Former Smoking Status

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Approval Status

  • Approval Status: Approved
  • Example Task Force: 6/26/2014

  • SDWG: 7/3/2014

  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

C-CDA 2.1 Example:

  • Social History Section 2.16.840.1.113883.10.20.22.2.17:2015-08-01
  • Smoking Status 2.16.840.1.113883.10.20.22.4.78:2014-06-09
  • 2.16.840.1.113883.10.20.22.4.119

Reference to full CDA sample:

  • Social history in empty CCD

Validation location

Comments

  • This is an example of a former smoker in smoking status. There is a variation in how effectiveTime/high is used since this represents when the patient stopped smoking, not when they stopped being a former smoker. C-CDA explicitly guides to this usage of effectiveTime. A best practice to avoid confusion is for each social history section to only include a single smoking status.

    Custodian

  • John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Keywords

  • Social History, Smoking

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Links

 

Example: download example view on GitHub 

<section>
	<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
	<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
	<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/>
	<title>Social History</title>
	<text>
		<list>
			<caption>Smoking Status</caption>
			<item ID="SmokingStatus">
				<content>Former Smoker</content>
				<content>Started: 1994</content>
				<content>Stopped: March 2011</content>
				<content>Recorded June 6, 2014 10:32am</content>
			</item>
		</list>
	</text>
	<!-- Only include one smoking status per patient. -->
	<entry>
		<observation classCode="OBS" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.78"  extension="2014-06-09"/>
			<id extension="123456789" root="2.16.840.1.113883.19" />
			<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status NHIS"/>
			<text>
				<reference value="#SmokingStatus" />
			</text>
			<statusCode code="completed"/>
			<effectiveTime value="201406061032-0500"/>
					<!--Note: This template represents a “snapshot in time” observation, simply reflecting what the patient’s 
					current smoking status is at the time of the observation. As a result, the effectiveTime is constrained 
					to just a time stamp, and will approximately correspond with the author/time. -->
				<!-- The use of a specfic SNOMED code for unknown smoker is an encouraged variation from C-CDA practices in other sections -->
				
			<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="8517006" displayName="Ex-smoker"/>
			<author>
				<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
				<time value="201406061032-0500"/>
				<assignedAuthor>
					<id root="2.16.840.1.113883.4.6" extension="99999999"/>
					<!-- Root means NPI number. -->
					<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
						displayName="Allopathic and Osteopathic Physicians"/>
					<telecom use="WP" value="tel:+1(555)555-1002"/>
					<assignedPerson>
						<name>
							<given>Henry</given>
							<family>Seven</family>
						</name>
					</assignedPerson>
				</assignedAuthor>
			</author>
		</observation>
	</entry>
	<entry>
		<observation classCode="OBS" moodCode="EVN">
			<!-- ** Tobacco use ** -->
            <templateId root="2.16.840.1.113883.10.20.22.4.85"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.85" extension="2014-06-09" />
			<id root="45efb604-7049-4a2e-ad33-d38556c9636c" />
			<code code="11367-0" codeSystem="2.16.840.1.113883.6.1" displayName="History of tobacco use" />
			<text>
				<reference value="#SmokingStatus" />
			</text>
			<statusCode code="completed" />
			<effectiveTime>
				<!-- The low value reflects the start date of the observation/value (moderate smoker) -->
				<low value="1994" />
				<!-- The high value reflects the end date of the observation/value (moderate smoker) -->
				<high value="201103" />
			</effectiveTime>
			<value xsi:type="CD" code="160604004" displayName="Moderate cigarette smoker" codeSystem="2.16.840.1.113883.6.96" />
			<author>
				<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
				<time value="201406061032-0500"/>
				<assignedAuthor>
					<id root="2.16.840.1.113883.4.6" extension="99999999"/>
					<!-- Root means NPI number. -->
					<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
						displayName="Allopathic and Osteopathic Physicians"/>
					<telecom use="WP" value="tel:+1(555)555-1002"/>
					<assignedPerson>
						<name>
							<given>Henry</given>
							<family>Seven</family>
						</name>
					</assignedPerson>
				</assignedAuthor>
			</author>
		</observation>
	</entry>
</section>

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