Submitted by nachcinformatics on
updated recommendation
updated recommendation
Assessments of a health-related matter of interest, importance, or worry to a patient, patient’s family, or patient’s healthcare provider that could identify a need, problem, or condition.
Data Element |
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Smoking Status
Description (*Please confirm or update this field for the new USCDI version*)
Assessment of a patient’s smoking behaviors. Examples include but are not limited to pack-years and current use. Applicable Vocabulary Standard(s) Applicable Standards (*Please confirm or update this field for the new USCDI version*)
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Submitted by nachcinformatics on
updated recommendation
Submitted by nedragarrett_CDC on
Submitted by nedragarrett_CDC on
Smoking Status: Smoking, tobacco use, alcohol use, and illicit drug use are found in multiple areas of the record ( e.g. Smoking Status, Substance Use, and Social History). Recommend streamlining all substance use items in the same part of the record, preferably the Substance Use section.
Simply recording smoking status is insufficient given the evolving types of nicotine products and dual use and should be replaced with response to the question, “In the PAST 12 MONTHS, how often have you used any tobacco product (for example, cigarettes, vapes, cigars, pipes, or smokeless tobacco)?” Values of frequency are to be identified as appropriate.
Follow-up questions on types and frequency of tobacco products used (e.g. cigarettes, vapes, cigars, pipes, smokeless tobacco)
Specific response on marijuana use similar to the tobacco question: "In the PAST 12 MONTHS, how often have you used any marijuana product (for example, smoked, vaped, dabbed, or ingested)?"
Follow-up questions on types and frequency of marijuana products used
Last report of active alcohol use
Last report of recreational opioid use
Last report of methamphetamine use
Submitted by nachcinformatics on
Smoking Status and Tobacco Use
Health Status Assessments: Smoking Status
https://www.healthit.gov/isa/taxonomy/term/811/draft-uscdi-v5
NACHC supports HL7 recommendation to change the name of Smoking Status to Tobacco Assessment and Use. Not all tobacco products are combustible like cigarettes. This category should include the noncombustible products as well, such as e-cigarettes. Both the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) refer to the broader category of Tobacco Use. Please see:
https://www.cdc.gov/chronicdisease/resources/publications/factsheets/tobacco.htm
https://www.fda.gov/consumers/minority-health-and-health-equity-resources/tobacco-use
In addition, HL7 recommends duration (number of years of use) and quit date included in the list of example data elements. The duration is used to calculate the number of pack years, which is important for quality measurement and understanding risk. In addition, knowledge about when someone quit smoking helps to understand risk for other diseases.