<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-DwObservationTobaccoUseCurrentStatus" />
  <meta>
    <lastUpdated value="2024-04-25T16:51:26.2363918+00:00" />
  </meta>
  <url value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseCurrentStatus" />
  <version value="2.0.0" />
  <name value="DwObservationTobaccoUseCurrentStatus" />
  <status value="active" />
  <date value="2026-05-29" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.id">
      <path value="Observation.id" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.lastUpdated">
      <path value="Observation.meta.lastUpdated" />
      <min value="1" />
    </element>
    <element id="Observation.meta.source">
      <path value="Observation.meta.source" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.security">
      <path value="Observation.meta.security" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.text">
      <path value="Observation.text" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <comment value="Usage Note - Historical load do not send the deleted entries. For delta send all updated resource including deleted&#xD;&#xA;PSS --&gt;FHIR&#xD;&#xA;Needs Review, unfinished --&gt; Final&#xD;&#xA;Updated --&gt; amended - only if delta is being send&#xD;&#xA;deleted --&gt; entered-in-error - only if delta is being sent&#xD;&#xA;&#xD;&#xA;Conformance Rule - PSS status for active risk factors the status should be final. For updated risk factor the status should be updated to amended&#xD;&#xA;&#xD;&#xA;MA --&gt; FHIR&#xD;&#xA;Active --&gt; Final&#xD;&#xA;deleted --&gt; entered-in-error - only if delta is being sent" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <fixedCodeableConcept>
        <text value="social-history" />
      </fixedCodeableConcept>
      <mustSupport value="true" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="example" />
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-codes" />
      </binding>
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <fixedUri value="http://loinc.org" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.code">
      <path value="Observation.code.coding.code" />
      <fixedCode value="72166-2" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.text">
      <path value="Observation.code.text" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <comment value="Usage Note - Provide encounter for MA if available&#xD;&#xA;&#xD;&#xA;This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests)." />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.issued">
      <path value="Observation.issued" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" />
      </type>
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <comment value="Usage note - provide smoking status + comment as text&#xD;&#xA; &#xD;&#xA;266919005 Never smoked tobacco&#xD;&#xA;8392000 Non-smoker&#xD;&#xA;281018007 Ex-cigarette smoker" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].coding">
      <path value="Observation.value[x].coding" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].coding.system">
      <path value="Observation.value[x].coding.system" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].coding.code">
      <path value="Observation.value[x].coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].coding.display">
      <path value="Observation.value[x].coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.value[x].text">
      <path value="Observation.value[x].text" />
      <comment value="Usage Note: For coding.text provide the text selected within the EMR." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <max value="0" />
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <max value="0" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <max value="0" />
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>