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SMOKING_Current_Smoker.xml
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SMOKING_Current_Smoker.xml
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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
<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>
<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>
<!-- A best practice is to only include one smoking status per patient to avoid confusion. -->
<!-- While multiple smoking statuses are permissible in C-CDA 1.1, a cardinality revision in C-CDA 2.0 is proposed. -->
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<effectiveTime>
<!-- effectiveTime/low is populated with the date the patient started smoking-->
<!-- This is an example of year precision timing when month and day are not specified-->
<low value="1992"/>
<!-- effectiveTime/high should not be populated with observation date for a current smoker-->
</effectiveTime>
<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="449868002" displayName="Current every day smoker"/>
<author>
<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">
<!-- ** Social history observation template ** -->
<!--- You can use a social history observation template entry for additional smoking detail, such as smoking quantity-->
<!-- For C-CDA R2.0, a change to the template may be required to Tobacco use template. Please check final publication release. -->
<templateId root="2.16.840.1.113883.10.20.22.4.38"/>
<id root="45efb604-7049-4a2e-ad33-d38556c9636c"/>
<code code="229819007" codeSystem="2.16.840.1.113883.6.96" displayName="Tobacco use and exposure"/>
<statusCode code="completed"/>
<effectiveTime>
<low value="1992"/>
</effectiveTime>
<!--- This code would not work for a smoking status since not in the HL7 or MU accceptable value set-->
<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" code="160604004" displayName="Moderate cigarette smoker (10-19 cigs/day)">
<originalText>
<reference value="#SmokingDetail1" />
</originalText>
</value>
<author>
<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>