Updated December 2020

ALR > Smoking Cessation

Introduction:

The Smoking Cessation entity captures and stores a set of performance metrics based on the smoking status of new Ambulatory Cancer Care patients collected at the 14 RCCs and submitted to ALR Data Book. The metrics identify all new ambulatory patients attending the RCCs who could benefit from tobacco cessation advice, and match their needs to an appropriate and available service(s).

Entity
Data Element
Definition
Format
Valid Values
Purpose and Use
Completion Requirement
Changes

Smoking Cessation

Patient Chart Number

Patient identifier code that is unique within the healthcare facility.

CHAR 10
Alpha-numeric.

Consistent with CIHI NACRS and DAD definition and format

Uniquely identifies a patient within an RCC.  Necessary to determine a case.  Foundational to most measures and indicators.

Mandatory

 

Smoking Cessation

Submitting Hospital Number

The MOHLTC healthcare facility that submits activity to OH-CCO.

CHAR 4
Numeric

Valid MOHLTC facility numbers only.  Same 3-digit number that is used for MIS submissions.  An additional leading zero is acceptable.

For current valid MOHLTC facility numbers, see Appendix A.

Allows the hospital organization submitting the data to be distinguished from the hospital site where the service was delivered.

Mandatory

 

Smoking Cessation

Registration Date

Date this patient was first registered at this RCC and/or hospital for this disease

YYYYMMDD 

Valid dates only.

Date must be equal to or before patient's first visit at this centre for this disease.

Used as a surrogate for date of initial diagnosis when date of initial diagnosis in not available. Additional purpose: Used to derive disease sequence number for sites who do not submit the disease sequence number. Therefore used to link clinic visit activity to patient’s disease.

Mandatory

 

Smoking Cessation

Disease Sequence Number

The numeric sequence assigned to a primary cancer for a patient at a specific healthcare facility.

INTEGER

1 through 99

When combined with a patient identifier, disease sequence number uniquely defines a cancer case.

Disease Sequence Number must be either entered or left blank on ALL records in ALL entities from a submitting site, and that must remain consistent from month to month.

If left blank, OH-CCO will derive a value from the Registration Date.  If this is the case, the field must be unique amongst Diseases within the Patient.

Used in ALR, Ontario Cancer Registry, Wait Times, Planning, and funding.

 

 

Smoking Cessation

Visit Hospital Number

MOHLTC Master Number and name for the reporting healthcare facility where the cancer activity occurred (known by CIHI as Institution Numbers)

CHAR 4
Numeric

Same as CIHI's Institution Number for NACRS or DAD submissions but does not include CIHI's provincial identifier digit. For current valid MOHLTC master numbers. See Appendix A.

Uniquely identifies the hospital organization to which this visit belongs.

Mandatory

 

Smoking Cessation

Visit Program Code

Primary cancer programs for clinic, planning and treatment activity. Includes; Radiation (RAD), Systemic (SYS), Surgical (SUR), Research (RE), Palliative (PA), Preventative oncology (PO), or Psychosocial Oncology (PSO).

CHAR 3

 

RAD=Radiation Therapy

SYS=Systemic Therapy

SUR=Surgery

RE=Research

PA=Palliative Care

PO=Preventive Oncology

PSO=Psychosocial Oncology.

Used to classify visits by Program where smoking session interview happened.

Mandatory

 

 

Smoking Cessation

SMK_ASK

Patient self-reported as being a current smoker/tobacco user or indicated they had smoked/ used tobacco within the past 6 months

CHAR 1 Numeric

1 = Yes

2 = No

9 = Refusal/Don't Know

Used to determine proportion of total new ambulatory care cases screened for current (or recent) smoking or tobacco use. The valid values correspond to the patient's response.

Mandatory

Data element name and definition updated in December 2017 for FY 2018-19

Smoking Cessation

SMK_ASK_Date

The date when the patient was asked SMK_ASK (smoking status question).

YYYYMMDD 

Valid dates only.

Used to determine date patient asked smoking status in RCC.

Mandatory

Data element name and definition updated in December 2017 for FY 2018-19

Smoking Cessation

SMK_ADV

Patient was advised of the benefits of smoking cessation or remaining smoke free.

CHAR 1 Numeric

1 = Yes

2 = No

Or field can be left blank

Used to determine proportion of current (or recent) smokers advised of benefits of cessation. The valid values correspond to provider behaviour reflecting actions of the cancer centre. This field can be left blank if data is N/A or missing.

Mandatory

Data element name and definition updated in December 2017 for FY 2018-19

Smoking Cessation

SMK_ACT

Type of referral selected by patient, or reason for declining a referral. Referral is the act of connecting a patient with a smoking cessation service(s) for further action or support in making a quit attempt or remaining smoke free. The service should be directly arranged for the patient by the RCC. A referral is not simply the act of providing written information. Internal referrals include services provided by the RCC, and external referrals include services provided by partner organizations.

CHAR 1 Numeric

1 (Internal)

2 (External)

3 (Both)

4 (Declined: Not interested)

5 (Declined: receiving support)

6 (Declined: quit smoking)

Or field can be left blank

Used to determine proportion of current (or recent) smokers who accepted a referral, and among those the type of referral selected. The valid values correspond to the patient's response. This field can be left blank if data is N/A or missing.

Mandatory

Data element definition updated in December 2019 for FY 2020-2021

Please note that the 'Applies to' column has been replaced with 'Completion Requirement' column. Please refer to Appendix 1.40: ALR activity by Reporting Facility for additional details on facility-specific ALR activity data submission requirements.

 

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