SMOK002 - Smoking status recorded for long term conditions
The information contained within this article is from version 49 of the Business Rules for Quality and Outcomes Framework (QOF).
Indicator definition
Indicator ID | Description |
SMOK002 | The percentage of patients with any or any combination of the following conditions: CHD, PAD, stroke or TIA, hypertension, diabetes, COPD, CKD, asthma, schizophrenia, bipolar affective disorder or other psychoses whose notes record smoking status in the preceding 12 months. |
What do the business rules mean?
What makes a patient eligible?
Patients are included in SMOK002 if they have any of the following diagnoses:
- CHD
- PAD
- Stroke or TIA
- unresolved hypertension
- unresolved diabetes (in 17 and over)
- unresolved COPD
- unresolved asthma on treatment (in 20 and over)
- unresolved CKD (in 18 and over)
- history of psychosis, schizophrenia or bipolar affective disorder
How to achieve the indicator
To meet the criteria for SMOK002, eligible patients must have a current smoker code added within the contract year, and satisfy one of the Group criteria below:
Group 1:
- at least 25 years old at the end of the contract year
- nost recent smoking status is "never smoked"
- "Never smoked" status was recorded on or after their diagnosis date AND this was recorded after their 25th birthday
Group 2:
- age under 25 years old at the end of the contract year
- most recent smoking status is "never smoked"
- "Never smoked" status was recorded within the contract year
Group 3:
Group 4:
- Patient has had 3 consecutive years of being coded as "Ex smoker" and no record of being a "current smoker"
- Patient has had 3 consecutive years coded as "Ex smoker" which occurred after their latest "current smoker" status
What will remove patients from eligibility?
- Patients for whom smoking quality care indicator was unsuitable in the contract year
- Patients who declined to give smoking status during the contract year
- Patients who chose not to receive the smoking quality care indicator in the contract year
- Patients who have been invited twice for review (at least 7 days apart)
- Patients who were diagnosed with their first eligible condition in the last 3 months of the contract year
- Patient who were newly registered with the practice in the last 3 months of the contract year
If a patient achieves the
indicator at any point during the year, any exclusions that have also been
added are ignored.
Hints and tips for achieving this indicator
This indicator can commonly be achieved by sending messages using your text messaging system.
SNOMED codes used in this indicator
The codes referenced in this article are taken from the NHS Technology Reference Update Distribution (TRUD). Not all of these may be present or selectable in all clinical systems.
Codes for smoking quality indicator care unsuitable for patient (SMOKPCAPU_COD)
SNOMED code | SNOMED code description |
716391000000109 | Excepted from smoking quality indicators - patient unsuitable |
Codes indicating the patient has chosen not to give their smoking status (SMOKSTATDEC_COD)
SNOMED code | SNOMED code description |
1098881000000103 | Declined to give smoking status |
11351000175103 | Tobacco use screening declined |
Codes indicating the patient has chosen not to receive smoking quality indicator care (SMOKPCADEC_COD)
SNOMED code | SNOMED code description |
717771000000108 | Excepted from smoking quality indicators - informed dissent |
Invite for smoking care review codes (SMOKINVITE_COD)
SNOMED code | SNOMED code description |
| 1109921000000106 | Quality and Outcomes Framework quality indicator-related care invitation |
1110971000000101 | Quality and Outcomes Framework smoking quality indicator-related care invitation |
| 143461000000103 | Quality and Outcomes Framework smoking quality indicator-related care invitation using preferred method of communication |
| 185792005 | Stop smoking monitoring first letter |
| 185793000 | Stop smoking monitoring second letter |
| 185794006 | Stop smoking monitoring third letter |
| 185795007 | Stop smoking monitoring verbal invite |
| 185796008 | Stop smoking monitoring telephone invite |
