SmokingStatus - Issued

I’d like to seek clarification on what we can/cannot do with ‘issued’, a mandatory field, in smoking status profile.
In our patient record, there is no specific issued date for smoking status. Rather, it is a date when the patient record was last updated for any of the hundreds of fields, including smoking status. In light of the comments that mentions clinically significant results, would it be permissible for us to provide the latest updated date as ‘issued’ date, even it may not represent the date when smoking status result was obtained?

I also posted a reply to another topic - observation-issued. Sorry for the duplicate. Trying to make the question visible :slight_smile:
Thank you for your help!

One of the authors indicated that you should look here for a response: