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(7) Smoking statusClarifications:• We provide the following OID to assist developers in the proper identification and exchange of health information coded to certain vocabulary standards. SNOMED CT® OID: 2.16.840.1.113883.6.96 [see also 80 FR 62612]• Health IT Modules can present for certification to a more recent version of SNOMEDCT®, U.S. Edition than the September 2015 Release per ONC’s policy that permits certification to a more recent version of certain vocabulary standards. [see also 80 FR 62612]• “Light smoker” means fewer than 10 cigarettes per day, or an equivalent (but less concretely) defined quantity of cigar or pipe smoke. [see also 77 FR 54205]• “Heavy smoker” is interpreted to mean greater or equal to 10 cigarettes per day or an equivalent (but less concretely defined) quantity of cigar or pipe smoke. [see also 77 FR 54205 and FAQ #37]• Smoking status is limited to any form of tobacco that is smoked. That would not prohibit a health IT system from capturing other forms of tobacco use that is not smoked (e.g., chewing tobacco), but it is not required to meet the 2015 Edition CCDS definition. [see also 77 FR 54205]• Health IT developers are free to include clinically relevant information, such as lifetime pack year exposure in their interface and system. However, the specific SNOMED CT® codes listed are to be used to reflect the patient’s smoking status when such data is required to be included as part of the CCDS. § 170.207(h) – Smoking status must be coded in one of the following SNOMED CT® codes:(1) Current every day smoker. 449868002(2) Current some day smoker. 428041000124106(3) Former smoker. 8517006(4) Never smoker. 266919005(5) Smoker, current status unknown. 77176002(6) Unknown if ever smoked. 266927001(7) Heavy tobacco smoker. 428071000124103(8) Light tobacco smoker. 428061000124105
Consider the inclusion - at least as optional - of the the Social History observation
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