Tobacco smoking status


Parameter Case Report Form and Response Options

Has the patient ever smoked cigarettes? Yes Nonsmoker Former smoker Unknown
Smoking status

This profile of a FHIR Observation is derived from the Tobacco use assessment-profile of the International Patient Summary (IPS).


Control the different response options via the valueCodeableConcept of the Observation:

RESPONSE OPTIONS Observation.value[x]:valueCodeableConcept
Yes "Current every day smoker"
Nonsmoker "Never smoker"
Former smoker "Former smoker"
Unknown "Unknown if ever smoked"

Profile - Smoking Status

Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/smoking-status

Snapshot

identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusΣ ?!1..1codeBinding
category0..*CodeableConceptBinding
codeS Σ1..1CodeableConcept
subjectS Σ I1..1Reference(Patient)
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
dataAbsentReasonS I0..1Extension(code)
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueCodeableConceptCodeableConcept
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
note0..*Annotation
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)


Canonical: https://www.netzwerk-universitaetsmedizin.de/fhir/ValueSet/smoking-status

ValueSet 'SmokingStatus'

Version1.0.6
Published byBerlin Institute of Health at Charité (BIH)
StatusActive
ExperimentalFalse

Codes to capture tobacco smoking status

Contact Information

Website: https://www.bihealth.org/en/re...

This value set includes codes from the following code systems:

  • The following codes from system: http://loinc.org

    CodeDisplay
    LA18976-3Current every day smoker
    LA15920-4Former smoker
    LA18978-9Never smoker
    LA18980-5Unknown if ever smoked


Examples

Patient is smoker

{
    "resourceType": "Observation",
    "id": "smoking-status-smoker",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/smoking-status"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "72166-2",
                "system": "http://loinc.org",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Social History"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-06",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA18976-3",
                "system": "http://loinc.org",
                "display": "Current every day smoker"
            }
        ],
        "text": "Patient is smoker"
    }
}


Patient is nonsmoker

{
    "resourceType": "Observation",
    "id": "smoking-status-nonsmoker",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/smoking-status"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "72166-2",
                "system": "http://loinc.org",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Social History"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-09-21",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA18978-9",
                "system": "http://loinc.org",
                "display": "Never smoker"
            }
        ],
        "text": "Patient is nonsmoker"
    }
}


Patient is former smoker

{
    "resourceType": "Observation",
    "id": "smoking-status-former-smoker",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/smoking-status"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "72166-2",
                "system": "http://loinc.org",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Social History"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-06",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA15920-4",
                "system": "http://loinc.org",
                "display": "Former smoker"
            }
        ],
        "text": "Patient is former smoker"
    }
}


Unknown

{
    "resourceType": "Observation",
    "id": "smoking-status-unknown",
    "meta": {
        "profile":  [
            "https://www.netzwerk-universitaetsmedizin.de/fhir/StructureDefinition/smoking-status"
        ]
    },
    "code": {
        "coding":  [
            {
                "code": "72166-2",
                "system": "http://loinc.org",
                "display": "Tobacco smoking status"
            }
        ]
    },
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "code": "social-history",
                    "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                    "display": "Social History"
                }
            ]
        }
    ],
    "subject": {
        "reference": "Patient/gecco-patient"
    },
    "effectiveDateTime": "2020-10-06",
    "valueCodeableConcept": {
        "coding":  [
            {
                "code": "LA18980-5",
                "system": "http://loinc.org",
                "display": "Unknown if ever smoked"
            }
        ],
        "text": "Unknown if patient ever smoked"
    }
}