ARCHETYPE Tobacco smoking summary (openEHR-EHR-EVALUATION.tobacco_smoking_summary.v1)

Name: Tobacco smoking summary
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-EVALUATION.tobacco_smoking_summary.v1
Concept	Tobacco smoking summary
Description	Summary or persistent information about the tobacco smoking habits of an individual.
Use	Use to record summary information about the individual's pattern of smoking of tobacco and tobacco-containing products. This archetype is to be used to record information about both current and previous smoking behaviour. The specific scope of this archetype is on documentation about the use of all types of inhaled tobacco smoke because of the associated health risks from direct inhalation of tobacco and associated chemicals. Amount of nicotine and tar, use of filters and additives has been left outside of scope for the core archetype, but could be added into the Episode SLOT if required. Please note that the scope of this archetype does not include unintentional exposure to tobacco smoke (see Misuse). The 'Per type' cluster of data elements allows for recording of specific details and episodes about each type of tobacco smoked and can be repeated once per type. In many situations the individual will only smoke one type of tobacco, such as manufactured cigarettes. If other types of tobacco are smoked, the details will be recorded in another instance of the 'Per type' cluster. The history of waxing and waning of use for each type of tobacco over time can be captured using the repeatable 'Per episode' cluster. This cluster of data elements allows for a very detailed pattern of smoking behaviour to be recorded for each type of tobacco smoked such as daily 'roll-your-own' cigarette smoking, alongside weekly cigar smoking every Friday night and occasional Bidi smoking while on holiday in Bali. Triggers for closing one episode and commencing a new one will largely reflect local data collection preferences, including if the individual: - quits for a significant period of time (which will likely be locally defined); or - significantly changes their amount of use or pattern of their smoking. If only one type of tobacco is smoked, the value for 'Pack years' will be identical to the 'Overall pack years' data element. If more than one type of tobacco is smoked, the calculation for the value for 'Overall pack years' will require a more complex algorithm such as http://smokingpackyears.com/. Use to incorporate the narrative descriptions of tobacco smoking habits within existing or legacy clinical systems into an archetyped format, using the 'Overall description' data element. Note: Definitions of 'Current smoker' may vary. For example: the CDC uses 1 month/31 days and New Zealand uses 28 days.
Misuse	Not to be used to record event-or period-based information about tobacco smoking, such as actual daily use or the average use over a specified period of time - use the OBSERVATION.tobacco_smoking archetype. Not to be used to record information about smokeless tobacco use - for example: snus; snuff; chewing tobacco; dip; and gutka. Use the archetype EVALUATION.smokeless_tobacco_summary archetype for this purpose. Not to be used to record evidence of nicotine dependency. Use the OBSERVATION.fagerstrom for this purpose. Not to be used to record details about unintended exposure to tobacco smoke or passive smoking. Use the archetype EVALUATION.exposure for this purpose. Not to be used for recording any other administration of nicotine, such as e-cigarettes, nicotine patches or nicotine chewing gum. Use separate archetypes for this purpose.
Purpose	To record summary information about the individual's pattern of smoking of tobacco and tobacco-containing products.
References	Centers for Disease Control and Prevention (CDC). State-specific secondhand smoke exposure and current cigarette smoking among adults - United States, 2008. MMWR Morb Mortal Wkly Rep. 2009 Nov 13;58(44):1232-5. PubMed PMID: 19910910. Centres for Disease Control (CDC). Tobacco glossary [cited: 2016-07-05]. Available from: http://www.cdc.gov/nchs/nhis/tobacco/tobacco_glossary.htm. Definitions of smoking status [Internet]. New Zealand Ministry of Health; 2015 Jun 04 [cited: 2016-11-23]. Available from: http://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-guidance-practitioners/definitions-smoking-status. Feng X, Qian Z, Zhang B, Guo E, Wang L, Liu P, Wen X, Xu W, Jiang C, Li Y, et al. Number of Cigarettes Smoked Per Day, Smoking Index, and Intracranial Aneurysm Rupture: A Case-Control Study. Front Neurol. 2018 May 31;9:380. doi: 10.3389/fneur.2018.00380. eCollection 2018. PubMed PMID: 29904368; PubMed Central PMCID: PMC5990590. Masters N & Tutt C. Smoking Pack Years [Internet]. United Kingdom: Highfield Surgery; 2007. Available from: http://smokingpackyears.com/. Tobacco Use Summary, Draft Archetype [Internet]. nehta, Australia, nehta Clinical Knowledge Manager [cited: 2016-06-06]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1026 [no longer available]. Tobacco Use Summary, Rejected Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2016-06-06]. Available from: http://www.openehr.org/ckm/#showArchetype_1013.1.1520. Wood DM, Mould MG, Ong SB, Baker EH. "Pack year" smoking histories: what about patients who use loose tobacco? Tob Control. 2005 Apr;14(2):141-2. PubMed PMID: 15791025; PubMed Central PMCID: PMC1748001.
