TobaccoUse-v3.1(2018EN)

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General information

Name: nl.zorg.TobaccoUse NL.png
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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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 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.TabakGebruik-v3.0
DCM::Version 3.1
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

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


#10721#10717#TobaccoUseStatusCodelist#TypeOfTobaccoUsedCodelist#10725#10724#10718#10722#10729#10733#10713TobaccoUse-v3.1Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:7.2.1 Arrowdown.pngTobaccoUse Root concept of the TobaccoUse information model. This concept contains all data elements of the TobaccoUse information model.
ST.png NL-CM:7.2.3 Arrowright.pngComment 0..1 Relevant comments on the patient’s use of tobacco.
48767-8 Annotation comment [Interpretation] Narrative
CD.png NL-CM:7.2.9 Arrowright.pngTypeOfTobaccoUsed 0..1 Type of tobacco the patient uses.
List2.png TypeOfTobaccoUsedCodelist
CD.png NL-CM:7.2.10 Arrowright.pngTobaccoUseStatus 1 The status of the patient’s tobacco use.
365980008 Tobacco use and exposure - finding
List2.png TobaccoUseStatusCodelist
Folder.png NL-CM:7.2.2 Arrowdown.pngObservationOfUse 0..1 This container contains all information on the extent to which the patient is or was exposed to tobacco.
TS.png NL-CM:7.2.4 Arrowright.pngStartDate 0..1 The date on which the patient started smoking.
TS.png NL-CM:7.2.5 Arrowright.pngStopDate 0..1 The date on which the patient quit smoking
PQ.png NL-CM:7.2.6 Arrowright.pngAmount 0..1 The number of cigarettes, cigars or grams of rolling tobacco consumed per day, week, month or year.
INT.png NL-CM:7.2.7 Arrowright.pngPackYears 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 List2.png

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 cigarette smoker 230059006 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
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

This information model in other releases

Information model references

This information model refers to

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This inforation 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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 01/11/2018 17:37:41 with ZibExtraction v. 2.0.6879.31307


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