<status value="draft" /> <date value="2022-10-17T09:09:13.9562003+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="Tobacco is a product that comes from the leaves of the tobacco plant, which is smoked as a drug. Smokable forms of tobacco include rolling tobacco, cigarettes, cigars and pipe tobacco. This information model describes the information asked of the patient about their smoking behaviour and use of tobacco." /> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <uri value="https://zibs.nl/wiki/TobaccoUse-v3.2(2020EN)" /> <name value="zib TobaccoUse-v3.2(2020EN)" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <uri value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-SmokingStatus" /> <name value="HdBe logical model SmokingStatus" /> </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="TobaccoUse" /> <alias value="TabakGebruik" /> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.1" /> <comment value="TobaccoUse" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus" /> </mapping> </element> <element id="Observation.extension"> <path value="Observation.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <rules value="open" /> </slicing> <min value="0" /> </element> <element id="Observation.extension:frequency"> <path value="Observation.extension" /> <sliceName value="frequency" /> <min value="0" /> <type> <code value="Extension" /> <profile value="https://fhir.healthdata.be/StructureDefinition/ext-SmokingStatus.FrequencyQualifier" /> </type> <isModifier value="false" /> </element> <element id="Observation.extension:frequency.value[x]"> <path value="Observation.extension.value[x]" /> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.ObservationOfUse.Frequency" /> </mapping> </element> <element id="Observation.code"> <path value="Observation.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="365980008" /> </coding> </patternCodeableConcept> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/HdBe-Patient" /> </type> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.effective[x]:effectivePeriod"> <path value="Observation.effective[x]" /> <sliceName value="effectivePeriod" /> <type> <code value="Period" /> </type> </element> <element id="Observation.effective[x]:effectivePeriod.start"> <path value="Observation.effective[x].start" /> <short value="StartDate" /> <definition value="The date on which the patient started smoking." /> <alias value="StartDatum" /> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.4" /> <comment value="StartDate" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.ObservationOfUse.StartDate" /> </mapping> </element> <element id="Observation.effective[x]:effectivePeriod.end"> <path value="Observation.effective[x].end" /> <short value="StopDate" /> <definition value="The date on which the patient quit smoking" /> <alias value="StopDatum" /> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.5" /> <comment value="StopDate" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.ObservationOfUse.StopDate" /> </mapping> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.value[x]:valueCodeableConcept"> <path value="Observation.value[x]" /> <sliceName value="valueCodeableConcept" /> <short value="SmokingStatus" /> <definition value="The patient’s smoking status or usage of (smokeless) tobacco." /> <alias value="RookStatus" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <valueSet value="https://fhir.healthdata.be/ValueSet/SmokingStatus" /> </binding> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.10" /> <comment value="TobaccoUseStatus" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.SmokingStatus" /> </mapping> </element> <element id="Observation.note"> <path value="Observation.note" /> <max value="1" /> </element> <element id="Observation.note.text"> <path value="Observation.note.text" /> <short value="Comment" /> <definition value="Relevant comments on the patient’s use of tobacco." /> <alias value="Toelichting" /> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.3" /> <comment value="Comment" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.Comment" /> </mapping> </element> <element id="Observation.component"> <path value="Observation.component" /> <slicing> <discriminator> <type value="value" /> <path value="code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Observation.component:typeOfSmokingOrTobacco"> <path value="Observation.component" /> <sliceName value="typeOfSmokingOrTobacco" /> <max value="1" /> </element> <element id="Observation.component:typeOfSmokingOrTobacco.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="53661000146106" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:typeOfSmokingOrTobacco.value[x]"> <path value="Observation.component.value[x]" /> <short value="TypeOfSmokingOrTobacco" /> <definition value="The patient's type of smoking or tobacco use." /> <alias value="SoortRokenOfTabak" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="extensible" /> <valueSet value="https://fhir.healthdata.be/ValueSet/TypeOfSmokingOrTobacco" /> </binding> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.9" /> <comment value="TypeOfTobaccoUsed" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.TypeOfSmokingOrTobacco" /> </mapping> </element> <element id="Observation.component:amount"> <path value="Observation.component" /> <sliceName value="amount" /> <max value="1" /> </element> <element id="Observation.component:amount.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="266918002" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:amount.value[x]"> <path value="Observation.component.value[x]" /> <short value="Amount" /> <definition value="The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year." /> <alias value="Hoeveelheid" /> <type> <code value="Quantity" /> </type> <patternQuantity> <system value="http://unitsofmeasure.org" /> </patternQuantity> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.6" /> <comment value="Amount" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.ObservationOfUse.Amount" /> </mapping> </element> <element id="Observation.component:packYears"> <path value="Observation.component" /> <sliceName value="packYears" /> <max value="1" /> </element> <element id="Observation.component:packYears.code"> <path value="Observation.component.code" /> <patternCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="401201003" /> </coding> </patternCodeableConcept> </element> <element id="Observation.component:packYears.value[x]"> <path value="Observation.component.value[x]" /> <short value="PackYears" /> <definition value="The unit indicating the smoker’s total exposure to tobacco smoke. For cigarettes, this is calculated using the number of smoked packs of cigarettes per day (one pack = 20 cigarettes) times the number of years of smoking. For other forms of tobacco, this is usually converted to an equivalent cigarette consumption. Often, only the number of pack years is estimated." /> <alias value="PackYears" /> <type> <code value="integer" /> </type> <mapping> <identity value="zib-tobaccouse-v3.2-2020EN" /> <map value="NL-CM:7.2.7" /> <comment value="PackYears" /> </mapping> <mapping> <identity value="HdBe-SmokingStatus" /> <map value="SmokingStatus.ObservationOfUse.PackYears" /> </mapping> </element> </differential> </StructureDefinition>