Copyright	© openEHR Foundation, Australian Digital Health Agency, Nasjonal IKT (Norway)
Authors	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2009-06-21
Other Details Language	Author name: Heather Leslie Organisation: Atomica Informatics Email: heather.leslie@atomicainformatics.com Date originally authored: 2009-06-21
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Centers for Disease Control and Prevention (CDC). State-specific secondhand smoke exposure and current cigarette smoking among adults - United States, 2008. MMWR Morb Mortal Wkly Rep. 2009 Nov 13;58(44):1232-5. PubMed PMID: 19910910. Centres for Disease Control (CDC). Tobacco glossary [cited: 2016-07-05]. Available from: http://www.cdc.gov/nchs/nhis/tobacco/tobacco_glossary.htm. Definitions of smoking status [Internet]. New Zealand Ministry of Health; 2015 Jun 04 [cited: 2016-11-23]. Available from: http://www.health.govt.nz/our-work/preventative-health-wellness/tobacco-control/tobacco-control-guidance-practitioners/definitions-smoking-status. Feng X, Qian Z, Zhang B, Guo E, Wang L, Liu P, Wen X, Xu W, Jiang C, Li Y, et al. Number of Cigarettes Smoked Per Day, Smoking Index, and Intracranial Aneurysm Rupture: A Case-Control Study. Front Neurol. 2018 May 31;9:380. doi: 10.3389/fneur.2018.00380. eCollection 2018. PubMed PMID: 29904368; PubMed Central PMCID: PMC5990590. Masters N & Tutt C. Smoking Pack Years [Internet]. United Kingdom: Highfield Surgery; 2007. Available from: http://smokingpackyears.com/. Tobacco Use Summary, Draft Archetype [Internet]. nehta, Australia, nehta Clinical Knowledge Manager [cited: 2016-06-06]. Available from: http://dcm.nehta.org.au/ckm/#showArchetype_1013.1.1026 [no longer available]. Tobacco Use Summary, Rejected Archetype [Internet]. openEHR Foundation, openEHR Clinical Knowledge Manager [cited: 2016-06-06]. Available from: http://www.openehr.org/ckm/#showArchetype_1013.1.1520. Wood DM, Mould MG, Ong SB, Baker EH. "Pack year" smoking histories: what about patients who use loose tobacco? Tob Control. 2005 Apr;14(2):141-2. PubMed PMID: 15791025; PubMed Central PMCID: PMC1748001., current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=2652A8203C37B165FD58EC69634FFBF6, build_uid=6730845d-bc61-4917-8ed9-34b1248b7b1e, revision=1.1.1-alpha}
Keywords	tobacco, cigarette, cigar, pipe, smoking, kretek, beedi, bidi, cigarillo, smoker, waterpipe, shisha, hookah, narguileh, hubble-bubble, roll-up, RYO, rollie, roll-your-own
Lifecycle	in_development
UID	b60b9e07-ea2b-40ff-a56c-4b520558d712
Language used	en
Citeable Identifier	1013.1.2466
Revision Number	1.1.1-alpha
All	Archetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary or persistent information about the tobacco smoking habits of an individual., archetypeConceptComment=null, otherContributors=Amund Aakerholt, Helse Stavanger, KORFOR, Norway Morten Aas, Oslo Universitetssykehus, Norway Tomas Alme, DIPS ASA, Norway Ole Andreas Bjordal, Webmed, Norway Rita Apelt, Department of Health,NT, Australia Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT editor) Koray Atalag, University of Auckland, New Zealand Gustavo Bacelar-Silva, Healthcare Designs, Brazil Marcus Baw, openGPSoC / BawMedical Ltd, United Kingdom Kristian Berg, Universitetssykehuset Nord Norge, Norway Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway Fredrik Borchsenius, Oslo universitetssykehus, Norway Chris Bullen, University of Auckland, New Zealand Fatemeh Chalabianloo, Helse Bergen, Norway Bjørn Christensen, Helse Bergen HF, Norway Stephen Chu, NEHTA, Australia Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Are Edvardsen, SKDE, Norway Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom Heather Grain, Llewelyn Grain Informatics, Australia Liv Grøtvedt, Folkehelseinstituttet, Norway Sam Heard, Ocean Informatics, Australia Kristian Heldal, Telemark Hospital Trust, Norway Jørn Henrik Vold, Helse Bergen, Avdeling for rusmedisin, Norway Anca Heyd, DIPS ASA, Norway Evelyn Hovenga, EJSH Consulting, Australia Tom Jarl Jakobsen, Helse Bergen, Norway Lars Morgan Karlsen, DIPS ASA, Norway Adriana Kitajima, CORE Consulting, Brazil Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway Ole Kristian Losvik, Losol AS, Norway Heather Leslie, Atomica Informatics, Australia (openEHR Editor) Silje Ljosland Bakke, Nasjonal IKT HF, Norway Rikard Lovstrom, Swedish Medical Association, Sweden Camilla Lund, Institute for Cancer Genetics and Informatics, Norway Hallvard Lærum, Direktoratet for e-helse, Norway Arne Løberg Sæter, DIPS ASA, Norway Siv Marie Lien, DIPS ASA, Norway Hildegard McNicoll, freshEHR Clinical Informatics Ltd., United Kingdom Ian McNicoll, freshEHR Clinical Informatics, United Kingdom Bjørn