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Standard Code Book (SCB)  
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Health Factors

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1-25 of 97 items displayed
 
  

Code Category Health Factor Code Health Factor Standards Outcome
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. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F023  CESSATION-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.  Is transitioning from a Current Smokeless tobacco user to a Previous Smokeless tobacco user. The time period between stopping smokeless tobacco and the present date is less than six months. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F106  NEVER USED SMOKELESS TOBACCO  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.  Does not and has never used smokeless tobacco products. 
C016  TOBACCO (SMOKELESS - CHEWING/DIP)  F107  SMOKELESS TOBACCO, STATUS UNKNOWN  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.  Unable to assess the patient's smokeless tobacco use status (they may be unconscious or unresponsive). 
C015  TOBACCO (EXPOSURE)  F006  SMOKER IN HOME  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   Is exposed to secondhand smoke at home. 
C015  TOBACCO (EXPOSURE)  F025  SMOKE FREE HOME  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   There is no exposure to tobacco smoke at home. 
C015  TOBACCO (EXPOSURE)  F031  EXPOSURE TO ENVIRONMENTAL TOBACCO SMOKE  Use this health factor to document whether the patient is exposed to tobacco smoke at home or work. 1. Ask the patient if he or she is exposed to tobacco smoke at work. 2. Ask the patient if anyone uses tobacco products at home. 3. ocument the health factor screening results using the associated health factor codes.   Is exposed to secondhand smoke at work or outside the home. 
C003  TB STATUS  F026  TX COMPLETE  Use Tuberculosis treatment status to document TB treatment status in affected patients. 1. Evaluate patient for history of TB or positive PPD test. 2. Determine if the patient has active or a history of infection or exposure. 3. Document health factor screening results using the associated health factor codes.  Patient has completed a course of TB treatment 
C003  TB STATUS  F027  TX INCOMPLETE  Use Tuberculosis treatment status to document TB treatment status in affected patients. 1. Evaluate patient for history of TB or positive PPD test. 2. Determine if the patient has active or a history of infection or exposure. 3. Document health factor screening results using the associated health factor codes.  Patient has not completed a course of TB treatment 
C003  TB STATUS  F028  TX UNKNOWN  Use Tuberculosis treatment status to document TB treatment status in affected patients. 1. Evaluate patient for history of TB or positive PPD test. 2. Determine if the patient has active or a history of infection or exposure. 3. Document health factor screening results using the associated health factor codes.  Status of TB treatment is uncertain 
C003  TB STATUS  F029  TX UNTREATED  Use Tuberculosis treatment status to document TB treatment status in affected patients. 1. Evaluate patient for history of TB or positive PPD test. 2. Determine if the patient has active or a history of infection or exposure. 3. Document health factor screening results using the associated health factor codes.  TB has not been treated 
C003  TB STATUS  F105  TX IN PROGRESS  Use Tuberculosis treatment status to document TB treatment status in affected patients. 1. Evaluate patient for history of TB or positive PPD test. 2. Determine if the patient has active or a history of infection or exposure. 3. Document health factor screening results using the associated health factor codes.  Patient is currently receiving TB treatment 
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. 
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