{
  "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": "0.3.0-beta1",
  "status": "draft",
  "id": "85add107-dd37-4cae-8a08-25ffbf6ec451",
  "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",
      "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"
}