Næss, DIPS ASA, Norway Jeremy Oats, NT Health, Australia Andrej Orel, Marand d.o.o., Slovenia Anne Pauline Anderssen, Helse Nord RHF, Norway Rune Pedersen, Universitetssykehuset i Nord Norge, Norway Tanja Riise, Nasjonal IKT HF, Norway Rosalie Schultz, Anyinginyi Health Aboriginal Corporation, Australia Line Silsand, Universitetssykehuset i Nord-Norge, Norway Raymond Simkus, Brookswood Family Practice, Canada Lisbeth Sommervoll, Akershus Universitetssykehus, Norway Norwegian Review Summary, Nasjonal IKT HF, Norway Nyree Taylor, Ocean Informatics, Australia Jon Tysdahl, Furst medlab AS, Norway John Tore Valand, Helse Bergen, Norway Ping-Cheng Wei, New Zealand, originalLanguage=en, translators= German: Caroline Thoms, Eva-Maria Rieß, Natalia Strauch, UMG, Universitätsmedizin Göttingen, Medizinische Hochschule Hannover, Caroline.Thoms@med.uni-goettingen.de, eva-maria.riess@med.uni-goettingen.de, Strauch.Natalia@mh-hannover.de Swedish: Erik Sundvall, Region Östergötland + Linköping University, erik.sundvall@regionostergotland.se Norwegian Bokmål: John Tore Valand, Helse Bergen HF French: Bassem Khouzam, Vanessa Pereira, Medtronic, Better - Pathfinder, bassem.khouzam@medtronic.com, vanessapereira@protonmail.com Dutch: Martijn van Eenennaam, Nedap, martijn.vaneenennaam@nedap.com, Ph.D. , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0073], code=at0073, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0071], code=at0071, itemType=ELEMENT, level=2, text=Quit date definition, description=The applied definition for the 'Quit date' data elements used in this archetype., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0085], code=at0085, itemType=ELEMENT, level=2, text=Quit attempt definition, description=The applied definition for a Quit attempt used to determine value for the 'Number of quit attempts' data element used in this archetype., comment=For example: 'stopped smoking for one day or longer with the intention of quitting'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Current smoker definition, description=The applied definition for the 'Current smoker' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type. Current smoker definitions vary in different jurisdictions. For example: USA Centre for Disease Control refers to smoking during the past one month and New Zealand Ministry of Health uses 28 days. , uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0076], code=at0076, itemType=ELEMENT, level=2, text=Former smoker definition, description=The applied definition for the 'Former smoker' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type of tobacco. Former smoker definitions vary in different jurisdictions. For example: New Zealand Ministry of Health refers to not having smoked during the past 28 days., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0079], code=at0079, itemType=ELEMENT, level=2, text=Never smoked definition, description=The applied definition for the 'Never smoked' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type. For example, the definition may not be zero, but less than a specified amount (as units or mass) smoked during a specified time interval., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0072], code=at0072, itemType=ELEMENT, level=2, text=Pack definition, description=The definition of the size of pack used as part of the algorithm for calculating 'Pack years' data elements used in this archetype., comment=Definition may need to be specified per type. For example, the number of units in a pack used for cigarettes may be different to cigars; the mass of loose tobacco in a pack used for hand-rolled cigarettes or pipes., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Count min: >=0 Quantity Property: Mass Units: >=0.0 g Limit decimal places: 0 >=0.0 [oz_av] Limit decimal places: 0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Last updated, description=The date this tobacco smoking summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null]], content=[], source=[], credentials=[], events=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0089], code=at0089, itemType=ELEMENT, level=2, text=Overall status, description=Statement about current smoking behaviour for all types of tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0006::Never smoked [Individual has never smoked any type of tobacco.] at0003::Current smoker [Individual is a current smoker of tobacco.] at0005::Former smoker [Individual has previously smoked tobacco but is not a current smoker.