{
  "resourceType" : "Observation",
  "id" : "substance-use-status",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-simple-observation|7.0.0"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Observation</b><a name=\"substance-use-status\"> </a><a name=\"hcsubstance-use-status\"> </a></p><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\">Resource Observation &quot;substance-use-status&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-us-core-simple-observation.html\">US Core Simple Observation Profile (version 7.0.0)</a></p></div><p><b>identifier</b>: <code>urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6</code>/19a199c7-8fdf-11ec-9837-020000000000</p><p><b>status</b>: final</p><p><b>category</b>: Social History <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#social-history)</span></p><p><b>code</b>: Substance use status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#11343-1 &quot;History of Other nonmedical drug use&quot;; <a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#228366006 &quot;Finding relating to drug misuse behavior (finding)&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-example.html\">Patient/example: Amy Shaw</a> &quot; SHAW&quot;</p><p><b>effective</b>: 2023-08-03</p><p><b>performer</b>: <a href=\"Patient-example.html\">Patient/example: Amy Shaw</a> &quot; SHAW&quot;</p><p><b>value</b>: other possible values - Misuses drugs (finding), Does not misuse drugs (finding), Has never misused drugs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#44870007 &quot;Misused drugs in past (finding)&quot;)</span></p><p><b>note</b>: At parties</p><blockquote><p><b>component</b></p><p><b>code</b>: Drug or medicament <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#410942007 &quot;Drug or medicament (substance)&quot;)</span></p><p><b>value</b>: Amphetamine <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#703842006)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Frequency of drug misuse <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#228390007 &quot;Frequency of drug misuse (observable entity)&quot;)</span></p><p><b>value</b>: 3 times a year</p></blockquote></div>"
  },
  "identifier" : [{
    "system" : "urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6",
    "value" : "19a199c7-8fdf-11ec-9837-020000000000"
  }],
  "status" : "final",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
      "code" : "social-history",
      "display" : "Social History"
    }],
    "text" : "Social History"
  }],
  "code" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "11343-1",
      "display" : "History of Other nonmedical drug use"
    },
    {
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/731000124108",
      "code" : "228366006",
      "display" : "Finding relating to drug misuse behavior (finding)"
    }],
    "text" : "Substance use status"
  },
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  },
  "effectiveDateTime" : "2023-08-03",
  "performer" : [{
    "reference" : "Patient/example",
    "display" : "Amy Shaw"
  }],
  "valueCodeableConcept" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "44870007",
      "display" : "Misused drugs in past (finding)"
    }],
    "text" : "other possible values - Misuses drugs (finding), Does not misuse drugs (finding), Has never misused drugs"
  },
  "note" : [{
    "text" : "At parties"
  }],
  "component" : [{
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/731000124108",
        "code" : "410942007",
        "display" : "Drug or medicament (substance)"
      }],
      "text" : "Drug or medicament"
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/731000124108",
        "code" : "703842006",
        "display" : "Amphetamine"
      }],
      "text" : "Amphetamine"
    }
  },
  {
    "code" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/731000124108",
        "code" : "228390007",
        "display" : "Frequency of drug misuse (observable entity)"
      }],
      "text" : "Frequency of drug misuse"
    },
    "valueString" : "3 times a year"
  }]
}