Recording smoking (Aged 15 years and over)
- 137.. Tobacco consumption
- 1372. Trivial smoker - <1 cig/day
- 1373. Light smoker - 1-9 cigs/day
- 1374. Moderate smoker - 10-19 cigs/day
- 1375. Heavy smoker - 20-39 cigs/day
- 1376. Very heavy smoker - 40+ cigs/day
- 1377. Ex-trivial smoker (<1/day)
- 1378. Ex-light smoker (1-9/day)
- 1379. Ex-moderate smoker (10-19/day)
- 137A. Ex-heavy smoker (20-39/day)
- 137B. Ex-very heavy smoker (40+/day)
- 137C. Keeps trying to stop smoking
- 137D. Admitted tobacco cons untrue?
- 137F. Ex-smoker - amount unknown
- 137G. Trying to give up smoking
- 137H. Pipe smoker
- 137J. Cigar smoker
- 137K. Stopped smoking
137L. Current non-smoker(v14)- 137M. Rolls own cigarettes
- 137N. Ex pipe smoker
- 137O. Ex cigar smoker
- 137P. Cigarette smoker
- 137Q. Smoking started
- 137R. Current smoker
- 137S. Ex smoker
- 137T. Date ceased smoking
137U. Not a passive smoker (v12)- 137V. Smoking reduced
- 137X. Cigarette consumption
- 137Y. Cigar consumption
- 137Z. Tobacco consumption NOS
- 137a. Pipe tobacco consumption
- 137b. Ready to stop smoking
- 137c. Thinking about stopping smoking
- 137d. Not interested in stopping smoking
- 137e. Smoking restarted
- 137f. Reason for restarting smoking
- 137g. Cigarette pack-years
- 137h. Minutes from waking to first tobacco consumption
- 137j. Ex-cigarette smoker (v15)
137l. Ex roll-up cigarette smoker (v16)
- 137m. Failed attempt to stop smoking (v18)
Current Smoker Codes - recorded
In the last 27 months (v12)
- 1372. Trivial smoker - <1 cig/day
- 1373. Light smoker - 1-9 cigs/day
- 1374. Moderate smoker - 10-19 cigs/day
- 1375. Heavy smoker - 20-39 cigs/day
- 1376. Very heavy smoker - 40+ cigs/day
- 137C. Keeps trying to stop smoking
- 137D. Admitted tobacco cons untrue?
- 137G. Trying to give up smoking
- 137H. Pipe smoker
137J. Cigar smoker
137M. Rolls own cigarettes
- 137P. Cigarette smoker
- 137Q. Smoking started
- 137R. Current smoker
137V. Smoking reduced
- 137X. Cigarette consumption
- 137Y. Cigar consumption
- 137Z. Tobacco consumption NOS
- 137a. Pipe tobacco consumption
- 137b. Ready to stop smoking
- 137c. Thinking about stopping smoking
- 137d. Not interested in stopping smoking
- 137e. Smoking restarted
- 137f. Reason for restarting smoking
137h. Minutes from waking to first tobacco consumption
- 137m. Failed attempt to stop smoking (v18)
Or never smoked tobacco - Recorded
annually up to the age of 25 then recorded once after their 25th birthday
and not required again(v12)
1371. Never smoked tobacco
Or Ex-Smoker recorded annually on three
consecutive years then not required unless they start smoking again (v12)
- 1377. Ex-trivial smoker (<1/day)
- 1378. Ex-light smoker (1-9/day)
- 1379. Ex-moderate smoker (10-19/day)
- 137A. Ex-heavy smoker (20-39/day)
- 137B. Ex-very heavy smoker (40+/day)
137F. Ex-smoker - amount unknown
- 137K. Stopped smoking
137L. Current non-smoker (v14)- 137N. Ex pipe smoker
- 137O. Ex cigar smoker
- 137S. Ex smoker
- 137T. Date ceased smoking
- 137j. Ex-cigarette smoker (v15)
137l. Ex roll-up cigarette smoker (v16)
Exclusions
(v10)
9hG1. Excepted from smoking quality indicators:
Informed dissent (v10)9hG0. Excepted from smoking quality indicators:
Patient unsuitable (v10)-
Records 23.1 Practice guidance
There is evidence that when doctors and other health professionals advise patients
to stop smoking, this is effective. This indicator examines whether smoking
status is recorded in the clinical record. Non smokers should be recorded as
such up to and including 25 years of age. Ex-smokers should be recorded as such
for at least three years since they last reported a smoking habit. Thereafter
smoking status only needs to be recorded should habits change. Dependent upon
how practices record smoking status, the survey can be undertaken by computer
search or a survey of the written records.
Records 23.2 Written evidence
A survey of written records or a computer search of patients aged over 15 years
should be carried out (surveying a minimum of 50 records), to determine the
percentage where smoking habit is recorded in the previous 27 months. (Grade
A)
Records 23.3 Assessment visit
A random sample of 20 notes or computerised records of patients aged over 15
years should be inspected, to confirm that smoking status is recorded in the
previous 27 months.
Records 23.4 Assessors’ guidance
The practice’s own survey is verified by inspecting 20 patient records at
the visit. If the result differs from the practice survey then a further 20
patient records should be checked.
Note: A logical query and dataset (business rule) is available
to support this indicator.
Prepared By Jean Keenan