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0043], code=at0043, itemType=ELEMENT, level=2, text=Overall description, description=Narrative summary about the individual's overall tobacco smoking pattern and history., comment=Use this data element to record a narrative description of the tobacco smoking habits for this individual or to incorporate unstructured tobacco smoking information from existing or legacy clinical systems into an archetyped format., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0015], code=at0015, itemType=ELEMENT, level=2, text=Regular smoking commenced, description=The date or partial date when the individual first started frequent or regular, but usually non-daily, smoking of tobacco of any type., comment=Can be a partial date, for example, only a year. For example, this date could represent when the individual commenced smoking every Friday night or at parties. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0080], code=at0080, itemType=ELEMENT, level=2, text=Daily smoking commenced, description=The date or partial date when the individual first started daily smoking of tobacco of any type., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029], code=at0029, itemType=CLUSTER, level=2, text=Per type, description=Details about smoking activity for a specified type of smoked tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0095], code=at0095, itemType=ELEMENT, level=3, text=Type, description=The type of tobacco smoked by the individual., comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0054::Cigarettes [Also known as manufactured cigarettes, 'factory made' cigarettes or 'tailor made' cigarettes. Processed tobacco, manufactured into cylinder made of paper or a substance that does not contain tobacco.] at0055::Hand-rolled cigarettes [Also known as "rollies" or "roll-ups". Loose tobacco, hand rolled into a cylinder using cigarette papers.] at0056::Cigars [Also known as "large cigar". Roll of tobacco wrapped within a leaf tobacco or in a substance that contains tobacco.] at0066::Cigarillos [Also known as mini cigars. Short and narrow cigar.] at0057::Pipe [Loose tobacco placed inside a pipe bowl.] at0062::Waterpipe [Also known as "hookah", "shisha", "narguileh" and "hubble-bubble". Tobacco, often flavoured, is burned then cooled through a basin of water and consumed through a hose and mouthpiece.] at0078::Bidis [Also known as Beedis. Thin hand-rolled cigarettes filled with tobacco and wrapped in a leaf, often tied with colorful string at one or both ends. They can be flavoured or unflavoured.] at0088::Kreteks [Also known as clove cigarettes. Cigarettes that contain a mixture of tobacco, cloves and other additives.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0052], code=at0052, itemType=ELEMENT, level=3, text=Status, description=Statement about current smoking behaviour for the specified type of tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0061::Current smoker [Individual is a current smoker of the specified type of tobacco.] at0059::Former smoker [Individual has previously smoked the specified type of tobacco but is not a current smoker.] at0091::Never smoked [Individual has never smoked the specified type of tobacco.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0053], code=at0053, itemType=ELEMENT, level=3, text=Description, description=Narrative summary about smoking behaviour for the specified type of tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064], code=at0064, itemType=CLUSTER, level=3, text=Per episode, description=Details about a discrete period of smoking activity for the specified type of tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=1.., cardinalityText= (Cardinality: 1.., unordered), subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0081], code=at0081, itemType=ELEMENT, level=4, text=Episode label, description=Identification of an episode of smoking activity - either as a number in a sequence and/or a named event., comment=For example: '2' as the second episode within a sequence of episodes; or 'Pregnancy with twins' if describing the smoking activity during a health event such as during a specific pregnancy., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Count min: >=1 Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0013], code=at0013, itemType=ELEMENT, level=4, text=Episode start date, description=Date when this episode commenced., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0082], code=at0082, itemType=ELEMENT, level=4, text=Episode end date, description=Date when this episode ceased., comment=Can be a partial date, for example, only a year. This data field will be empty if the episode is current and ongoing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0030], code=at0030, itemType=ELEMENT, level=4, text=Pattern, description=The typical pattern of smoking for the specified type of