Usage: When "http://telus.com/fhir/patientChartStructureDefinition/profile-observation-alcohol-use" is specified, a message instance may be valiidated against this profile.

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Usage Note - Historical load do not send the deleted entries. For delta send all updated resource including deleted PSS -->FHIR Needs Review, unfinished --> Final Updated --> amended - only if delta is being send deleted --> entered-in-error - only if delta is being send TBD question for Lloyd

MA --> FHIR Active --> Final deleted --> entered-in-error - only if delta is being send

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Conformance Rule - PSS status for active risk factors the status should be final. For updated risk factor the status should be updated to amended

Value = History of Alcohol use Narrative

Note that FHIR strings SHALL NOT exceed 1MB in size

Usage note - Last updated date for the risk factor

At least a date should be present unless this olast updated datebservation is a historical report. For recording imprecise or "fuzzy" times (For example, a blood glucose measurement taken "after breakfast") use the Timing datatype which allow the measurement to be tied to regular life events.

Usage note - PSS provide description text MA - Consumption observation + comment Alignment: Not supported in PS-CA

An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the Notes section below.

Usage Note: PSS provide Details if documented MA: Provide note in the task (on the left)

May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.