My specialty (orthopeadics) organization is hinting that part or the new "meaningful" use part of the electronic record is going to require us to ask. We are fighting that. The EMR systems have a spot.for firearms, smoke detectors, heroine, etc...As time goes on all EMRs will talk to each other. However the provider can limit what gets shared. I follow teratos' method. Just say no.
We configured our EMR so there is no spot for anything about firearms. We do have hobbies, but they are free-texted. If it is not in structured data, it is not searchable. We ask about smoking, drinking, drugs, occupation, marital status, children, hobbies, travel. No guns. No smoke detectors.