{
  "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 smoking behaviour and use of tobacco.",
  "_filename": "HdBe-SmokingStatus.json",
  "package_name": "healthdata.be.r4.cbb",
  "date": null,
  "derivation": "constraint",
  "publisher": "Healthdata.be (Sciensano)",
  "fhirVersion": "4.0.1",
  "name": "HdBeSmokingStatus",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/TobaccoUse-v3.2(2020EN)",
    "name": "zib TobaccoUse-v3.2(2020EN)",
    "identity": "zib-tobaccouse-v3.2-2020EN"
  }, {
    "uri": "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-SmokingStatus",
    "name": "HdBe logical model SmokingStatus",
    "identity": "HdBe-SmokingStatus"
  } ],
  "abstract": false,
  "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": "HdBe SmokingStatus",
  "package_version": "0.4.0-alpha",
  "status": "draft",
  "id": "4ced521a-5cfd-485d-ae60-f2bcf4ca0c03",
  "kind": "resource",
  "url": "https://fhir.healthdata.be/StructureDefinition/HdBe-SmokingStatus",
  "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.subject",
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Location", "https://fhir.healthdata.be/StructureDefinition/HdBe-Patient" ]
      } ]
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "id": "Observation.effective[x]:effectivePeriod",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "Period"
      } ],
      "sliceName": "effectivePeriod"
    }, {
      "id": "Observation.effective[x]:effectivePeriod.start",
      "path": "Observation.effective[x].start",
      "alias": [ "StartDatum" ],
      "short": "StartDate",
      "mapping": [ {
        "map": "NL-CM:7.2.4",
        "comment": "StartDate",
        "identity": "zib-tobaccouse-v3.2-2020EN"
      }, {
        "map": "observation_of_use.start_date",
        "identity": "HdBe-SmokingStatus"
      } ],
      "definition": "The date on which the patient started smoking."
    }, {
      "id": "Observation.effective[x]:effectivePeriod.end",
      "path": "Observation.effective[x].end",
      "alias": [ "StopDatum" ],
      "short": "StopDate",
      "mapping": [ {
        "map": "NL-CM:7.2.5",
        "comment": "StopDate",
        "identity": "zib-tobaccouse-v3.2-2020EN"
      }, {
        "map": "observation_of_use.stop_date",
        "identity": "HdBe-SmokingStatus"
      } ],
      "definition": "The date on which the patient quit smoking"
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "$this",
          "type": "type"
        } ]
      }
    }, {
      "path": "Observation.valueCodeableConcept",
      "definition": "The patient’s smoking status or usage of (smokeless) tobacco.",
      "short": "SmokingStatus",
      "mapping": [ {
        "map": "NL-CM:7.2.10",
        "comment": "TobaccoUseStatus",
        "identity": "zib-tobaccouse-v3.2-2020EN"
      }, {
        "map": "smoking_status",
        "identity": "HdBe-SmokingStatus"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "sliceName": "valueCodeableConcept",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.healthdata.be/ValueSet/SmokingStatus"
      },
      "alias": [ "RookStatus" ],
      "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:typeOfSmokingOrTobacco",
      "max": "1",
      "path": "Observation.component",
      "sliceName": "typeOfSmokingOrTobacco"
    }, {
      "id": "Observation.component:typeOfSmokingOrTobacco.code",
      "path": "Observation.component.code",
      "patternCodeableConcept": {
        "coding": [ {
          "code": "53661000146106",
          "system": "http://snomed.info/sct"
        } ]
      }
    }, {
      "id": "Observation.component:typeOfSmokingOrTobacco.value[x]",
      "path": "Observation.component.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "alias": [ "SoortRokenOfTabak" ],
      "short": "TypeOfSmokingOrTobacco",
      "binding": {
        "strength": "extensible",
        "valueSet": "https://fhir.healthdata.be/ValueSet/TypeOfSmokingOrTobacco"
      },
      "mapping": [ {
        "map": "NL-CM:7.2.9",
        "comment": "TypeOfTobaccoUsed",
        "identity": "zib-tobaccouse-v3.2-2020EN"
      }, {
        "map": "type_of_smoking_or_tobacco",
        "identity": "HdBe-SmokingStatus"
      } ],
      "definition": "The patient's type of smoking or tobacco use."
    }, {
      "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": "Healthdata.be (Sciensano)",
    "telecom": [ {
      "use": "work",
      "value": "fhir.healthdata@sciensano.be",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}