Smoking status: Enable a user to electronically record, change, and access the smoking status of a patient in accordance with the standard specified.
• 45 CFR 170.315(a)(11). Coded to one of the following SNOMED CT codes:
• Current everyday smoker. 449868002
• Current some day smoker. 428041000124106
• Former smoker. 8517006
• Never smoker. 266919005
• Smoker, current status unknown. 77176002
• Unknown if ever smoked. 266927001
• Heavy tobacco smoker. 428071000124103
• Light tobacco smoker. 428061000124105
Objective: Record smoking status for patients 13 years or older.
Measure: More than 85 percent of all unique patients 13 years old or older seen by the eligible professional or admitted to the eligible hospital’s or critical care hospital’s inpatient or emergency department during the EHR reporting period have smoking status records as structured data.
A quick reference for meeting the smoking status promoting interoperability requirement is included in the American Academy of Family Physicians (AAFP) Tobacco and Nicotine Cessation Toolkit. The AAFP supports the incorporation of tobacco cessation into EHR templates (AAFP 2015). The quick reference provides guidance on what should be included in a tobacco cessation EHR template.
Real World Case 5.1
1. Why would SNOMED CT be used to record the smoking status of a patient on an EHR template?
2. Why was ICD-10-CM not chosen as the system to capture smoking status?
3. Review the SNOMED CT codes. Which ones have a namespace identifier and an extension? What part of the identifier is the namespace and what part is the extension?
