<?xml version="1.0" encoding="UTF-8"?><Observation xmlns="http://hl7.org/fhir"><id value="alcohol-type"/>  <!--     the mandatory quality flags:     --><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Observation</b><a name="alcohol-type"> </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;alcohol-type&quot; </p></div><p><b>status</b>: <span title="   the mandatory quality flags:   ">final</span></p><p><b>category</b>: <span title="  
    Observations are often coded in multiple code systems.
      - LOINC
		- or SNOMED
      -and/or the source system may provides its own &quot;local&quot; code, which may be less or more granular than LOINC.
	In this example there is only local codes
    ">Social History <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#social-history)</span></span></p><p><b>code</b>: Type of alcohol consumed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span></p><p><b>subject</b>: <a href="patient-example.html">Patient/example: Peter James Chalmers</a> &quot;Peter CHALMERS&quot;</p><p><b>effective</b>: 2014-12-11T04:44:16Z</p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Wine <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#35748005 &quot;Wine (substance)&quot;)</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Beer <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#53410008 &quot;Beer (substance)&quot;)</span></span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="  component.code is same as code  ">alcohol-type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (acme-rehab.org#alcohol-type)</span></span></p><p><b>value</b>: <span title="  coded value using SNONED-CT, could also use a local code here or only text  ">Liquor <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#6524003 &quot;Distilled spirits (substance)&quot;)</span></span></p></blockquote></div></text><status value="final"/>  <!--    
    Observations are often coded in multiple code systems.
      - LOINC
		- or SNOMED
      -and/or the source system may provides its own "local" code, which may be less or more granular than LOINC.
	In this example there is only local codes
      --><category><coding><system value="http://terminology.hl7.org/CodeSystem/observation-category"/><code value="social-history"/><display value="Social History"/></coding><text value="Social History"/></category><code>  <!--     Local - unable to identify a proper LOINC code     --><coding><system value="http://acme-rehab.org"/><code value="alcohol-type"/><display value="Type of alcohol consumed"/></coding><text value="Type of alcohol consumed"/></code><subject><reference value="Patient/example"/><display value="Peter James Chalmers"/></subject><effectiveDateTime value="2014-12-11T04:44:16Z"/>  <!--     When the code is the same as component.code the value element must be empty per invariant obs-7
       -->  <!--    Using components since multi-select values/answers share the same attributes (such as id, performer, effective date, status, comment..    -->  <!--    answer 1    --><component>  <!--    component.code is same as code    --><code>  <!--     Local - unable to identify a proper LOINC code     --><coding><system value="http://acme-rehab.org"/><code value="alcohol-type"/></coding></code>  <!--    coded value using SNONED-CT, could also use a local code here or only text    --><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="35748005"/><display value="Wine (substance)"/></coding><text value="Wine"/></valueCodeableConcept></component>  <!--    answer 2    --><component>  <!--    component.code is same as code    --><code>  <!--     Local - unable to identify a proper LOINC code     --><coding><system value="http://acme-rehab.org"/><code value="alcohol-type"/></coding></code>  <!--    coded value using SNONED-CT, could also use a local code here or only text    --><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="53410008"/><display value="Beer (substance)"/></coding><text value="Beer"/></valueCodeableConcept></component>  <!--    answer 3    --><component>  <!--    component.code is same as code    --><code>  <!--     Local - unable to identify a proper LOINC code     --><coding><system value="http://acme-rehab.org"/><code value="alcohol-type"/></coding></code>  <!--    coded value using SNONED-CT, could also use a local code here or only text    --><valueCodeableConcept><coding><system value="http://snomed.info/sct"/><code value="6524003"/><display value="Distilled spirits (substance)"/></coding><text value="Liquor"/></valueCodeableConcept></component></Observation>