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HdBe-StatutTabagique

CBB	Concept	Status
HdBe-SmokingStatus	Le tabac est un produit issu des feuilles de la plante de tabac, que l'on fume en tant que drogue. Les formes de tabac à fumer incluent le tabac à rouler, les cigarettes, les cigares et le tabac pour pipe. Ce modèle d'information décrit les renseignements demandés au patient au sujet de son comportement tabagique et de son tabagisme. Purpose Pendant l'anamnèse sociale, le patient est fréquemment interrogé sur son comportement tabagique, son usage du tabac (tabagisme) ou son exposition à la fumée de tabac à la maison ou ailleurs. Les informations sur l'usage du tabac peuvent être importantes pour le traitement et le diagnostic. Evidence Base L'exposition au tabac est un facteur de risque important pour les néoplasmes, les maladies dégénératives et les incidents vasculaires. Pendant l'anamnèse, le patient est souvent interrogé sur son profil actuel de tabagisme et le nombre de paquets-années. Le nombre de paquets-années est l'unité qui décrit l'exposition totale à la fumée de tabac, soit le nombre de paquets de cigarettes fumés par jour (un paquet = 20 cigarettes) fois le nombre d'années de tabagisme. Une formule différente est souvent utilisée pour le tabac à rouler et les pipes, l'un des paramètres étant le nombre de grammes par semaine. Instructions Le paquet-année est une mesure de l'exposition des fumeurs à la fumée de tabac. Le calcul n'est pas inclus dans le modèle. Il est saisi dans le dossier pharmaceutique électronique et/ou pendant l'anamnèse et n'est entré que s'il est connu. Cette valeur ne doit pas être calculée sur la base des autres valeurs de ce modèle d'information clinique.	active

CBB

Concept

Status

HdBe-SmokingStatus

Le tabac est un produit issu des feuilles de la plante de tabac, que l'on fume en tant que drogue. Les formes de tabac à fumer incluent le tabac à rouler, les cigarettes, les cigares et le tabac pour pipe. Ce modèle d'information décrit les renseignements demandés au patient au sujet de son comportement tabagique et de son tabagisme.

Purpose

Pendant l'anamnèse sociale, le patient est fréquemment interrogé sur son comportement tabagique, son usage du tabac (tabagisme) ou son exposition à la fumée de tabac à la maison ou ailleurs. Les informations sur l'usage du tabac peuvent être importantes pour le traitement et le diagnostic.

Evidence Base

L'exposition au tabac est un facteur de risque important pour les néoplasmes, les maladies dégénératives et les incidents vasculaires. Pendant l'anamnèse, le patient est souvent interrogé sur son profil actuel de tabagisme et le nombre de paquets-années. Le nombre de paquets-années est l'unité qui décrit l'exposition totale à la fumée de tabac, soit le nombre de paquets de cigarettes fumés par jour (un paquet = 20 cigarettes) fois le nombre d'années de tabagisme. Une formule différente est souvent utilisée pour le tabac à rouler et les pipes, l'un des paramètres étant le nombre de grammes par semaine.

Instructions

Le paquet-année est une mesure de l'exposition des fumeurs à la fumée de tabac. Le calcul n'est pas inclus dans le modèle. Il est saisi dans le dossier pharmaceutique électronique et/ou pendant l'anamnèse et n'est entré que s'il est connu. Cette valeur ne doit pas être calculée sur la base des autres valeurs de ce modèle d'information clinique.

