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Narrative

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Source1

{
  "resourceType": "Observation",
  "id": "AUDIT-C-item-example-75626-2",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment|8.0.0"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "Survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "75626-2",
        "display": "Total score [AUDIT-C]"
      }
    ],
    "text": "Total score [AUDIT-C]"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "effectiveDateTime": "2023-08-14T20:40:49.675000+00:00",
  "performer": [
    {
      "reference": "Practitioner/practitioner-1"
    }
  ],
  "valueQuantity": {
    "value": 0,
    "unit": "score",
    "system": "http://unitsofmeasure.org",
    "code": "1"
  },
  "note": [
    {
      "text": "The Alcohol Use Disorders Identification Test C (AUDIT-C) is scored on a scale of 0-12 where the higher the score, the more likely the patient's drinking is hazardous. A score of 4 or more for men and 3 or more for women is considered positive for hazardous drinking or active alcohol use disorders. If the points are all from Question 1 alone where 2 and 3 are 0, it is likely the patient is drinking below recommended limits. The care provider may review the patients alcohol intake over that past few months to confirm accuracy. [PMID: 12695273]"
    }
  ],
  "derivedFrom": [
    {
      "reference": "QuestionnaireResponse/AUDIT-C",
      "display": "Alcohol Use Disorder Identification Test - Consumption [AUDIT-C] QuestionnaireResponse Example"
    }
  ]
}