description: '**CHR:** Tobacco product type is recorded through the **Social History** section of the patient chart (`Patients → select patient → chart → Social History → Substance Use → Smoking → Type`). This sub-observation is only accessible through the Social History section, not the Patient Data panel summary.'
package_name: telus.dw.emr.extract-1-1-21
derivation: constraint
name: DwObservationTobaccoUseTobaccoProduct
type: Observation
elements:
  category:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value: {text: social-history}
    index: 7
  referenceRange: {index: 30}
  value[x]:
    elements:
      coding:
        binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/current-smoking-status-uv-ips'}
        mustSupport: true
        index: 22
        elements:
          system:
            pattern: {type: Uri, value: 'http://snomed.info/sct'}
            mustSupport: true
            index: 23
          code: {mustSupport: true, index: 24}
      text: {mustSupport: true, index: 25}
  meta:
    elements:
      lastUpdated: {index: 1}
      source: {mustSupport: true, index: 2}
      security: {mustSupport: true, index: 3}
    required: [lastUpdated]
  derivedFrom: {index: 31}
  encounter:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter']
    index: 14
  specimen: {index: 28}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 20
  note: {mustSupport: true, index: 26}
  status: {mustSupport: true, index: 6}
  effective:
    mustSupport: true
    choices: []
    index: 16
  id: {mustSupport: true, index: 0}
  code:
    mustSupport: true
    index: 8
    elements:
      coding:
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/ValueSet/observation-codes'}
        mustSupport: true
        index: 9
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 10
          code:
            pattern: {type: Code, value: 81228-9}
            mustSupport: true
            index: 11
      text: {mustSupport: true, index: 12}
  identifier: {mustSupport: true, index: 5}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 21}
  bodySite: {index: 27}
  issued: {mustSupport: true, index: 17}
  device: {index: 29}
  subject:
    type: Reference
    mustSupport: true
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient']
    index: 13
  performer:
    type: Reference
    refers: ['https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner', 'https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole']
    index: 18
  text: {mustSupport: true, index: 4}
package_version: 1.1.21
class: profile
kind: resource
url: https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationTobaccoUseTobaccoProduct
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [id, subject, effective]