Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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C-CDA Templates Clinical Notes (CDA)
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3.0.0-ballot
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Structured Documents
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Smoking Status - Meaningful Use
Tobacco Use -
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Jean Duteau / Benjamin Flessner : 19-0-0
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Correction
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Compatible, substantive
Description
See https://jira.hl7.org/browse/FHIR-43355 and https://jira.hl7.org/browse/FHIR-43589
and
https://docs.google.com/presentation/d/13SyfECa99f3tK8TBgBjUKdPPEA5dfNhsEaFp5ksdOjw/edit?usp=sharing
- Delete or Deprecate Tobacco Use Template
- Retain C-CDA Smoking Status MU template,
- Change name (to remove “MU”)
- Bind to a value set at Observation.code replacing the current single value binding
- Bind to an improved Tobacco Use value set @observation.value
- Loosen effective time binding
carmela_couderc and albert.taylor@hhs.gov both confirmed that:
- the Smoking Status value set (https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.11.20.9.38/expansion), (that USCDI no longer specifies that only those codes qualify for certification and that broader snomed concepts are desired
- The name "Smoking Status" which is the name of the USCDI data element, is intended to be broader than just cigarette smoking and is intended to include the concepts of eCigarettes, chew, pipe smoking, etc
Vendors agreed that in EHRs Smoking status is also broader than just cigarettes
Value set notes (seperate JIRA to be made)
Add the 3 missing codes from the Smoking Status value set that are not currently in the Tobacco Use value set
Add 722499006 | Electronic cigarette user (finding) | hierarchy
The improved set will contain a mix of temporal codes and not temporal codes*
Develop a value set for use at Observation.code to replace single value binding
E.g. Tobacco Use, Smoking Status, pack/day, pack years
Attachments
Issue Links
- relates to
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FHIR-43355 Change Smoking History profile to allow effectivePeriod instead of effectiveDateTime
- Applied
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FHIR-43589 Smoking Status Max Binding addition
- Applied
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CDA-21055 If CDA-21504 Smoking Status changes approved - update examples
- Applied