Tobacco Smoking Summary

[brettesler-ext]

Need assessment profile - ClinicalImpression to group?

1..1 ClinicalImpression.summary - Overall description

1..1 Observation - Smoking Status Consider US Core alignment http://build.fhir.org/ig/HL7/US-Core-R4/ValueSet-us-core-observation-smokingstatus.html Value: http://build.fhir.org/ig/HL7/US-Core-R4/StructureDefinition-us-core-smokingstatus.html (restricted this?) Period.start Start Date (constraint: only for smoker or ex-smoker) Period.end Quit Date (constraint: only for ex-smoker)

0..* Obervation - Pattern of Use Code:
General code : Pattern of Tobacco Use

• Type specific code (Cigarrette/Cigar/Pipe .. ) Value: Quantity units: / day; grams / day; grams / week (constraints needed) ; Coded daily/not-daily

0..1 Observation - Quit Attempts Count Code: ? Value: Quantity (no units)

0..1 Observation - Overall Pack Years Code: ? Value: Quantity

[jimsteel]

There's more detail in the R2 version

[brettesler-ext]

Think we should use IPS for the status observation http://build.fhir.org/ig/HL7/fhir-ips/StructureDefinition-Observation-tobaccouse-uv-ips.html

[brettesler-ext]

problem with IPS - it references IPS Patient which is not desirable; think we should do a compatible AU Base profile for smoking status - we have policy in AU base not to reference AU base resources to allow for max flexibility in downstream use.

[brettesler-ext]

have added AU Base and Primary Care smoking status compatible with IPS - need to discuss value binding currently LOINC

[brettesler-ext]

need to assess https://confluence.hl7.org/display/CIC/Common+Clinical+Registry+Framework%3A+Common+Data+Elements+%28CDEs%29+for+Registries+Interoperability?preview=/29753662/51221853/Copy%20of%20Tobacco%20Use%20Proposal%20v5.xlsx

[brettesler-ext]

R1 Smoking status value coding now aligned with US Core; Observation code is SNOMED; with optional LOINC (compatible with IPS/US Core)

[brettesler-ext]

R1 Smoking Status is done