[WWW - 2023.07.31]

Data Element Detail

Episode of admitted patient care-tobacco smoking status of patient
Identifying and Definitional Attributes
QH 041751 v3
Data Element
Data Element
Draft
19-Sep-2017		Current
30-Jan-2018		Superseded
15-Jul-2019
Standard
Information Management Strategic Governance Committee (IMSGC), Queensland Health
01-Mar-2017
30-Jun-2018
Whether the patient self-identifies as being a current smoker of tobacco (smoked tobacco in the past 30 days) at the time of the episode of admitted patient care.
All Hospital and Health Services (HHS) (both Activity Based Funding (ABF) and block funded facilities) are included, excluding Children's Health Queensland facilities, and including Mater Health Services.
Smoking status of patient
Smoking Status (HBCIS)
Representational Attributes
Numeric
Code
N
1
1
Permissible Values

Permissible_values

CodeDescription
1Reported a current smoker within last 30 days
2Reported not a current smoker
Supplementary Values

Supplemenary_values

CodeDescription
9No smoking status reported or documented
Collection and Usage Attributes
Quality Improvement Payment (QIP) incentive payments are offered by the Department of Health to improve the number of public hospital inpatients offered the Smoking Cessation Clinical Pathway. The Smoking Cessation Clinical Pathway was developed by the Statewide Respiratory Clinical Network and comprises assessment, advice and assistance for a smoker to stop smoking tobacco (including nicotine replacement therapy).

In-scope criteria:
- patient is 18 years of age or more at admission, and
- care type is 01 Acute care or 12 Mental health care, and
- length of stay is 2 or greater (i.e. episode includes two midnights).

Exclusions:
- patient is not alive at separation, or
- ICD-10-AM diagnosis auto-coded episodes. For example, a patient admitted regularly and the clinical coder assigns the code/s without accessing the medical record, i.e. chemotherapy patients. (Without the medical record, there can be no check by the clinical coder for a completed Smoking Cessation Clinical Pathway form)

In the case of multi-statistical re-admissions of eligible patients, the patient must be asked about their tobacco smoking status at each admission and a new Smoking Cessation Clinical Pathway is to be completed.

Code 1 Reported a current smoker within last 30 days
The patient reported he/she did smoke tobacco within the last 30 days.

Australian Coding Standard 0503 (Drug, Alcohol and Tobacco Use Disorders) defines current tobacco use as 'the patient has smoked tobacco (any amount) within the last month' and includes documentation of 'smoker', 'on patches', 'trying to quit'.

Code 2 Reported not a current smoker
The patient reported he/she did not smoke tobacco within the last 30 days. Includes ex-smoker, non-smoker.

Code 9 No smoking status reported or documented
The patient did not report his/her tobacco smoking status or it is not documented.
Age at admission, total years must be 18 years or greater.
Care type must be code 01 (Acute care) or code 12 (Mental health care).
Length of stay (LOS) must be 2 or greater.
Mode of separation must not be code 05 (Died in hospital).
ICD-10-AM coding was not filed by the Auto-coding function.
If code is 1 (Reported a current smoker (within last 30 days)) there should be an ICD-10-AM diagnosis code of Z72.0 (Tobacco use, current), F17.1 (Mental and behavioural disorders due to use of tobacco - harmful use) or F17.2 (Mental and behavioural disorders due to use of tobacco - dependence syndrome).

Queensland Hospital Admitted Patient Data Collection (QHAPDC):
Must not be null if care type = 01 acute or = 12 mental health, patient days >= 2, age of patient at admission is >= 18 years and mode of separation <> 05.
Hospital Based Corporate Information System (HBCIS):
The assessment of the smoking status of the patient and/or the completion of page one of the Smoking Cessation Clinical Pathway form undertaken in an outpatient pre-admission clinic can be used for in-scope patients to record the information in HBCIS, as long as the information is collected within 30 days of admission.

If the patient is in-scope and the Smoking Cessation mandatory parameter has been set to Y (Yes):
- If ICD-10-AM code Z72.0 (Tobacco use, current) has been entered as a diagnosis the value '1' will be automatically populated in the Smoking Status field.
- If ICD-10-AM code is Z72.0 has not been entered, Smoking Status is required to be manually entered.
- If the Smoking Status and Smoking pathway completed? (Y/P/N) fields are populated and ICD-10-AM code Z72.0 is removed from the list of diagnoses, the two fields are reset to null (blank).
- If the Smoking Status and Smoking pathway completed? (Y/P/N) fields are populated and ICD-10-AM code Z72.0 is removed from the list of diagnoses and ICD-10-AM code Z86.43 remains, the Smoking Status field is auto-populated with the value '2' and the Smoking pathway completed? (Y/P/N) field is reset to null (blank).
Further information on QIP Smoking Cessation can be found on QHEPS: INTERNAL QH LINK NOT AVAILABLE
Relational Attributes
Related Metadata References

Related Metadata References_IR

  • 1 - 9
ViewRelationshipMetadata Item TypeMetadata Item SubtypeNameIdentifier & VersionApproval Status
SupersedesData ElementData ElementEpisode of admitted patient care-tobacco smoking status of patientQH 041751 Version 2Superseded
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-discharge status (HBCIS)QH 041743 Version 1Superseded
Is used in conjunction withData ElementData ElementEpisode of admitted patient care-mode of separationQH 040119 Version 7Superseded
Is used in conjunction withData ElementData ElementHospital service-care typeQH 040013 Version 8Superseded
Is used in conjunction withData ElementData ElementRegistered patient-care type (HBCIS)QH 041659 Version 2Current
Is used in conjunction withData ElementDerived Data ElementEpisode of admitted patient care-age at admission, total yearsQH 041753 Version 1Current
Is used in conjunction withData ElementDerived Data ElementEpisode of admitted patient care-length of stay (excluding leave days), total daysQH 040015 Version 2Current
Relates toData ElementData ElementEpisode of admitted patient care-smoking cessation clinical pathway completed indicatorQH 041752 Version 3Superseded
Relates toData ElementData Element ConceptEpisode of admitted patient careQH 041604 Version 1Current
Implementation in Metadata Sets

Implemented

  • 1 - 3
ViewMetadata Item TypeMetadata Item SubtypeNameIdentifer & VersionObligationApproval StatusEffective FromEffective To
Information AssetData CollectionQueensland Hospital Admitted Patient Data Collection (QHAPDC)QH 020001 Version 1ConditionalSuperseded01-Mar-201730-Jun-2018
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2016-2017QH 020314 Version 1ConditionalSuperseded01-Mar-201730-Jun-2017
Data Supply RequirementHHS Service AgreementQueensland Hospital Admitted Patient Data Collection (QHAPDC) Public Hospital Services Data Supply Requirement (DSR) 2017-2018QH 020329 Version 1ConditionalSuperseded01-Jul-201730-Jun-2018
Source and Reference Attributes
QIP; Smoking; Smoking cessation;