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Resource Profile: SmokingStatusObservation - Mappings

Active as of 2025-03-31

Mappings for the SmokingStatusObservation resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

SmokingStatusObservation
Observation
identifier
system	1241-1: fixed value = http://va.gov/identifiers/$Sta3n/9000010.23	generated from mapParameter line 1
value	1241: source value based on V HEALTH FACTORS - IEN (9000010.23-.001)
status	1242: fixed value = #final
category (SocialHistory)	1243: fixed value = http://terminology.hl7.org/CodeSystem/observation-category#social-history
code	1244: fixed value = http://loinc.org#72166-2 when V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - CATEGORY (9000010.23-.01 > 9999999.64-.03) if TOBACCO [C], 1862: exclude record if Not TOBACCO [C]	,
subject	1245: reference based on V HEALTH FACTORS - PATIENT NAME > PATIENT/IHS - NAME (9000010.23-.02 > 9000001-.01)
encounter	1246: reference based on V HEALTH FACTORS - VISIT (9000010.23-.03)
effective[x] (effectiveDateTime)	1247: source value based on V HEALTH FACTORS - EVENT DATE AND TIME (9000010.23-1201)
performer	1248: reference based on V HEALTH FACTORS - ENCOUNTER PROVIDER (9000010.23-1204)	Only encounter provider is in CDW, so ordering provider was not included at this time. If ordering provider needs to be included in the future, will need to determine a way to distinguish ordering provider from encounter provider in the practitioner resource.
value[x]
value[x] (valueCodeableConcept)	1249: terminologyMaps using VF_SmokingStatus on V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - FACTOR (9000010.23-.01 > 9999999.64-.01)	If duplicates occur, the latest instance only should be sent.
text	1249-1: source value based on V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - FACTOR (9000010.23-.01 > 9999999.64-.01)	generated from mapParameter line 1
note
text	1250: source value based on V HEALTH FACTORS - COMMENTS (9000010.23-81101)

Mappings for Clinical Data Warehouse (CDW) ()

SmokingStatusObservation
Observation
code	HF.HealthFactor.HealthFactorTypeIEN Dim.HealthFactorType.CategoryHealthFactorTypeIEN
subject	HF.HealthFactor.PatientIEN
encounter	HF.HealthFactor.VisitDateTime,HF.HealthFactor.VisitIEN
effective[x] (effectiveDateTime)	HF.HealthFactor.EventDateTime
performer	HF.HealthFactor.EncounterStaffIEN
value[x]
value[x] (valueCodeableConcept)	HF.HealthFactor.HealthFactorTypeIEN Dim.HealthFactorType.HealthFactorCategory,Dim.HealthFactorType.HealthFactorType
text	HF.HealthFactor.HealthFactorTypeIEN Dim.HealthFactorType.HealthFactorCategory,Dim.HealthFactorType.HealthFactorType
note
text	HF.HealthFactor.Comments

Mappings for Summary Document Architecure (SDA) ()

