Tobacco Use or Smoking Status - Meaningful Use?

[Patrick Peyton]

Looks like the ETT is still looking for the Smoking Status - Meaningful Use (V2) <observation>.  Will the ETT be updated to look for the Tobacco Use template?

Per the Companion Guide for the C-CDA, it's states SHALL NOT for this template.  So, we've moved the current smoking status under Tobacco Use as suggested in the Companion guide.

Text from the guide (p 176) -

C-CDA Content Creators SHALL NOT use the Smoking Status– Meaningful Use (V2) template to represent when the current smoking status started. [BP-088]

Text from guide about Social History in general (p 174) -

...it is recommended to use the Current Smoking Status template or the Tobacco Use template instead to aid in their exchange.

[Emily Z]

Thanks for the inquiry. Jira ticket was created and team will look into it. 

[sean....@gmail.com]

Are you able to send an example of the XML giving you the issues

We have done some initial review and it the IG is saying not to use V2 for start date - the underlying template still has a should on the V2 so it is allowed

thanks

Sean

On Thursday, April 29, 2021 at 3:46:46 PM UTC-4 dp8...@gmail.com wrote:

[Patrick Peyton]

Attached is the file where we moved Current Smoking status under Tobacco Use per the companion guide.

[Patrick Peyton]

Attach is the part of the Companion guide I’m referring to.

[sean....@gmail.com]

Hello I am not seeing any error on the example you sent - the documentation while a bit indirect does not restrict the use of "Smoking Status" but does say not to use it to document the start of smoking.

Are you getting an error in the validation I am not seeing ?

thanks

Sean 

[Patrick Peyton]

I get the error when I'm submitting to a specific criteria.  For example, Sender > Trans of Care > Inpatient Sample 1

The following error displays under REF C-CDA - The scenario requires data related to patient's Smoking Status, but the submitted C-CDA does not contain Smoking Status data.

[Nagesh Bashyam - Drajer]

Can you please attach your sample file or the snippet ? 

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[Patrick Peyton]

Attached is the CCD.  You’ll see I’ve moved the Current Smoking status from from the MU template down to the Tobacco Use template as suggested by the Companion Guide.

If I move the Smoking Status out of the Tobacco Use and put it into the MU Current Smoking Status template, then I don’t receive the REF C-CDA Error.

[Patrick Peyton]

Checking in to see if there is any update to this item.  Will there be an update to the ETT to looking for Current Smoking status in the Tobocca Use <observation> or do we need to plan to add back in the MU2 template for Current Smoking Status?

[Ashwini More SITE]

Hello,

Sorry for long delay in response. Could you please let us know if the issue persists for you? I checked on our end and found no issues.

Ashwini

[Cheap Cigarettes Online]

From an implementation perspective, transitioning toward the broader <b>Tobacco Use</b> template (rather than being restricted strictly to the Smoking Status MU V2 observation) aligns much better with granular intake tracking. While MU V2 mainly looks at binary frequency definitions, the Tobacco Use template allows capturing qualitative and volume-based factors without running into conformance constraint errors like [BP-088].

In clinical setups where external procurement and socioeconomic factors influence consumption shifts—such as heavily regulated markets like Australia where smokers frequently turn to price tracking directories like <a href="https://cheapcigarettesonline.com.au/">cheap cigarettes online</a> to monitor duty-paid cartoned alternatives—having the flexible Tobacco Use template helps reconcile self-reported volume with procurement behavior over longitudinal care. Supporting both templates in the validator without throwing strict validation fails would definitely prevent unnecessary schema rejections.

Vào lúc 02:46:46 UTC+7 ngày Thứ Sáu, 30 tháng 4, 2021, dp8...@gmail.com đã viết: