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Copy pathSocial_History_Birth_Sex.xml
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Social_History_Birth_Sex.xml
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<component>
<!-- Adapted from prior sample C) Social History 3.10.3 Never Smoker in Smoking Status
• Smoking Status: Never smoker, [SNOMED-CT: 266919005]
from Representative example, but then modified for test data specifics: https://github.com/jddamore/HL7-Task-Force-Examples/blob/master/SMOKING_Never_Smoker.xml
-->
<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>
<item>
<content ID="BSex_Narrative1">Birth Sex: <content ID="BSex_value">Female</content></content>
<content>Recorded August 15, 2012 08:00am</content>
</item>
<item>
<content>Smoking Status: Never smoked</content>
<content>Recorded August 15, 2012 08:00am</content>
</item>
</list>
</text>
<entry><!-- New PROPOSED Birth Sex Entry - Will be proposed for new C-CDA R2.1 Companion Guide -->
<observation classCode="OBS" moodCode="EVN">
<!-- New templateId for Birth Sex -->
<!-- Not planning to assert conformance to Social History Observation due to different vocab -->
<templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2016-06-01"/>
<code code="76689-9" codeSystem="2.16.840.1.113883.6.1"
displayName="Sex Assigned At Birth"/>
<text>
<reference value="#BSex_Narrative1"/>
</text>
<statusCode code="completed"/>
<!-- effectiveTime if present should match birthTime -->
<!-- Request name change to QRDA value set (2.16.840.1.113762.1.4.1) - ONC Birth Sex -->
<value xsi:type="CD" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender"
code="F" displayName="Female">
<originalText>
<reference value="#BSex_value"/>
</originalText>
</value>
<author>
<!-- Time documented -->
<time value="201208150800-0500"/>
<assignedAuthor>
<!-- this provider has an id, but it is not an NPI -->
<id extension="91138" root="1.3.6.1.4.1.42424242.4.99930.4"/>
<!-- the provider is a Registered Nurse -->
<code codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC Health Care Provider Taxonomy" code="163W00000X" displayName="Registered Nurse"/>
<addr use="WP">
<streetAddressLine>Get Well Clinic</streetAddressLine>
<streetAddressLine>1004 Healthcare Dr</streetAddressLine>
<city>Protland</city>
<state>OR</state>
<postalCode>97005</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1-(555)555-1014" use="WP"/>
<assignedPerson>
<name>
<given>Nancy</given>
<family>Nightingale</family>
<suffix qualifier="TITLE">RN</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
<!-- 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"/>
<id root="a8b9ba43-c0ed-4b9b-9f12-f435d8ad4d57"/>
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
<statusCode code="completed"/>
<!-- effectiveTime/low is no longer required based on R1.1 errata 596 (http://www.hl7.org/dstucomments/showdetail_comment.cfm?commentid=596) -->
<!-- nullFlavor is appropriate when smoking status is never a smoker. Other nullFlavors have been discussed and may be appropriate -->
<!-- Prior to errata 596 effectiveTime/low was required and the example task force put nullFlavor there: low nullFlavor="NA" -->
<effectiveTime nullFlavor="NA"/>
<!-- The use of a specfic SNOMED code for unknown smoker is an encouraged variation from C-CDA practices in other sections -->
<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="266919005" displayName="Never Smoker"/>
<author>
<time value="201208150800-0500"/>
<assignedAuthor>
<!-- this provider has an id, but it is not an NPI -->
<id extension="91138" root="1.3.6.1.4.1.42424242.4.99930.4"/>
<!-- the provider is a Registered Nurse -->
<code codeSystem="2.16.840.1.113883.6.101" codeSystemName="NUCC Health Care Provider Taxonomy" code="163W00000X" displayName="Registered Nurse"/>
<addr use="WP">
<streetAddressLine>Get Well Clinic</streetAddressLine>
<streetAddressLine>1004 Healthcare Dr</streetAddressLine>
<city>Protland</city>
<state>OR</state>
<postalCode>97005</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1-(555)555-1014" use="WP"/>
<assignedPerson>
<name>
<given>Nancy</given>
<family>Nightingale</family>
<suffix qualifier="TITLE">RN</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>