HdBe-SmokingStatus
CBB | Description | Status |
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HdBe-SmokingStatus | 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. PurposeDuring the social anamnesis, the patient is frequently asked about their smoking behaviour, use of tobacco or exposure to tobacco smoke at home or elsewhere. Information on tobacco use can be important for treatment and diagnostics. Evidence BaseExposure to tobacco is an important risk factor for things like neoplasms, degenerative diseases and vascular incidents. During the anamnesis, the patient is often asked about their current smoking pattern and number of pack years. The number of pack years is the unit that describes the total exposure to tobacco smoke, which is the number of smoked packs of cigarettes per day (one pack = 20 cigarettes) times the number of years of smoking. A different formula is often used for rolling tobacco and pipes, with one of the parameters being the number of grams per week. InstructionsThe pack year is a measure for smokers’ exposure to tobacco smoke. The calculation is not included in the model. It is entered in the EPD and/or during the anamnesis and is only entered if known. This should not be calculated based on the other values in this clinical information model. | active |
SmokingStatus | SmokingStatus | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
SmokingStatus | 1..1 | CodeableConceptBinding | |
TypeOfSmokingOrTobacco | 0..1 | CodeableConceptBinding | |
ObservationOfUse | 0..1 | BackboneElement | |
id | 0..1 | string | |
extension | I | 0..* | Extension |
modifierExtension | Σ ?! I | 0..* | Extension |
StartDate | 0..1 | dateTime | |
StopDate | 0..1 | dateTime | |
Frequency | 0..1 | CodeableConceptBinding | |
Amount | I | 0..1 | Quantity |
PackYears | 0..1 | positiveInt | |
Comment | 0..1 | string |
SmokingStatus | 0..* | |
SmokingStatus.SmokingStatus | CodeableConcept | 1..1 |
SmokingStatus.TypeOfSmokingOrTobacco | CodeableConcept | 0..1 |
SmokingStatus.ObservationOfUse | BackboneElement | 0..1 |
SmokingStatus.ObservationOfUse.StartDate | dateTime | 0..1 |
SmokingStatus.ObservationOfUse.StopDate | dateTime | 0..1 |
SmokingStatus.ObservationOfUse.Frequency | CodeableConcept | 0..1 |
SmokingStatus.ObservationOfUse.Amount | Quantity | 0..1 |
SmokingStatus.ObservationOfUse.PackYears | positiveInt | 0..1 |
SmokingStatus.Comment | string | 0..1 |
SmokingStatus | |
Definition | Root concept of the SmokingStatus information model. This concept contains all data elements of the SmokingStatus information model. |
Cardinality | 0...* |
Invariants |
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Mappings |
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SmokingStatus.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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SmokingStatus.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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SmokingStatus.SmokingStatus | |
Definition | The patient’s smoking status or usage of (smokeless) tobacco. |
Cardinality | 1...1 |
Type | CodeableConcept |
Binding | SmokingStatus codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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SmokingStatus.TypeOfSmokingOrTobacco | |
Definition | The patient's type of smoking or tobacco use. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | TypeOfSmokingOrTobacco codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse | |
Definition | This container contains all information on the extent to which the patient is or was exposed to tobacco. |
Cardinality | 0...1 |
Type | BackboneElement |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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SmokingStatus.ObservationOfUse.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Cardinality | 0...* |
Type | Extension |
Modifier | True |
Summary | True |
Alias | extensions, user content, modifiers |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.StartDate | |
Definition | The date on which the patient started smoking. |
Cardinality | 0...1 |
Type | dateTime |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.StopDate | |
Definition | The date on which the patient quit smoking |
Cardinality | 0...1 |
Type | dateTime |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.Frequency | |
Definition | The frequency of smoking or tobacco use. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | Frequency qualifier values |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.Amount | |
Definition | The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year. |
Cardinality | 0...1 |
Type | Quantity |
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. |
Invariants |
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Mappings |
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SmokingStatus.ObservationOfUse.PackYears | |
Definition | 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. |
Cardinality | 0...1 |
Type | positiveInt |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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SmokingStatus.Comment | |
Definition | Relevant comments on the patient’s use of tobacco. |
Cardinality | 0...1 |
Type | string |
Comments | Note that FHIR strings SHALL NOT exceed 1MB in size |
Invariants |
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Mappings |
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Example instances
SmokingStatus | |
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SmokingStatus | 722499006 - Electronic cigarette user (code by SNOMED CT) |
TypeOfSmokingOrTobacco | 785889008 - Nicotine-filled electronic cigarette user (code by SNOMED CT) |
ObservationOfUse.StartDate | 1985 |
ObservationOfUse.StopDate | |
ObservationOfUse.Frequency | 69620002 - Daily (code by SNOMED CT) |
ObservationOfUse.Amount | 16mg Nicotine per day |
ObservationOfUse.PackYears | |
Comment | Tries to quit. Partner also smokes. |
zib TobaccoUse-v3.2 difference
Concept | Category | Description |
---|---|---|
description | textual | Widened the scope of the CBB to smoking status to include the use of e-cigarette smoking. |
SmokingStatus |
element | Renamed element from TobaccoUseStatus to SmokingStatus. |
SmokingStatus |
terminology | Added codes to define electronic cigarette users. Removed codes that contained frequency information because this is replaced by the ObservationOfUse.Frequency element. Added Unkown and Other qualifier codes. |
TypeOfSmokingOrTobacco |
element | Renamed element from TypeOfTobaccoUsed to accomodate e-cigarettes. |
TypeOfSmokingOrTobacco |
terminology | Added type of e-cigarette codes and Unkown and Other qualifier codes. |
ObservationOfUse.Frequency |
element | Added element to capture the frequency of the smoking or tobacco use. This may have some overlap with amount. |
Terminology Bindings
Path | Name | Strength | URL |
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SmokingStatus | SmokingStatus | extensible | https://fhir.healthdata.be/ValueSet/SmokingStatus |
TypeOfSmokingOrTobacco | TypeOfSmokingOrTobacco | extensible | https://fhir.healthdata.be/ValueSet/TypeOfSmokingOrTobacco |
ObservationOfUse.Frequency | FrequencyQualifier | extensible | https://fhir.healthdata.be/ValueSet/FrequencyQualifier |