Health eData 1 Sandbox
0.1.0 - CI Build

Health eData 1 Sandbox, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/argonautproject/USCDIV7/ and changes regularly. See the Directory of published versions

## : Tobacco Use Panel Example - XML Representation

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    <Observation xmlns="http://hl7.org/fhir">
      <id value="tobacco-use-panel"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="Tobacco Use Panel Example"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This example for the proposed *US Core Tobacco Use Profile* shows a single Observation using `component` elements to convey the LOINC 88028-6 Tobacco use panel members. The patient is a current every day cigarette and e-cigarette smoker who also uses smokeless tobacco occasionally, smokes less than one pack per day, has used tobacco for ten years, and has a calculated cumulative exposure of less than ten pack-years."/>
        </extension>
        <profile
                 value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tobacco-use"/>
      </meta>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Observation tobacco-use-panel</b></p><a name="tobacco-use-panel"> </a><a name="hctobacco-use-panel"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <code>http://hl7.org/fhir/us/core/StructureDefinition/us-core-tobacco-use</code></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}">Social History</span></p><p><b>code</b>: <span title="Codes:{http://loinc.org 88028-6}">88028-6 (LOINC): Tobacco use panel</span></p><p><b>subject</b>: <a href="http://hl7.org/fhir/us/core/2026Jan/Patient-example.html">Amy Shaw</a></p><p><b>effective</b>: 2026-05-20</p><p><b>performer</b>: <a href="http://hl7.org/fhir/us/core/2026Jan/Practitioner-practitioner-1.html">Dr Ronald Bone</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 72166-2}">72166-2 (LOINC): Tobacco smoking status</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 449868002}">449868002 (SNOMED CT): Current every day smoker</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 88031-0}">88031-0 (LOINC): Smokeless tobacco status</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 881731000124108}">881731000124108 (SNOMED CT): Uses smokeless tobacco occasionally</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 82769-1}">82769-1 (LOINC): Smoked or non-smoked tobacco</span></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA26673-6}">LA26673-6 (LOINC): Use of both smoked and non-smoked tobacco products</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 81228-9}">81228-9 (LOINC): Tobacco product</span></p><p><b>value</b>: <span title="Codes:{http://loinc.org LA15332-2}">LA15332-2 (LOINC): Cigarettes</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 81228-9}">81228-9 (LOINC): Tobacco product</span></p><p><b>value</b>: <span title="Codes:{http://snomed.info/sct 722498003}">722498003 (SNOMED CT): Electronic cigarette</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 8663-7}">8663-7 (LOINC): Cigarettes smoked current (pack per day) - Reported</span></p><p><b>value</b>: &lt;1 {pack}/d<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{pack}/d = '{pack}/d')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://loinc.org 88029-4}">88029-4 (LOINC): Tobacco use duration</span></p><p><b>value</b>: 10 a<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 782516008}">782516008 (SNOMED CT): Number of calculated pack years for cumulative lifetime tobacco exposure</span></p><p><b>value</b>: &lt;10 {PackYears}<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{PackYears} = '{PackYears}')</span></p></blockquote></div>
      </text>
      <status value="final"/>
      <category>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/observation-category"/>
          <code value="social-history"/>
          <display value="Social History"/>
        </coding>
        <text value="Social History"/>
      </category>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="88028-6"/>
          <display value="Tobacco use panel"/>
        </coding>
        <text value="88028-6 (LOINC): Tobacco use panel"/>
      </code>
      <subject>
        <reference value="Patient/example"/>
        <display value="Amy Shaw"/>
      </subject>
      <effectiveDateTime value="2026-05-20"/>
      <performer>
        <reference value="Practitioner/practitioner-1"/>
        <display value="Dr Ronald Bone"/>
      </performer>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="72166-2"/>
            <display value="Tobacco smoking status"/>
          </coding>
          <text value="72166-2 (LOINC): Tobacco smoking status"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="449868002"/>
            <display value="Current every day smoker"/>
          </coding>
          <text value="449868002 (SNOMED CT): Current every day smoker"/>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="88031-0"/>
            <display value="Smokeless tobacco status"/>
          </coding>
          <text value="88031-0 (LOINC): Smokeless tobacco status"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="881731000124108"/>
            <display value="Uses smokeless tobacco occasionally"/>
          </coding>
          <text
                value="881731000124108 (SNOMED CT): Uses smokeless tobacco occasionally"/>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="82769-1"/>
            <display value="Smoked or non-smoked tobacco"/>
          </coding>
          <text value="82769-1 (LOINC): Smoked or non-smoked tobacco"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA26673-6"/>
            <display value="Use of both smoked and non-smoked tobacco products"/>
          </coding>
          <text
                value="LA26673-6 (LOINC): Use of both smoked and non-smoked tobacco products"/>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="81228-9"/>
            <display value="Tobacco product"/>
          </coding>
          <text value="81228-9 (LOINC): Tobacco product"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://loinc.org"/>
            <code value="LA15332-2"/>
            <display value="Cigarettes"/>
          </coding>
          <text value="LA15332-2 (LOINC): Cigarettes"/>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="81228-9"/>
            <display value="Tobacco product"/>
          </coding>
          <text value="81228-9 (LOINC): Tobacco product"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="722498003"/>
            <display value="Electronic cigarette"/>
          </coding>
          <text value="722498003 (SNOMED CT): Electronic cigarette"/>
        </valueCodeableConcept>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="8663-7"/>
            <display value="Cigarettes smoked current (pack per day) - Reported"/>
          </coding>
          <text
                value="8663-7 (LOINC): Cigarettes smoked current (pack per day) - Reported"/>
        </code>
        <valueQuantity>
          <value value="1"/>
          <comparator value="&lt;"/>
          <unit value="{pack}/d"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{pack}/d"/>
        </valueQuantity>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="88029-4"/>
            <display value="Tobacco use duration"/>
          </coding>
          <text value="88029-4 (LOINC): Tobacco use duration"/>
        </code>
        <valueQuantity>
          <value value="10"/>
          <unit value="a"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="a"/>
        </valueQuantity>
      </component>
      <component>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="782516008"/>
            <display
                     value="Number of calculated pack years for cumulative lifetime tobacco exposure (observable entity)"/>
          </coding>
          <text
                value="782516008 (SNOMED CT): Number of calculated pack years for cumulative lifetime tobacco exposure"/>
        </code>
        <valueQuantity>
          <value value="10"/>
          <comparator value="&lt;"/>
          <unit value="{PackYears}"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="{PackYears}"/>
        </valueQuantity>
      </component>
    </Observation>