tobacco., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of: Coded Text at0083::Daily [Smoking the specified type of tobacco at least once every day.] at0084::Non-daily [Not smoking the specified type of tobacco every day.] Text , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0023], code=at0023, itemType=ELEMENT, level=4, text=Typical use (units), description=Estimate of number of units of the specified type of tobacco consumed., comment=For example: the number of 'sticks' or 'full pipes' per day or per week. This data element is redundant if a value is recorded for 'Typical use(mass)'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units: >=0.0 1/d Limit decimal places: 1 >=0.0 1/wk Limit decimal places: 1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0065], code=at0065, itemType=ELEMENT, level=4, text=Typical use (mass), description=Estimate of the weight of loose leaf tobacco smoked., comment=This data element will typically be used for pipes and hand-rolled cigarettes and is redundant if a value is recorded for 'Typical use (units)'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Property: Flow rate, mass Units: >=0.0 g/d Limit decimal places: 1 >=0.0 g/wk Limit decimal places: 1 >=0.0 [oz_av]/d Limit decimal places: 1 >=0.0 [oz_av]/wk Limit decimal places: 1 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0025], code=at0025, itemType=ELEMENT, level=4, text=Number of quit attempts, description=Total number of times the individual has attempted to stop smoking the specified type of tobacco within this episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0026], code=at0026, itemType=SLOT, level=4, text=Episode details, description=Additional structured details about the specified episode of tobacco smoking., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.cessation_attempts.v0 and specialisations or openEHR-EHR-CLUSTER.cessation_attempts.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0064]/items[at0087], code=at0087, itemType=ELEMENT, level=4, text=Episode comment, description=Additional narrative about tobacco smoking during the specified episode, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Quit date, description=Date when the individual last smoked the specified type of tobacco., comment=Can be a partial date, for example, only a year. Definitions for a 'Quit date' vary enormously and can be defined using the 'Quit data definition' data element in the Protocol section of this archetype. This date will be identical to the 'Episode end date' for the most recent episode. This date could be used by decision support guidance to determine if the individual is at risk of relapse, for example in the first 12 months since quitting., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0077], code=at0077, itemType=SLOT, level=3, text=Type details, description=Additional structured details about the specified type of tobacco smoking., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Pack years, description=Estimate of the cumulative amount of tobacco smoked using the specified type of tobacco., comment=Commonly used in assessment of cigarette use. It is calculated by multiplying the number of packs of cigarettes smoked per day by the number of years the individual has smoked. One pack year equals 365 packs of cigarettes. Details about how to calculate pack years for other types of tobacco can be found at http://smokingpackyears.com. The definition of a pack can be recorded in the protocol of this archetype using the 'Pack definition' data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0029]/items[at0069], code=at0069, itemType=ELEMENT, level=3, text=Comment, description=Additional narrative about smoking of the specified type of tobacco, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0086], code=at0086, itemType=SLOT, level=2, text=Overall details, description=Additional structured details about the overall tobacco smoking behaviour., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* openEHR-EHR-CLUSTER.change.v0 and specialisations or openEHR-EHR-CLUSTER.change.