{
"description": "Tobacco is a product that comes from the leaves of the tobacco plant, which is smoked as a drug. Smokable forms of tobacco include rolling tobacco, cigarettes, cigars and pipe tobacco. This information model describes the information asked of the patient about their use of tobacco.",
"_filename": "zib-TobaccoUse.json",
"package_name": "nictiz.fhir.nl.r4.zib2020",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "4.0.1",
"purpose": "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) TobaccoUse v3.2 (2020)](https://zibs.nl/wiki/TobaccoUse-v3.2(2020EN)).",
"name": "ZibTobaccoUse",
"mapping": [ {
"uri": "https://zibs.nl/wiki/TobaccoUse-v3.2(2020EN)",
"name": "zib TobaccoUse-v3.2(2020EN)",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"abstract": true,
"copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "zib TobaccoUse",
"package_version": "0.11.0-beta.1",
"status": "draft",
"id": "122df5b6-3477-4716-9d6f-8033ce1a9bc4",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse",
"version": null,
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "TabakGebruik" ],
"short": "TobaccoUse",
"mapping": [ {
"map": "NL-CM:7.2.1",
"comment": "TobaccoUse",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ]
}, {
"id": "Observation.code",
"path": "Observation.code",
"patternCodeableConcept": {
"coding": [ {
"code": "365980008",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.effective[x]",
"path": "Observation.effective[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"id": "Observation.effective[x]:effectivePeriod",
"path": "Observation.effective[x]",
"type": [ {
"code": "Period"
} ],
"sliceName": "effectivePeriod"
}, {
"id": "Observation.effective[x]:effectivePeriod.start",
"path": "Observation.effective[x].start",
"alias": [ "StartDatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:7.2.4",
"comment": "StartDate",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"definition": "The date on which the patient started smoking."
}, {
"id": "Observation.effective[x]:effectivePeriod.end",
"path": "Observation.effective[x].end",
"alias": [ "StopDatum" ],
"short": "StopDate",
"mapping": [ {
"map": "NL-CM:7.2.5",
"comment": "StopDate",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"definition": "The date on which the patient quit smoking"
}, {
"id": "Observation.value[x]",
"path": "Observation.value[x]",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "$this",
"type": "type"
} ]
}
}, {
"path": "Observation.value[x]",
"definition": "The status of the patient’s tobacco use.",
"short": "TobaccoUseStatus",
"mapping": [ {
"map": "NL-CM:7.2.10",
"comment": "TobaccoUseStatus",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.2.2--20200901000000"
},
"alias": [ "TabakGebruikStatus" ],
"id": "Observation.value[x]:valueCodeableConcept"
}, {
"id": "Observation.note",
"max": "1",
"path": "Observation.note"
}, {
"id": "Observation.note.text",
"path": "Observation.note.text",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:7.2.3",
"comment": "Comment",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"definition": "Relevant comments on the patient’s use of tobacco."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.component:typeOfTobaccoUsed",
"max": "1",
"path": "Observation.component",
"sliceName": "typeOfTobaccoUsed"
}, {
"id": "Observation.component:typeOfTobaccoUsed.code",
"path": "Observation.component.code",
"comment": "The code to identify this concept (SNOMED 53661000146106) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1403](https://bits.nictiz.nl/browse/ZIB-1403) for more information.",
"patternCodeableConcept": {
"coding": [ {
"code": "53661000146106",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:typeOfTobaccoUsed.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "CodeableConcept"
} ],
"alias": [ "SoortTabakGebruik" ],
"short": "TypeOfTobaccoUsed",
"binding": {
"strength": "extensible",
"valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.2.3--20200901000000"
},
"mapping": [ {
"map": "NL-CM:7.2.9",
"comment": "TypeOfTobaccoUsed",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"definition": "Type of tobacco the patient uses."
}, {
"id": "Observation.component:amount",
"max": "1",
"path": "Observation.component",
"sliceName": "amount"
}, {
"id": "Observation.component:amount.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "266918002",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:amount.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "Hoeveelheid" ],
"short": "Amount",
"mapping": [ {
"map": "NL-CM:7.2.6",
"comment": "Amount",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"definition": "The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.",
"patternQuantity": {
"system": "http://unitsofmeasure.org"
}
}, {
"id": "Observation.component:packYears",
"max": "1",
"path": "Observation.component",
"sliceName": "packYears"
}, {
"id": "Observation.component:packYears.code",
"path": "Observation.component.code",
"patternCodeableConcept": {
"coding": [ {
"code": "401201003",
"system": "http://snomed.info/sct"
} ]
}
}, {
"id": "Observation.component:packYears.value[x]",
"path": "Observation.component.value[x]",
"type": [ {
"code": "integer"
} ],
"alias": [ "PackYears" ],
"short": "PackYears",
"mapping": [ {
"map": "NL-CM:7.2.7",
"comment": "PackYears",
"identity": "zib-tobaccouse-v3.2-2020EN"
} ],
"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."
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "https://www.nictiz.nl",
"system": "url"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}