current every day smoker"/>
  </valueCodeableConcept>
</Observation>