TobaccoUse-v3.3(2021EN)

Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.zorg.TobaccoUse
Version: 3.3
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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Metadata

DCM::CoderList	Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate	5-7-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.7.2
DCM::KeywordList	social history, sociale anamnese, roken, tabak
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.TabakGebruik
DCM::PublicationDate	01-12-2021
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	03-08-2021
DCM::Supersedes	nl.zorg.TabakGebruik-v3.2
DCM::Version	3.3
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (01-04-2015)

ZIB-118	Definitie van de sectie Concept van bouwsteen OverdrachtIntoxicatieTabak aanpassen.
ZIB-142	Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst RokerStatusCodelijst n.a.v. review terminologie expert.
ZIB-158	Cardinaliteit SoortMiddel aanpassen in bouwsteen OverdrachtDrugsgebruik
ZIB-167	Bevindingen Concept inrichting Intoxicatie Roken/ Alcohol en Drugs in EZIS.NET
ZIB-236	In de klinische bouwsteen OverdrachtIntoxicatieTabak kwam de naam van de tagged value DCM::ValueSet onder het concept SoortTabakGebruiker niet overeen met de naam van de valueset.
ZIB-237	In de klinische bouwsteen OverdrachtIntoxicatieTabak kwam de naam van de tagged value DCM::ValueSet onder het concept RokerStatus niet overeen met de naam van de valueset.
ZIB-308	Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-346	Naamgeving bouwsteen OverdrachtIntoxicatieTabak aangepast in TabakGebruik

Incl. algemene wijzigingsverzoeken:

ZIB-94	Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154	Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200	Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201	Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309	EOI aangepast
ZIB-324	Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326	Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.2.1 (22-05-2015)

ZIB-379

Inconsistent gebruik van naamgeving TabakGebruikStatusCodelijst.

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-474	Terminologiekoppeling Tabaksgebruik
ZIB-488	niet compleet
ZIB-505	Geen informatie
ZIB-512	Hoe houd je verschillende adresgegevens uit elkaar?
ZIB-562	Terminologiekoppeling Tabakgebruik
ZIB-564	Aanpassing/harmonisatie Engelse conceptnamen

Publicatieversie 3.2 (06-07-2019)

ZIB-770	SoortTabakGebruikCodelijst uitbreiding met 3 waardes gevraagd
ZIB-716	Tobacco use ZIB - tobacco type clarification
ZIB-811	SoortTabakGebruikCodelijst uitbreiden met E-smoker

Publicatieversie 3.3 (01-12-2021)

ZIB-1403

Terminologie code ontbreekt voor het element SoortTabakGebruik

Concept

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.

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.

Evidence Base

Exposure to tobacco is an important risk factor for things like neoplasms, degenerative diseases and vascular incidents. During the anamnesis, the patient is often asked about their current smoking pattern and number of pack years. The number of pack years is the unit that describes the total exposure to tobacco smoke, which is the number of smoked packs of cigarettes per day (one pack = 20 cigarettes) times the number of years of smoking. A different formula is often used for rolling tobacco and pipes, with one of the parameters being the number of grams per week.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:7.2.1	TobaccoUse							Root concept of the TobaccoUse information model. This concept contains all data elements of the TobaccoUse information model.
	NL-CM:7.2.3		Comment					0..1	Relevant comments on the patient’s use of tobacco.	48767-8 Annotation comment [Interpretation] Narrative
	NL-CM:7.2.9		TypeOfTobaccoUsed					0..1	Type of tobacco the patient uses.	53661000146106 Type of tobacco used	TypeOfTobaccoUsedCodelist
	NL-CM:7.2.10		TobaccoUseStatus					1	The status of the patient’s tobacco use.	365980008 Tobacco use and exposure - finding	TobaccoUseStatusCodelist
	NL-CM:7.2.2		ObservationOfUse					0..1	This container contains all information on the extent to which the patient is or was exposed to tobacco.
	NL-CM:7.2.4			StartDate				0..1	The date on which the patient started smoking.
	NL-CM:7.2.5			StopDate				0..1	The date on which the patient quit smoking
	NL-CM:7.2.6			Amount				0..1	The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.
	NL-CM:7.2.7			PackYears				0..1	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.	401201003 Cigarette pack-years

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

SoortTabakGebruik	Tabak GebruikStatus	Start Datum	Stop Datum	Pack Years	Hoeveelheid	Toelichting
Rookt shag	Rookt dagelijks	1985		20	350 g per week	Probeert te stoppen. Thuis wordt ook door partner gerookt

Instructions

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.

Valuesets

TobaccoUseStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.2.2

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Smokes tobacco daily	449868002	SNOMED CT	2.16.840.1.113883.6.96	Rookt dagelijks
Occasional tobacco smoker	428041000124106	SNOMED CT	2.16.840.1.113883.6.96	Rookt soms
Passive smoker	43381005	SNOMED CT	2.16.840.1.113883.6.96	Rookt passief
Ex-smoker	8517006	SNOMED CT	2.16.840.1.113883.6.96	Ex-roker
Current non smoker but past smoking history unknown	405746006	SNOMED CT	2.16.840.1.113883.6.96	Niet-roker, maar rookgedrag in verleden onbekend
Never smoked tobacco	266919005	SNOMED CT	2.16.840.1.113883.6.96	Nooit gerookt
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Anders

TypeOfTobaccoUsedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.2.3

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Cigarette smoker	65568007	SNOMED CT	2.16.840.1.113883.6.96	Rookt sigaretten
Cigar smoker	59978006	SNOMED CT	2.16.840.1.113883.6.96	Rookt sigaren
Pipe smoker	82302008	SNOMED CT	2.16.840.1.113883.6.96	Rookt pijp
Rolls own cigarettes	160619003	SNOMED CT	2.16.840.1.113883.6.96	Rookt shag
Electronic cigarette user	722499006	SNOMED CT	2.16.840.1.113883.6.96	Rookt e-sigaret
Chews tobacco	81703003	SNOMED CT	2.16.840.1.113883.6.96	Gebruikt kauwtabak
Snuff user	228494002	SNOMED CT	2.16.840.1.113883.6.96	Gebruikt snuiftabak
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Anders

This information model in other releases

• Release 2015, (Version 1.2.1)
• Release 2016, (Version 3.0)
• Release 2017, (Version 3.1)
• Prerelease 2018-2, (Version 3.1)
• Prerelease 2019-2, (Version 3.2)
• Release 2020, (Version 3.2)
• Prerelease 2022-1, (Version 3.4)
• Prerelease 2023-1, (Version 3.5)

Information model references

This information model refers to

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This information model is used in

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

• HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
• HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
• LOINC version 2.67

Conditions for use are located on the mainpage
This page is generated on 30/11/2021 09:45:47 with ZibExtraction v. 6.4.8004.1652

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