| 310429001 | Smoking monitoring invitation |
| 783381000000101 | Stop smoking invitation short message service text message |
| 783401000000101 | Stop smoking invitation first short message service text message |
| 783441000000103 | Stop smoking invitation second short message service text message |
| 783481000000106 | Stop smoking invitation third short message service text message |
Smoker codes (LSMOK_COD)
SNOMED code | SNOMED code description |
134406006 | Smoking reduced (finding) |
160603005 | Light cigarette smoker (1-9 cigs/day) (finding) |
160604004 | Moderate cigarette smoker (10-19 cigs/day) (finding) |
160605003 | Heavy cigarette smoker (20-39 cigs/day) (finding) |
160606002 | Very heavy cigarette smoker (40+ cigs/day) (finding) |
160612007 | Keeps trying to stop smoking (finding) |
160613002 | Admitted tobacco consumption possibly untrue (finding) |
160616005 | Trying to give up smoking (finding) |
160619003 | Rolls own cigarettes (finding) |
203191000000107 | Wants to stop smoking (finding) |
225934006 | Smokes in bed (finding) |
| 230056004 | Cigarette consumption (observable entity) |
230057008 | Cigar consumption (observable entity) |
230058003 | Pipe tobacco consumption (observable entity) |
230059006 | Occasional cigarette smoker (finding) |
230060001 | Light cigarette smoker (finding) |
230062009 | Moderate cigarette smoker (finding) |
230063004 | Heavy cigarette smoker (finding) |
230064005 | Very heavy cigarette smoker (finding) |
230065006 | Chain smoker (finding) |
266918002 | Tobacco smoking consumption (observable entity) |
266920004 | Trivial cigarette smoker (less than one cigarette/day) (finding) |
266929003 | Smoking started (finding) |
308438006 | Smoking restarted (finding) |
394871007 | Thinking about stopping smoking (finding) |
394872000 | Ready to stop smoking (finding) |
394873005 | Not interested in stopping smoking (finding) |
401159003 | Reason for restarting smoking (observable entity) |
413173009 | Minutes from waking to first tobacco consumption (observable entity) |
428041000124106 | Occasional tobacco smoker (finding) |
446172000 | Failed attempt to stop smoking (finding) |
449868002 | Smokes tobacco daily (finding) |
56771006 | Heavy smoker (over 20 per day) (finding) |
59978006 | Cigar smoker (finding) |
65568007 | Cigarette smoker (finding) |
77176002 | Smoker (finding) |
82302008 | Pipe smoker (finding) |
836001000000109 | Waterpipe tobacco consumption (observable entity) |
Code for never smoked (NSMOK_COD)
SNOMED code | SNOMED code description |
221000119102 | Never smoked any substance |
266919005 | Never smoked tobacco |
Code for ex-smoker (EXSMOK_COD)
SNOMED code | SNOMED code description |
1092031000000108 | Ex-smoker amount unknown (finding) |
1092041000000104 | Ex-very heavy smoker (40+/day) (finding) |
1092071000000105 | Ex-heavy smoker (20-39/day) (finding) |
1092091000000109 | Ex-moderate smoker (10-19/day) (finding) |
1092111000000104 | Ex-light smoker (1-9/day) (finding) |
1092131000000107 | Ex-trivial smoker (<1/day) (finding) |
| 160617001 | Stopped smoking (finding) |
160620009 | Ex-pipe smoker (finding) |
160621008 | Ex-cigar smoker (finding) |
160625004 | Date ceased smoking (observable entity) |
228486009 | Time since stopped smoking (observable entity) |
266921000 | Ex-trivial cigarette smoker (<1/day) (finding) |
266922007 | Ex-light cigarette smoker (1-9/day) (finding) |
266923002 | Ex-moderate cigarette smoker (10-19/day) (finding) |
266924008 | Ex-heavy cigarette smoker (20-39/day) (finding) |
266925009 | Ex-very heavy cigarette smoker (40+/day) (finding) |
266928006 | Ex-cigarette smoker amount unknown (finding) |
281018007 | Ex-cigarette smoker (finding) |
360890004 | Intolerant ex-smoker (finding) |
360900008 | Aggressive ex-smoker (finding) |
48031000119106 | Ex-smoker for more than 1 year (finding) |
492191000000103 | Ex roll-up cigarette smoker (finding) |
53896009 | Tolerant ex-smoker (finding) |
735112005 | Date ceased using moist tobacco (observable entity) |
735128000 | Ex-smoker for less than 1 year (finding) |
8517006 | Ex-smoker (finding) |
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