<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="us-core-smokingstatus" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;">
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="The logical name of the element">Name</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Information about the use of the element">Flags</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>
          </th>
          <th style="width: 100px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Reference to the type of the element">Type</a>
          </th>
          <th style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/formats.html#table" title="Additional information about the element">Description &amp; Constraints</a>
            <span style="float: right">
              <a href="http://build.fhir.org/formats.html#table" title="Legend for this format">
                <img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit" />
              </a>
            </span>
          </th>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation" title="The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements.">Observation</a>
            <a name="Observation"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">0</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">*</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">US Core Smoking Status Observation Profile</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation.status">status</a>
            <a name="Observation.status"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#code">code</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="font-weight:bold">Binding: </span>
            <a href="http://build.fhir.org/valueset-observation-status.html">ObservationStatus</a> (<a href="http://build.fhir.org/terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value set">required</a>)</td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation.code" title="Smoking Status: Limited to fixed LOINC  value 72166-2  = Tobacco smoking status NHIS.">code</a>
            <a name="Observation.code"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="opacity: 0.4">1</span>
            <span style="opacity: 0.5">..</span>
            <span style="opacity: 0.4">1</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Smoking Status: LOINC 72166-2  = Tobacco smoking status NHIS<br /><span style="font-weight:bold">Required Pattern: </span><span style="color: darkgreen">{"coding":[{"system":"http://loinc.org","code":"72166-2"}]}</span></td>
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_reference.png" alt="." style="background-color: white; background-color: inherit" title="Reference to another Resource" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation.subject">subject</a>
            <a name="Observation.subject"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/references.html">Reference</a>(<a href="StructureDefinition-us-core-patient.html">US Core Patient Profile</a>)</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_element.gif" alt="." style="background-color: white; background-color: inherit" title="Element" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation.issued">issued</a>
            <a name="Observation.issued"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a style="opacity: 0.4" href="http://build.fhir.org/datatypes.html#instant">instant</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy" />
        </tr>
        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white;">
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)" class="hierarchy">
            <img src="tbl_spacer.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="tbl_vjoin_end.png" alt="." style="background-color: inherit" class="hierarchy" />
            <img src="icon_datatype.gif" alt="." style="background-color: white; background-color: inherit" title="Data Type" class="hierarchy" />
            <a href="StructureDefinition-us-core-smokingstatus-definitions.html#Observation.valueCodeableConcept">valueCodeableConcept</a>
            <a name="Observation.valueCodeableConcept"></a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <span style="padding: 3px; color: white; background-color: red" title="This element must be supported">S</span>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">1..1</td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">
            <a href="http://build.fhir.org/datatypes.html#CodeableConcept">CodeableConcept</a>
          </td>
          <td style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px" class="hierarchy">Coded Responses from Smoking Status Value Set<br /><span style="font-weight:bold">Binding: </span><a href="ValueSet-us-core-observation-ccdasmokingstatus.html">Smoking Status</a> (<a href="http://build.fhir.org/terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated.  If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.">extensible</a>)</td>
        </tr>
        <tr>
          <td colspan="5" class="hierarchy">
            <br />
            <a href="http://build.fhir.org/formats.html#table" title="Legend for this format">
              <img src="http://build.fhir.org/help16.png" alt="doco" style="background-color: inherit" /> Documentation for this format</a>
          </td>
        </tr>
      </table>
    </div>
  </text>
  <url value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus" />
  <version value="1.0.0" />
  <name value="US  Core Smoking Status Profile" />
  <status value="draft" />
  <date value="2016-08-01" />
  <publisher value="HL7 US Realm Steering Committee" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.healthit.gov" />
    </telecom>
  </contact>
  <fhirVersion value="3.1.0" />
  <mapping>
    <identity value="argonaut-dq-dstu2" />
    <uri value="http://unknown.org/Argonaut DQ DSTU2" />
    <name value="Argonaut DQ DSTU2" />
  </mapping>
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-concept" />
    <uri value="http://snomed.info/conceptdomain" />
    <name value="SNOMED CT Concept Domain Binding" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/w5" />
    <name value="W5 Mapping" />
  </mapping>
  <mapping>
    <identity value="sct-attr" />
    <uri value="http://snomed.info/sct" />
    <name value="SNOMED CT Attribute Binding" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation">
      <path value="Observation" />
      <short value="US Core Smoking Status Observation Profile" />
      <definition value="The US Core Smoking Status Observation Profile is based upon the core FHIR Observation Resource and created to meet the 2015 Edition Common Clinical Data Set 'Smoking status' requirements." />
      <alias value="Obs" />
      <mustSupport value="false" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation" />
      </mapping>
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/observation-status" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.status" />
      </mapping>
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <short value="Smoking Status: LOINC 72166-2  = Tobacco smoking status NHIS" />
      <definition value="Smoking Status: Limited to fixed LOINC  value 72166-2  = Tobacco smoking status NHIS." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <patternCodeableConcept>
        <coding>
          <system value="http://loinc.org" />
          <code value="72166-2" />
        </coding>
      </patternCodeableConcept>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.code" />
      </mapping>
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.subject" />
      </mapping>
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <isModifier value="false" />
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.issued" />
      </mapping>
    </element>
    <element id="Observation.valueCodeableConcept">
      <path value="Observation.valueCodeableConcept" />
      <short value="Coded Responses from Smoking Status Value Set" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <isModifier value="false" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-observation-ccdasmokingstatus" />
          </valueReference>
        </extension>
        <strength value="extensible" />
        <description value="This value set indicates the current smoking status of a patient" />
        <valueSetReference>
          <reference value="http://hl7.org/fhir/us/core/ValueSet/us-core-observation-ccdasmokingstatus" />
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="argonaut-dq-dstu2" />
        <map value="Observation.valueCodeableConcept" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>