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Physicians should not have to support inconsistent representations of the same data element across FHIR APIs, C-CDA documents, quality reports, public health messages, and payer transactions

Nationally, the cigar use prevalence among high school students was 2.5%.2 Economics of tobacco use and tobacco control Tobacco taxes in Rhode Island Rhode Island received $200.3 million (estimated) in revenue from tobacco settlement payments and taxes in fiscal year 2023.4 Of this, the state allocated $415,452.00 in state funds to tobacco prevention in fiscal year 2023, 3.2% of the Centers for Disease Control and Preventions annual spending target.4 Smoking-caused health care costs: $744 million per year.4 Smoking-caused losses in productivity: $1.1 billion per year.5 Rhode Island tobacco laws Rhode Island tobacco laws Tobacco taxes Rhode Island is ranked 4th in the U.S

3) DNA Fragmentation One of the most critical effects of smoking is sperm DNA fragmentation tiny breaks in the genetic material

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