VRIS - Viljatusravi infosüsteem
0.1.0 - draft Estonia flag

VRIS - Viljatusravi infosüsteem, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-vris/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: EE VRIS Tobacco Use

Official URL: https://fhir.ee/vris/StructureDefinition/ee-vris-observation-tobacco-use Version: 0.1.0
Draft as of 2026-09-28 Computable Name: EEVRISObservationTobaccoUse

Observation profile for tobacco use status in the Estonian VRIS fertility system. (ee Tubakatoodete kasutamine.)

Usages:

  • This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... category 0..* CodeableConcept Vaatluse kategooria
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Tobacco smoking status.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... effective[x] Σ 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... value[x] ΣC 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... note 0..* Annotation (ee Lisainfo vajadusel)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... instantiates[x] 0..0 Instantiates FHIR ObservationDefinition
... triggeredBy 0..0 Triggering observation(s)
... partOf 0..0 Part of referenced event
... category 0..* CodeableConcept Vaatluse kategooria
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
... code 1..1 CodeableConcept Tobacco smoking status.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
... subject 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... issued 0..0 Date/Time this version was made available
... value[x] 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc
... note 0..* Annotation (ee Lisainfo vajadusel)
... bodySite 0..0 Observed body part
... specimen 0..0 Specimen used for this observation
... device 0..0 A reference to the device that generates the measurements or the device settings for the device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 0..0 Related resource from which the observation is made
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... category 0..* CodeableConcept Vaatluse kategooria
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Tobacco smoking status.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... effective[x] Σ 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... note 0..* Annotation (ee Lisainfo vajadusel)
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... category 0..* CodeableConcept Vaatluse kategooria
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Tobacco smoking status.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... effective[x] Σ 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... value[x] ΣC 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... note 0..* Annotation (ee Lisainfo vajadusel)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation 0..* Observation Measurements and simple assertions
... instantiates[x] 0..0 Instantiates FHIR ObservationDefinition
... triggeredBy 0..0 Triggering observation(s)
... partOf 0..0 Part of referenced event
... category 0..* CodeableConcept Vaatluse kategooria
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
... code 1..1 CodeableConcept Tobacco smoking status.
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
... subject 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... focus 0..0 What the observation is about, when it is not about the subject of record
... encounter 0..0 Healthcare event during which this observation is made
... effective[x] 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... issued 0..0 Date/Time this version was made available
... value[x] 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc
... note 0..* Annotation (ee Lisainfo vajadusel)
... bodySite 0..0 Observed body part
... specimen 0..0 Specimen used for this observation
... device 0..0 A reference to the device that generates the measurements or the device settings for the device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 0..0 Related resource from which the observation is made
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for observation
... basedOn Σ 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest) Fulfills plan, proposal or order
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.
Required Pattern: final
... category 0..* CodeableConcept Vaatluse kategooria
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.

Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: social-history
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... code ΣC 1..1 CodeableConcept Tobacco smoking status.
Binding: LOINCCodes (example): Codes identifying names of simple observations.
Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (Complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 365980008
..... display 1..1 string Representation defined by the system
Fixed Value: Finding of tobacco use and exposure
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Patient: EE VRIS Donor | Patient: EE VRIS Recipient | EE MPI Patient Verified | Patient: EE VRIS Anonymous Patient) Viide kelle kohta andmed koguti
... effective[x] Σ 1..1 dateTime (ee Millal tubakatoodete tarvitamise staatust hinnati)
... performer Σ 0..* Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson) Who is responsible for the observation
... value[x] ΣC 1..1 CodeableConcept (ee Tubakatoodete kasutamise staatus. NB! Seda LOENDIT veel EI ole. Kas saaks seostada nikotiiniandmete projektiga?)
Binding: https://fhir.ee/ValueSet/vris-tobacco-use (required)
... note 0..* Annotation (ee Lisainfo vajadusel)
... bodyStructure C 0..1 Reference(BodyStructure) Observed body structure
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.language Base required All Languages 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required Observation Status 📍5.0.0 FHIR Std.
Observation.category Base preferred Observation Category Codes 📍5.0.0 FHIR Std.
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.value[x] Base required https://fhir.ee/ValueSet/vris-tobacco-use Not State Unknown
Observation.method Base example Observation Methods 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

 

Other representations of profile: CSV, Excel, Schematron