{
"description": "TobaccoUse as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.1, release 2017.\\r\\n\\r\\nTobacco 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.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "During the social anamnesis, the patient is frequently asked about their use of tobacco or exposure to tobacco smoke at home or elsewhere. Information on tobacco use can be important for treatment and diagnostics.",
"name": "Zib TobaccoUse",
"mapping": [ {
"uri": "https://zibs.nl/wiki/TobaccoUse-v1.2.1(2015EN)",
"name": "HCIM TobaccoUse-v1.2.1(2015EN)",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/TobaccoUse-v3.0(2016EN)",
"name": "HCIM TobaccoUse-v3.0(2016EN)",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/TobaccoUse-v3.1(2017EN)",
"name": "HCIM TobaccoUse-v3.1(2017EN)",
"identity": "hcim-tobaccouse-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Observation",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM TobaccoUse",
"package_version": "1.3.0",
"status": "active",
"id": "28f0a20f-f046-4dca-8bb8-a79c7bff0799",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse",
"version": "2.1.0",
"differential": {
"element": [ {
"id": "Observation",
"path": "Observation",
"alias": [ "TabakGebruik" ],
"short": "TobaccoUse",
"mapping": [ {
"map": "NL-CM:7.2.1",
"comment": "TobaccoUse",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.1",
"comment": "TobaccoUse",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.1",
"comment": "TobaccoUse",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"definition": "Root concept of the TobaccoUse information model. This concept contains all data elements of the TobaccoUse information model."
}, {
"id": "Observation.identifier",
"path": "Observation.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.code.coding",
"path": "Observation.code.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "Observation.code.coding:TobaccoUseCode",
"path": "Observation.code.coding",
"short": "TobaccoUseCode",
"sliceName": "TobaccoUseCode"
}, {
"id": "Observation.code.coding:TobaccoUseCode.system",
"path": "Observation.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.code.coding:TobaccoUseCode.code",
"path": "Observation.code.coding.code",
"fixedCode": "365980008"
}, {
"id": "Observation.code.coding:TobaccoUseCode.display",
"path": "Observation.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Finding of tobacco use and exposure (finding)"
}, {
"id": "Observation.subject",
"min": 1,
"path": "Observation.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.effective[x]:effectivePeriod",
"path": "Observation.effectivePeriod",
"type": [ {
"code": "Period"
} ],
"mapping": [ {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"sliceName": "effectivePeriod"
}, {
"id": "Observation.effective[x]:effectivePeriod.start",
"path": "Observation.effectivePeriod.start",
"alias": [ "StartDatum" ],
"short": "StartDate",
"mapping": [ {
"map": "NL-CM:7.2.4",
"comment": "StartDate",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.4",
"comment": "StartDate",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.4",
"comment": "StartDate",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"definition": "The date on which the patient started smoking."
}, {
"id": "Observation.effective[x]:effectivePeriod.end",
"path": "Observation.effectivePeriod.end",
"alias": [ "StopDatum" ],
"short": "StopDate",
"example": [ {
"label": "Example dateTime",
"valueDateTime": "2012-02-28T00:00:00"
} ],
"mapping": [ {
"map": "NL-CM:7.2.5",
"comment": "StopDate",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.5",
"comment": "StopDate",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.5",
"comment": "StopDate",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"definition": "The date on which the patient quit smoking.\r\nIf the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time."
}, {
"id": "Observation.performer",
"path": "Observation.performer",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
} ],
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Observation.performer.extension",
"path": "Observation.performer.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Observation.performer.extension:practitionerRole",
"max": "1",
"path": "Observation.performer.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"path": "Observation.valueCodeableConcept",
"min": 1,
"definition": "The status of the patient’s tobacco use.",
"short": "TobaccoUseStatus",
"mapping": [ {
"map": "NL-CM:7.2.10",
"comment": "TobaccoUseStatus",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.10",
"comment": "TobaccoUseStatus",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.10",
"comment": "TobaccoUseStatus",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "The status of the patient’s tobacco use.",
"valueSetReference": {
"display": "TabakGebruikStatusCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.2.2--20171231000000"
}
},
"alias": [ "TabakGebruikStatus" ],
"id": "Observation.value[x]:valueCodeableConcept"
}, {
"id": "Observation.comment",
"path": "Observation.comment",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:7.2.3",
"comment": "Explanation",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.3",
"comment": "Explanation",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.3",
"comment": "Comment",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"definition": "Relevant comment on the patient’s use of tobacco."
}, {
"id": "Observation.component",
"path": "Observation.component",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code.coding.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 exact snomed code for this concept is not yet determined. More information on the status of this terminology binding, please check the public issue https://bits.nictiz.nl/browse/ZIB-562 .",
"definition": "A reference to a code defined by a terminology system."