active

SmokingStatus			SmokingStatus	Element id SmokingStatus Short description StatutTabagique Definition Concept root du modèle d'information StatutTabagique. Ce concept contient tous les éléments de données du modèle d'information StatutTabagique. Data type SmokingStatus Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id SmokingStatus.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id SmokingStatus.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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
SmokingStatus		1..1	CodeableConceptBinding	Element id SmokingStatus.SmokingStatus Short description StatutTabagique Definition Le statut tabagique du patient ou son usage du tabac (sans fumée). 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. Data type CodeableConcept Binding Codes StatutTabagique SmokingStatus (extensible) Constraints 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
TypeOfSmokingOrTobacco		0..1	CodeableConceptBinding	Element id SmokingStatus.TypeOfSmokingOrTobacco Short description TypeDeTabagismeOuDUsageDuTabac Definition Le type de tabagisme ou d'usage du tabac du patient. 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. Data type CodeableConcept Binding Codes TypeDeTabagismeOuDUsageDuTabac TypeOfSmokingOrTobacco (extensible) Constraints 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
ObservationOfUse		0..1	BackboneElement	Element id SmokingStatus.ObservationOfUse Short description ObservationDUtilisation Definition Ce conteneur contient toutes les informations sur la mesure où le patient est ou a été exposé au tabac. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id SmokingStatus.ObservationOfUse.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id SmokingStatus.ObservationOfUse.extension Short description Additional content defined by implementations Alternate names extensions, user content 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. 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints 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
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id SmokingStatus.ObservationOfUse.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers 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). 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. Data type Extension Constraints 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
StartDate		0..1	dateTime	Element id SmokingStatus.ObservationOfUse.StartDate Short description DateDébut Definition La date à laquelle le patient a commencé à fumer. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
StopDate		0..1	dateTime	Element id SmokingStatus.ObservationOfUse.StopDate Short description DateArrêt Definition La date à laquelle le patient a arrêté de fumer. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Frequency		0..1	CodeableConceptBinding	Element id SmokingStatus.ObservationOfUse.Frequency Short description Frequency Definition The frequency of smoking or tobacco use. 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. Data type CodeableConcept Binding Valeurs de qualificatif de fréquence FrequencyQualifier (extensible) Constraints 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
Amount	I	0..1	Quantity	Element id SmokingStatus.ObservationOfUse.Amount Short description Quantité Definition Le nombre de cigarettes, de cigares ou de grammes de tabac à rouler consommés par jour, semaine, mois ou année. 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. Data type Quantity Constraints 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
PackYears		0..1	positiveInt	Element id SmokingStatus.ObservationOfUse.PackYears Short description Paquets-années Definition L'unité indiquant l'exposition totale du fumeur à la fumée de tabac. Dans le cas des cigarettes, cette valeur est calculée en utilisant le nombre de paquets de cigarettes fumés par jour (un paquet = 20 cigarettes) fois le nombre d'années de tabagisme. Pour d'autres formes de tabac, on convertit généralement en une consommation équivalente de cigarettes. Souvent, seul le nombre de paquets-années est estimé. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..1	string	Element id SmokingStatus.Comment Short description Commentaire Definition Commentaires pertinents sur l'usage du tabac par le patient. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

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	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
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	rim: n/a
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	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
SmokingStatus.SmokingStatus
Definition	The patient’s smoking status or usage of (smokeless) tobacco.
Cardinality	1...1
Type	CodeableConcept
Binding	SmokingStatus codes SmokingStatus (extensible)
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
SmokingStatus.TypeOfSmokingOrTobacco
Definition	The patient's type of smoking or tobacco use.
Cardinality	0...1
Type	CodeableConcept
Binding	TypeOfSmokingOrTobacco codes TypeOfSmokingOrTobacco (extensible)
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
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	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
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	rim: n/a
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	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
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	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
SmokingStatus.ObservationOfUse.StartDate
Definition	The date on which the patient started smoking.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
SmokingStatus.ObservationOfUse.StopDate
Definition	The date on which the patient quit smoking
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
SmokingStatus.ObservationOfUse.Frequency
Definition	The frequency of smoking or tobacco use.
Cardinality	0...1
Type	CodeableConcept
Binding	Frequency qualifier values FrequencyQualifier (extensible)
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
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	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
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	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
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	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

SmokingStatus
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
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