Draft| Description |
This template represents the current smoking status of the patient as specified in Meaningful Use (MU) Stage 2 requirements. Historic smoking status observations as well as details about the smoking habit (e.g., how many per day) would be represented in the Tobacco Use template. This template represents a “snapshot in time” observation, simply reflecting what the patient’s current smoking status is at the time of the observation. As a result, the effectiveTime is constrained to a time stamp, and will approximately correspond with the author/time. Details regarding the time period when the patient is/was smoking would be recorded in the Tobacco Use template. If the patient's current smoking status is unknown, the value element must be populated with SNOMED CT code 266927001 to communicate "Unknown if ever smoked" from the Current Smoking Status Value Set. |
| Used by 8 transactions and 18 templates, Uses 1 template | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Transfer Summary (V2)
BC CDA ClinicalDocumentDischargeSummary (V3) (2.1)
Health Concern Act (harmonized) (0.1)ref
ad1bbr-
Version: template 2.16.840.1.113883.10.20.22.4.78 Smoking Status Observation (2013‑01‑31)
| Item | DT | Card | Conf | Description | Label | |
|---|---|---|---|---|---|---|
| cda:observation | Smok seV2 | |||||
| @classCode | cs | 1 … 1 | F | OBS | CONF4806 | |
| SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-14806). | ||||||
| @moodCode | cs | 1 … 1 | F | EVN | CONF4807 | |
| SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-14807). | ||||||
| cda:templateId | II | 1 … 1 | M | C-CDA R1.1 templateId root without an extension | CONF2936 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.78 | ||
| cda:templateId | II | 1 … 1 | M | SHALL contain exactly one [1..1] templateId (CONF:1098-14815) such that it | CONF4815 | |
| @root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.22.4.78 | CONF4816 | |
| SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.78" (CONF:1098-14816). | ||||||
| @extension | st | 1 … 1 | F | 2014-06-09 | CONF2573 | |
| SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32573). | ||||||
| cda:id | II | 1 … * | SHALL contain at least one [1..*] id (CONF:1098-32401). | CONF2401 | ||
| cda:code | CD | 1 … 1 | M | SHALL contain exactly one [1..1] code (CONF:1098-19170). | CONF9170 | |
| @code | CONF | 1 … 1 | F | 72166-2 | ||
| @codeSystem | 1 … 1 | F | 2.16.840.1.113883.6.1 | |||
| cda:statusCode | CS | 1 … 1 | M | SHALL contain exactly one [1..1] statusCode (CONF:1098-14809). | CONF4809 | |
| @code | CONF | 1 … 1 | F | completed | ||
| cda:effectiveTime | TS | 1 … 1 | SHALL contain exactly one [1..1] effectiveTime (CONF:1098-31928). | CONF1928 | ||
| cda:low | NP | This effectiveTime SHALL NOT contain [0..0] low (CONF:1098-32894). | CONF2894 | |||
| cda:width | NP | This effectiveTime SHALL NOT contain [0..0] width (CONF:1098-32895). | CONF2895 | |||
| cda:high | NP | This effectiveTime SHALL NOT contain [0..0] high (CONF:1098-32896). | CONF2896 | |||
| cda:center | NP | This effectiveTime SHALL NOT contain [0..0] center (CONF:1098-32897). | CONF2897 | |||
| cda:value | CD | 1 … 1 | SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-14810). | CONF4810 | ||
| @code | 1 … 1 | R | This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Current Smoking Status urn:oid:2.16.840.1.113883.11.20.9.38 DYNAMIC 2014-09-01 (CONF:1098-14817). | CONF4817 | ||
| Constraint | If the patient's current smoking status is unknown, @code *SHALL* contain '266927001' (Unknown if ever smoked) from ValueSet Current Smoking Status (2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01). | |||||
| CONF |
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| cda:author | 0 … * | R | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31148). Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13) | CONF1148 | ||