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Current Smoking Status(C-CDA2.1).xml
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Current Smoking Status(C-CDA2.1).xml
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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/>
<title>Social History</title>
<text>
<list>
<caption>Smoking Status</caption>
<item ID="SmokingStatus">
<content>Status: Current every day smoker</content>
<content ID="SmokingDetail1">Detail: Moderate smoker (10-19 cigs/day)</content>
<content>Started: 1992</content>
<content>Stopped:</content>
<content>Recorded June 6, 2014 10:32am</content>
</item>
</list>
</text>
<!-- Only include one smoking status per patient. -->
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
<templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09"/>
<id extension="123456789" root="2.16.840.1.113883.19" />
<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status NHIS"/>
<text>
<reference value="#SmokingStatus" />
</text>
<statusCode code="completed"/>
<effectiveTime value="201406061032-0500"/>
<!--Note: This template represents a “snapshot in time” observation, simply reflecting what the patient’s
current smoking status is at the time of the observation. As a result, the effectiveTime is constrained
to just a time stamp, and will approximately correspond with the author/time. -->
<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="449868002" displayName="Smokes tobacco daily"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="201406061032-0500"/>
<assignedAuthor>
<id root="2.16.840.1.113883.4.6" extension="99999999"/>
<!-- Root means NPI number. -->
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic and Osteopathic Physicians"/>
<telecom use="WP" value="tel:+1(555)555-1002"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
<!--- You can use a social history observation template entry for additional smoking detail, such as smoking quantity-->
<entry>
<observation classCode="OBS" moodCode="EVN">
<!-- ** Tobacco use ** -->
<templateId root="2.16.840.1.113883.10.20.22.4.85"/>
<templateId root="2.16.840.1.113883.10.20.22.4.85" extension="2014-06-09" />
<id root="45efb604-7049-4a2e-ad33-d38556c9636c" />
<code code="11367-0" codeSystem="2.16.840.1.113883.6.1" displayName="History of tobacco use" />
<text>
<reference value="#SmokingStatus" />
</text>
<statusCode code="completed" />
<effectiveTime>
<!-- To record a current smoker, the effectiveTime/low will define the time the patient started
smoking and will have no effectiveTime/high to indicated that the patient is still smoking. -->
<low value="1992" />
</effectiveTime>
<value xsi:type="CD" code="160604004" displayName="Moderate cigarette smoker" codeSystem="2.16.840.1.113883.6.96" />
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="201406061032-0500"/>
<assignedAuthor>
<id root="2.16.840.1.113883.4.6" extension="99999999"/>
<!-- Root means NPI number. -->
<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
displayName="Allopathic and Osteopathic Physicians"/>
<telecom use="WP" value="tel:+1(555)555-1002"/>
<assignedPerson>
<name>
<given>Henry</given>
<family>Seven</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
</section>