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0016], code=at0016, itemType=ELEMENT, level=2, text=Overall quit date, description=The date when the individual last ceased using tobacco of any type., comment=Can be a partial date, for example, only a year. This date could be used by decision support guidance to determine if the individual is at risk of relapse, for example in the first 12 months since quitting., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0093], code=at0093, itemType=ELEMENT, level=2, text=Overall years of smoking, description=The cumulative number of years that the individual has smoked tobacco., comment=This data element does not take into account the amount of tobacco smoked. It may be used to calculate the 'Smoking index'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=C_DV_QUANTITY, bindings=null, values=Units: >=0.0 a Limit decimal places: 2, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0094], code=at0094, itemType=ELEMENT, level=2, text=Smoking index, description=An indication of the cumulative amount of tobacco smoking exposure., comment=This parameter is similar to Pack Years but based on units of cigarettes, bidis etc smoked per day, rather than packs., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0074], code=at0074, itemType=ELEMENT, level=2, text=Overall pack years, description=Estimate of the cumulative amount for all types of tobacco smoked., comment=The definition of a pack can be recorded in the protocol of this archetype using the 'Pack definition' data element., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0019], code=at0019, itemType=ELEMENT, level=2, text=Overall comment, description=Additional narrative about all tobacco smoking that has not been captured in other fields., comment=For example: stopped smoking or reduced amount on becoming pregnant., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0021], code=at0021, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0.., subCardinalityText=Minimum of 0 items (Cardinality: 0.., unordered), dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0073], code=at0073, itemType=SLOT, level=2, text=Extension, description=Additional information required to capture local content or to align with other reference models/formalisms., comment=For example: local information requirements or additional metadata to align with FHIR or CIMI equivalents., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:* All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0071], code=at0071, itemType=ELEMENT, level=2, text=Quit date definition, description=The applied definition for the 'Quit date' data elements used in this archetype., comment=null, uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0085], code=at0085, itemType=ELEMENT, level=2, text=Quit attempt definition, description=The applied definition for a Quit attempt used to determine value for the 'Number of quit attempts' data element used in this archetype., comment=For example: 'stopped smoking for one day or longer with the intention of quitting'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0075], code=at0075, itemType=ELEMENT, level=2, text=Current smoker definition, description=The applied definition for the 'Current smoker' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type. Current smoker definitions vary in different jurisdictions. For example: USA Centre for Disease Control refers to smoking during the past one month and New Zealand Ministry of Health uses 28 days. , uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0076], code=at0076, itemType=ELEMENT, level=2, text=Former smoker definition, description=The applied definition for the 'Former smoker' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type of tobacco. Former smoker definitions vary in different jurisdictions. For example: New Zealand Ministry of Health refers to not having smoked during the past 28 days., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0079], code=at0079, itemType=ELEMENT, level=2, text=Never smoked definition, description=The applied definition for the 'Never smoked' value in each of the 'Status' data elements used in this archetype., comment=Definition may need to be specified per type. For example, the definition may not be zero, but less than a specified amount (as units or mass) smoked during a specified time interval., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0072], code=at0072, itemType=ELEMENT, level=2, text=Pack definition, description=The definition of the size of pack used as part of the algorithm for calculating 'Pack years' data elements used in this archetype., comment=Definition may need to be specified per type. For example, the number of units in a pack used for cigarettes may be different to cigars; the mass of loose tobacco in a pack used for hand-rolled cigarettes or pipes., uncommonOntologyItems=null, occurencesFormal=0.., occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:* Count min: >=0 Quantity Property: Mass Units: >=0.0 g Limit decimal places: 0 >=0.0 [oz_av] Limit decimal places: 0 , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0021]/items[at0022], code=at0022, itemType=ELEMENT, level=2, text=Last updated, description=The date this tobacco smoking summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]