}, {
"id": "Observation.component:TypeOfTobaccoUsed.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:TypeOfTobaccoUsed.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "53661000146106"
}, {
"id": "Observation.component:TypeOfTobaccoUsed.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Type of tobacco used (observable entity)"
}, {
"path": "Observation.component.valueCodeableConcept",
"definition": "Type of tobacco the patient uses.",
"short": "TypeOfTobaccoUsed",
"mapping": [ {
"map": "NL-CM:7.2.9",
"comment": "TypeOfTobaccoUsed",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.9",
"comment": "TypeOfTobaccoUsed",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.9",
"comment": "TypeOfTobaccoUsed",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"sliceName": "valueCodeableConcept",
"binding": {
"strength": "extensible",
"description": "Type of tobacco the patient uses.",
"valueSetReference": {
"display": "SoortTabakGebruikCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.7.2.3--20171231000000"
}
},
"alias": [ "SoortTabakGebruik" ],
"id": "Observation.component:TypeOfTobaccoUsed.value[x]:valueCodeableConcept"
}, {
"id": "Observation.component:Amount",
"max": "1",
"path": "Observation.component",
"sliceName": "Amount"
}, {
"id": "Observation.component:Amount.code",
"path": "Observation.component.code",
"comment": "Correcct terminology needed. Same code is now used for TypeOfTobaccoUsed and Amount. Therefore the component.code.coding.code is not yet fixed.",
"definition": "A reference to a code defined by a terminology system."
}, {
"id": "Observation.component:Amount.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:Amount.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "266918002"
}, {
"id": "Observation.component:Amount.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Tobacco smoking consumption (observable entity)"
}, {
"path": "Observation.component.valueQuantity",
"definition": "The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.",
"short": "Amount",
"mapping": [ {
"map": "NL-CM:7.2.6",
"comment": "Amount",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.6",
"comment": "Amount",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.6",
"comment": "Amount",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"type": [ {
"code": "Quantity"
} ],
"sliceName": "valueQuantity",
"alias": [ "Hoeveelheid" ],
"id": "Observation.component:Amount.value[x]:valueQuantity",
"example": [ {
"label": "Example of TobaccoQuantity",
"valueQuantity": {
"code": "{cigarette packs}/wk",
"unit": "cigarettepacks/week",
"value": 5,
"system": "http://unitsofmeasure.org"
}
} ]
}, {
"id": "Observation.component:PackYears",
"max": "1",
"path": "Observation.component",
"comment": "For a discussion on the ways Observations can assembled in groups together see [Notes below](observation.html#4.20.4).",
"sliceName": "PackYears"
}, {
"id": "Observation.component:PackYears.code",
"path": "Observation.component.code",
"definition": "A reference to a code defined by a terminology system."
}, {
"id": "Observation.component:PackYears.code.coding.system",
"path": "Observation.component.code.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "Observation.component:PackYears.code.coding.code",
"path": "Observation.component.code.coding.code",
"fixedCode": "401201003"
}, {
"id": "Observation.component:PackYears.code.coding.display",
"path": "Observation.component.code.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Cigarette pack-years (observable entity)"
}, {
"id": "Observation.component:PackYears.value[x]:valueQuantity",
"path": "Observation.component.valueQuantity",
"type": [ {
"code": "Quantity"
} ],
"alias": [ "PackYears" ],
"short": "PackYears",
"mapping": [ {
"map": "NL-CM:7.2.7",
"comment": "PackYears",
"identity": "hcim-tobaccouse-v1.2.1-2015EN"
}, {
"map": "NL-CM:7.2.7",
"comment": "PackYears",
"identity": "hcim-tobaccouse-v3.0-2016EN"
}, {
"map": "NL-CM:7.2.7",
"comment": "PackYears",
"identity": "hcim-tobaccouse-v3.1-2017EN"
} ],
"sliceName": "valueQuantity",
"definition": "The pack year is a measure for smokers’ exposure to tobacco smoke. The calculation is not included in the model. It is entered in the EPD and/or during the anamnesis and is only entered if known. This should not be calculated based on the other values in this clinical information model.\r\n\r\nThe 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."
}, {
"id": "Observation.component:PackYears.value[x]:valueQuantity.system",
"min": 1,
"path": "Observation.component.valueQuantity.system",
"fixedUri": "http://unitsofmeasure.org"
}, {
"id": "Observation.component:PackYears.value[x]:valueQuantity.code",
"min": 1,
"path": "Observation.component.valueQuantity.code",
"fixedCode": "{PackYears}"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}