Never Smoking Status

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Example metadata last updated 2017-09-11 05:11:32.139000 UTC

Approval Status: Approved

  • Approval Status: Approved
  • Example Task Force: 6/26/2014
  • SDWG: 7/3/2014
  • SDWG C-CDA R2.1 Upgrade: 12/1/2016

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Comments:

  • This is an example of a never smoker in smoking status. A best practice to avoid confusion is for each social history section to only include a single smoking status.

Custodian: John D'Amore jdamore@diameterhealth.com (GitHub: jddamore)

Full sample: Social history in empty CCD

Example: download example view on GitHub

<section>
	<templateId root="2.16.840.1.113883.10.20.22.2.17"/>
	<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
	<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History"/>
	<title>Social History</title>
	<text>
		<list>
			<caption>Smoking Status</caption>
			<item>
				<content>Never smoked</content>
				<content>Started: </content>
				<content>Stopped:</content>
				<content>Recorded June 6, 2014 10:32am</content>
			</item>
		</list>
	</text>
	<!-- Only include one smoking status per patient. -->
	<entry>
		<observation classCode="OBS" moodCode="EVN">
			<templateId root="2.16.840.1.113883.10.20.22.4.78"/>
			<templateId root="2.16.840.1.113883.10.20.22.4.78"  extension="2014-06-09"/>
			<id extension="123456789" root="2.16.840.1.113883.19" />
			<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status NHIS"/>
			<statusCode code="completed"/>
			<!--Note: 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 just a time stamp, and will approximately correspond with the author/time. -->
			<!-- The use of a specfic SNOMED code for unknown smoker is an encouraged variation from C-CDA practices in other sections -->
			
			<effectiveTime value="201406061032+0500"/>
			<!-- The use of a specfic SNOMED code for unknown smoker is an encouraged variation from C-CDA practices in other sections -->
			<value xsi:type="CD" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" code="266919005" displayName="Never Smoker"/>
			<author>
				<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
				<time value="201406061032+0500"/>
				<assignedAuthor>
					<id root="2.16.840.1.113883.4.6" extension="99999999"/>
					<!-- Root means NPI number. -->
					<code code="200000000X" codeSystem="2.16.840.1.113883.6.101"
						displayName="Allopathic and Osteopathic Physicians"/>
					<telecom use="WP" value="tel:+1(555)555-1002"/>
					<assignedPerson>
						<name>
							<given>Henry</given>
							<family>Seven</family>
						</name>
					</assignedPerson>
				</assignedAuthor>
			</author>
		</observation>
	</entry>
</section>
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