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HdBe-ConsommationAlcool

CBBConceptStatus
HdBe-AlcoholUse

Dans le contexte de ce modèle d'information, l'alcool est le terme collectif désignant les boissons alcoolisées consommées comme produit récréatif. Ce modèle d'information décrit les renseignements demandés au patient au sujet de sa consommation d'alcool.

Purpose

Pendant l'anamnèse sociale, le patient est fréquemment interrogé sur sa consommation d'alcool. Une consommation d'alcool (épisodique) excessive peut influencer le traitement actuel et les diagnostics. Les problèmes liés à l'alcool sont diagnostiqués de plus en plus souvent comme des diagnostics secondaires. Source : Guidelines - Multidisciplinary guidelines for Disorders in alcohol use (CBO, 2009)

Instructions

Si l'échange d'informations sur la consommation d'alcool passée est souhaité dans le cas où le patient a maintenant arrêté de boire ou a considérablement réduit sa consommation d'alcool, cela peut se faire en appliquant le modèle d'information une deuxième fois en saisissant une date de fin, afin que l'on sache clairement que la quantité d'unités par jour est la quantité passée.

Le cas échéant, l'expéditeur peut inclure le type d'alcool consommé dans le champ ‘Commentaire’.

active

id0..1string
extensionI0..*Extension
Comment0..1string
AlcoholUseStatus1..1CodeableConceptBinding
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
StartDate0..1dateTime
StopDate0..1dateTime
AmountI0..1Quantity

AlcoholUse0..*
AlcoholUse.Commentstring0..1
AlcoholUse.AlcoholUseStatusCodeableConcept1..1
AlcoholUse.ObservationOfUseBackboneElement0..1
AlcoholUse.ObservationOfUse.StartDatedateTime0..1
AlcoholUse.ObservationOfUse.StopDatedateTime0..1
AlcoholUse.ObservationOfUse.AmountQuantity0..1


AlcoholUse
DefinitionRoot concept of the AlcoholUse information model. This concept contains all data elements of the AlcoholUse information model.
Cardinality0...*
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
AlcoholUse.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
AlcoholUse.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
AlcoholUse.Comment
DefinitionRelevant comments on the alcohol consumption.
Cardinality0...1
Typestring
Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
AlcoholUse.AlcoholUseStatus
DefinitionThe status of the patient’s alcohol use.
Cardinality1...1
TypeCodeableConcept
Binding

AlcoholUseStatus codes

AlcoholUseStatus (required)
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
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
  • v2: CE/CNE/CWE
  • rim: CD
  • orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
AlcoholUse.ObservationOfUse
DefinitionContainer of the ObservationOfUse concept. This container contains all data elements of the observation of alcohol use.
Cardinality0...1
TypeBackboneElement
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
AlcoholUse.ObservationOfUse.id
DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality0...1
Typestring
Mappings
  • rim: n/a
AlcoholUse.ObservationOfUse.extension
DefinitionMay 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.
Cardinality0...*
TypeExtension
Aliasextensions, 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.

SlicingUnordered, Open, by url(Value)
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
AlcoholUse.ObservationOfUse.modifierExtension
DefinitionMay 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).
Cardinality0...*
TypeExtension
ModifierTrue
SummaryTrue
Aliasextensions, 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
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • ext-1: Must have either extensions or value[x], not both
    extension.exists() != value.exists()
Mappings
  • rim: n/a
  • rim: N/A
AlcoholUse.ObservationOfUse.StartDate
DefinitionThe date on which the patient started using alcohol.
Cardinality0...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
AlcoholUse.ObservationOfUse.StopDate
DefinitionThe date on which the patient stopped consuming alcohol.
Cardinality0...1
TypedateTime
Invariants
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
Mappings
  • rim: n/a
AlcoholUse.ObservationOfUse.Amount
DefinitionThe extent of the patient’s alcohol use in units of alcohol per time period.
Cardinality0...1
TypeQuantity
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
  • ele-1: All FHIR elements must have a @value or children
    hasValue() or (children().count() > id.count())
  • qty-3: If a code for the unit is present, the system SHALL also be present
    code.empty() or system.exists()
Mappings
  • rim: n/a
  • v2: SN (see also Range) or CQ
  • rim: PQ, IVL<PQ>, MO, CO, depending on the values

Example instances

AlcoholUse
Comment Drinks mostly in weekends.
AlcoholUseStatus 219006 - Current drinker (code by SNOMED CT)
ObservationOfUse.StartDate 1995-01-01
ObservationOfUse.StopDate
ObservationOfUse.Amount 3 units per day

zib AlcoholUse-v3.2 difference

Concept Category Description
AlcoholUseStatus terminology Replaced Other (code by Nullflavor) with the 74964007 - Other (code by SNOMED CT) and added 261665006 - Unknown (code by SNOMED CT).



Terminology Bindings

PathNameStrengthURL
AlcoholUseStatusAlcoholUseStatusrequiredhttps://fhir.healthdata.be/ValueSet/AlcoholUseStatus