Code
|
Category
|
Health Factor Code
|
Health Factor
|
Standards
|
Outcome
|
C020 |
REPRODUCTIVE PLAN |
F128 |
TRYING TO CONCEIVE |
These health factors support reproductive planning and implement improvement projects around preconception care. This drives education and interventions such as folate intake, counseling and selection of contraception, and tobacco use cessation interventions to improve healthier pregnancies and reduce unwanted pregnancies. |
The patient is actively planning and trying to become pregnant if female, or father a child if male, in the next year. |
C020 |
REPRODUCTIVE PLAN |
F129 |
NOT TRYING TO CONCEIVE |
These health factors support reproductive planning and implement improvement projects around preconception care. This drives education and interventions such as folate intake, counseling and selection of contraception, and tobacco use cessation interventions to improve healthier pregnancies and reduce unwanted pregnancies. |
The patient does not want to become pregnant if female, or father a child if male, in the next year. |
C020 |
REPRODUCTIVE PLAN |
F130 |
AMBIVALENT ABOUT TRYING TO CONCEIVE |
These health factors support reproductive planning and implement improvement projects around preconception care. This drives education and interventions such as folate intake, counseling and selection of contraception, and tobacco use cessation interventions to improve healthier pregnancies and reduce unwanted pregnancies. |
The patient is not sure if they want to become pregnant if female, or father a child if male, or not in the next year. |
C019 |
ELECTRONIC NICOTINE DELIV SYSTEM (ENDS) |
F124 |
CURRENT ENDS USER |
Use this health factor to document if the patient uses an electronic nicotine delivery system (ENDS) (also referred to as vaping or e-cigarettes containing nicotine). |
Currently uses electronic nicotine delivery systems (ENDS). |
C019 |
ELECTRONIC NICOTINE DELIV SYSTEM (ENDS) |
F125 |
CESSATION ENDS USER |
Use this health factor to document if the patient uses an electronic nicotine delivery system (ENDS) (also referred to as vaping or e-cigarettes containing nicotine). |
Is transitioning from a Current electronic nicotine delivery systems user to a ENDS user. The time period between stopping the use of ENDS and the present date is less than six months. |
C019 |
ELECTRONIC NICOTINE DELIV SYSTEM (ENDS) |
F126 |
PREVIOUS ENDS USER |
Use this health factor to document if the patient uses an electronic nicotine delivery system (ENDS) (also referred to as vaping or e-cigarettes containing nicotine). |
Has stopped using electronic nicotine delivery systems for six months or more. |
C019 |
ELECTRONIC NICOTINE DELIV SYSTEM (ENDS) |
F127 |
NEVER USED ENDS USER |
Use this health factor to document if the patient uses an electronic nicotine delivery system (ENDS) (also referred to as vaping or e-cigarettes containing nicotine). |
Does not and has never used an electronic nicotine delivery system. |
C018 |
ECOG PERFORMANCE STATUS |
F115 |
ECOG 0 - ACTIVE |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Fully active, able to carry on all pre-disease performance without restriction |
C018 |
ECOG PERFORMANCE STATUS |
F116 |
ECOG 1 - SOME RESTRICTION |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e.g., light house work, office work |
C018 |
ECOG PERFORMANCE STATUS |
F117 |
ECOG 2 - UNABLE TO WORK |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours |
C018 |
ECOG PERFORMANCE STATUS |
F118 |
ECOG 3 - LIMITED SELF CARE |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours |
C018 |
ECOG PERFORMANCE STATUS |
F119 |
ECOG 4 - COMPLETELY DISABLED |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair |
C018 |
ECOG PERFORMANCE STATUS |
F123 |
ECOG 5 - DEAD |
Use the Eastern Cooperative Oncology Group (ECOG) performance status to assess how a patient's disease is progressing, assess how the diseaase affects the daily living abilities of the patient, and determine appropriate treatment and prognosis.
1.Assess the patient's ability to perform daily tasks.
2.Document the result using the associated health factor codes. |
Dead |
C017 |
TOBACCO (SMOKING) |
F002 |
CURRENT SMOKER, STATUS UNKNOWN |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Currently smokes tobacco (cigarettes, cigars, pipe, etc.) but the amount smoked is unknown. |
C017 |
TOBACCO (SMOKING) |
F004 |
PREVIOUS (FORMER) SMOKER |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Has quit smoking tobacco for six months or more. |
C017 |
TOBACCO (SMOKING) |
F024 |
CESSATION-SMOKER |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Is transitioning from a Current Smoker to a Previous Smoker. The time period between the stop date and the present date is less than six months. |
C017 |
TOBACCO (SMOKING) |
F035 |
CEREMONIAL USE ONLY |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Uses tobacco for ceremonial or religious purposes only. |
C017 |
TOBACCO (SMOKING) |
F108 |
CURRENT SMOKER, EVERY DAY |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Currently smokes tobacco (cigarettes, cigars, pipe, etc.) every day. |
C017 |
TOBACCO (SMOKING) |
F109 |
CURRENT SMOKER, SOME DAY |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Currently smokes tobacco (cigarettes, cigars, pipe, etc.) on some days (but not every day) |
C017 |
TOBACCO (SMOKING) |
F110 |
NEVER SMOKED |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Does not and has never smoked tobacco products. |
C017 |
TOBACCO (SMOKING) |
F111 |
SMOKING STATUS UNKNOWN |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Unable to assess the patient’s smoking status (patient may be unconscious or unresponsive). |
C017 |
TOBACCO (SMOKING) |
F121 |
HEAVY TOBACCO USER |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Currently smokes = 10 cigarettes per day. |
C017 |
TOBACCO (SMOKING) |
F122 |
LIGHT TOBACCO USER |
Use this health factor to document whether the patient smokes tobacco (cigarettes, pipe, or cigars) or has a history of smoking.
1. Ask the patient if he or she smokes tobacco or has smoked tobacco in the past (cigarettes, pipe, or cigars).
2. Ask the patient if he or she smokes tobacco products for cultural or religious purposes.
3. Document the Smoking Assessment factor screening results using the associated health factor codes. |
Currently smokes < 10 cigarettes per day. |
C016 |
TOBACCO (SMOKELESS - CHEWING/DIP) |
F003 |
CURRENT SMOKELESS |
Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco.
1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.).
2. Document the health factor screening results using the associated health factor codes. |
Currently uses smokeless tobacco (chew, dip, snuff, etc.). |
C016 |
TOBACCO (SMOKELESS - CHEWING/DIP) |
F005 |
PREVIOUS (FORMER) SMOKELESS |
Use this health factor to document whether the patient uses smokeless tobacco (chewing tobacco, dip) or has a history of using smokeless tobaccco.
1. Ask the patient if he or she uses smokeless tobacco products (Chewing tobacco, snuff, dip, etc.).
2. Document the health factor screening results using the associated health factor codes. |
Has quit smokeless tobacco for six months or more. |
97 Record(s)
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