StructureDefinition - Statement of Tobacco use to support exchange of RAC and summary digital health data in Australia

[dtr-agency]

Prerequisites

• I have searched open and closed issues to make sure it isn't already requested or reported
• I have written a descriptive issue title

The issue / feature

Change description

Design and develop a set of materials that define a Clinical Information Object for statement of tobacco use for the electronic exchange of information between healthcare providers, and between healthcare providers and the My Health Record system infrastructure in Australia.

What are the use cases we want to support?

• recording a narrative statement about a person's tobacco smoking
• recording a coded representation of the status of their tobacco smoking usage
• potentially other aspects of usage
  • date commenced
  • date ceased
  • pack years
  • type of tobacco
  • number of cessation attempts

What it actually enables people to do

Mockups

If applicable, add screenshots or mockups to help explain the issue / feature.

How awesome would it be?

Workarounds

Additional context

Primary Care Practice-to-Practice implementation guide has these tobacco smoking profiles:

• AU Primary Tobacco Smoking Summary - narrative description
• AU Primary Tobacco Smoking Date Started - dateTime
• AU Primary Tobacco Smoking Date Ceased - dateTime
• AU Primary Care Smoking Status - CodeableConcept, derived from AU Smoking Status
• AU Primary Tobacco Smoking Overall Pack Years - quantity
• AU Primary Tobacco Smoking Pattern Of Use - 4 components for smokingtype, unitofuse, dailyuse and cessationattempts

International Patient Summary (IPS) Implementation Guide has

• Observation (SH: tobacco use) - CodeableConcept with binding to Current Smoking Status - IPS (LOINC answer list)

US Core Implementation Guide has

• US Core Smoking Status Observation Profile - CodeableConcept with binding to Smoking Status (SNOMED - expansion is found here)

The Canadian Baseline implementation guide has:

• Observation Tobacco Smoking Status Profile - CodeableConcept with binding to Current Smoking Status - IPS (LOINC answer list)