SmokingStatusObservation
Observation
code	SocialHistory.SocialHabit,SocialHistory.SocialHabitCategory,SocialHistory.Extension[SocialHistoryExtension].Category,SocialHistory.Extension[SocialHistoryExtension].QuantityLabel,SocialHistory.SocialHabitCategory.Description,Vaccination.OrderItem,FamilyHistory.Diagnosis,FamilyHistory.Extension[FamilyHistoryExtension].Category,FamilyHistory.Diagnosis.Description
encounter	SocialHistory.EncounterNumber,SocialHistory.EnteredAt,SocialHistory.EnteredBy,SocialHistory.EnteredOn,Vaccination.EncounterNumber,Vaccination.EnteredAt,Vaccination.EnteredBy,Vaccination.EnteredOn,Vaccination.Administration.AdministeredAtLocation,FamilyHistory.EncounterNumber,FamilyHistory.EnteredAt,FamilyHistory.EnteredBy,FamilyHistory.EnteredOn
effective[x] (effectiveDateTime)	SocialHistory.FromTime,Vaccination.FromTime,Vaccination.ToTime,FamilyHistory.FromTime
performer	Vaccination.Administration.AdministeringProvider
value[x]
value[x] (valueCodeableConcept)	SocialHistory.SocialHabit,SocialHistory.SocialHabitCategory,SocialHistory.Extension[SocialHistoryExtension].Category,SocialHistory.Extension[SocialHistoryExtension].QuantityLabel,SocialHistory.SocialHabitCategory.Description,Vaccination.OrderItem,FamilyHistory.Diagnosis,FamilyHistory.Extension[FamilyHistoryExtension].Category,FamilyHistory.Diagnosis.Description Vaccination.OrderItem[Order].Description
text	SocialHistory.SocialHabit,SocialHistory.SocialHabitCategory,SocialHistory.Extension[SocialHistoryExtension].Category,SocialHistory.Extension[SocialHistoryExtension].QuantityLabel,SocialHistory.SocialHabitCategory.Description,Vaccination.OrderItem,FamilyHistory.Diagnosis,FamilyHistory.Extension[FamilyHistoryExtension].Category,FamilyHistory.Diagnosis.Description Vaccination.OrderItem[Order].Description
note
text	SocialHistory.SocialHabitComments,Vaccination.Administration.RefusalReason,FamilyHistory.NoteText

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

SmokingStatusObservation
Observation	Event
identifier	Event.identifier
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
effective[x]	Event.occurrence[x]
effective[x] (effectiveDateTime)	Event.occurrence[x]
performer	Event.performer.actor

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

SmokingStatusObservation
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	< 441742003 |Evaluation finding|
value[x] (valueCodeableConcept)	< 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
bodySite	< 123037004 |Body structure|
specimen	< 123038009 |Specimen|
device	< 49062001 |Device|
referenceRange
type	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
appliesTo	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

SmokingStatusObservation
Observation	OBX
identifier	OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
basedOn	ORC
partOf	Varies by domain
status	OBX-11
code	OBX-3
subject	PID-3
focus	OBX-3
encounter	PV1
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
effective[x] (effectiveDateTime)	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued	OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
performer	OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueCodeableConcept)	OBX.2, OBX.5, OBX.6
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
dataAbsentReason	N/A
interpretation	OBX-8
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
author[x]	N/A
time	N/A
text	N/A
bodySite	OBX-20
method	OBX-17
specimen	SPM segment
device	OBX-17 / PRT -10
referenceRange	OBX.7
low	OBX-7
high	OBX-7
type	OBX-10
appliesTo	OBX-10
text	OBX-7
hasMember	Relationships established by OBX-4 usage
derivedFrom	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

Mappings for RIM Mapping (http://hl7.org/v3)

SmokingStatusObservation
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
basedOn	.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
partOf	.outboundRelationship[typeCode=FLFS].target
status	status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
category (SocialHistory)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code	code
subject	participation[typeCode=RTGT]
focus	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
value[x]	value
value[x] (valueCodeableConcept)	value
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
note	subjectOf.observationEvent[code="annotation"].value
id	n/a
extension	n/a
author[x]	Act.participant[typeCode=AUT].role
time	Act.effectiveTime
text	Act.text
bodySite	targetSiteCode
method	methodCode
specimen	participation[typeCode=SPC].specimen
device	participation[typeCode=DEV]
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
low	value:IVL_PQ.low
high	value:IVL_PQ.high
type	interpretationCode
appliesTo	interpretationCode
age	outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
text	value:ST
hasMember	outBoundRelationship
derivedFrom	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

SmokingStatusObservation
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (SocialHistory)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
focus	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
effective[x] (effectiveDateTime)	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
component
code	FiveWs.what[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

SmokingStatusObservation
Observation
code	116680003 |Is a|
value[x]	363714003 |Interprets|
value[x] (valueCodeableConcept)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
bodySite	718497002 |Inherent location|
specimen	704319004 |Inherent in|
device	424226004 |Using device|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|