<ValueSet xmlns="http://hl7.org/fhir">
  <id value="UKCore-TobaccoConsumption" />
  <url value="https://fhir.hl7.org.uk/ValueSet/UKCore-TobaccoConsumption" />
  <version value="0.2.0" />
  <name value="UKCoreTobaccoConsumption" />
  <title value="UK Core Tobacco Consumption" />
  <status value="draft" />
  <date value="2026-01-16" />
  <publisher value="HL7 UK" />
  <contact>
    <name value="HL7 UK" />
    <telecom>
      <system value="email" />
      <value value="ukcore@hl7.org.uk" />
      <use value="work" />
      <rank value="1" />
    </telecom>
  </contact>
  <description value="A set of codes that define a patients level of consumption. Selected from the SNOMED CT UK coding system: &#xD; - DescendantOrSelfOf 266918002 | Tobacco smoking consumption | &#xD; - 228500003 | Moist tobacco consumption | &#xD; - 228510007 | Chewed tobacco consumption | &#xD; - 228490006 | Snuff consumption | &#xD; - MINUS &#xD; - 401201003 | Cigarette pack-years | &#xD; - 782516008 | Number of calculated pack years for cumulative lifetime tobacco exposure |" />
  <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the &quot;License&quot;); you may not use this file except in compliance with the License. You may obtain a copy of the License at  http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at  https://www.hl7.org/fhir/license.html." />
  <compose>
    <include>
      <system value="http://snomed.info/sct" />
      <filter>
        <property value="constraint" />
        <op value="=" />
        <value value="(DescendantOrSelfOf 266918002 OR 228500003 OR 228510007 OR 228490006) MINUS (401201003 OR 782516008)" />
      </filter>
    </include>
  </compose>
  <expansion>
    <identifier value="d75409bd-f6ae-4634-8521-4f9bd9b43a29" />
    <timestamp value="2023-11-20T10:14:00+00:00" />
    <total value="8" />
    <offset value="0" />
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="228510007" />
      <display value="Chewed tobacco consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="230057008" />
      <display value="Cigar consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="230056004" />
      <display value="Cigarette consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="228500003" />
      <display value="Moist tobacco consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="230058003" />
      <display value="Pipe tobacco consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="228490006" />
      <display value="Snuff consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="266918002" />
      <display value="Tobacco smoking consumption" />
    </contains>
    <contains>
      <system value="http://snomed.info/sct" />
      <code value="836001000000109" />
      <display value="Waterpipe tobacco consumption" />
    </contains>
  </expansion>
</ValueSet>