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 - JSON Representation

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    {
      "resourceType" : "Observation",
      "id" : "tobacco-use-panel",
      "meta" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
            "valueString" : "Tobacco Use Panel Example"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
            "valueMarkdown" : "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."
          }
        ],
        "profile" : [
          "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tobacco-use"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<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>"
      },
      "status" : "final",
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/observation-category",
              "code" : "social-history",
              "display" : "Social History"
            }
          ],
          "text" : "Social History"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://loinc.org",
            "code" : "88028-6",
            "display" : "Tobacco use panel"
          }
        ],
        "text" : "88028-6 (LOINC): Tobacco use panel"
      },
      "subject" : {
        "reference" : "Patient/example",
        "display" : "Amy Shaw"
      },
      "effectiveDateTime" : "2026-05-20",
      "performer" : [
        {
          "reference" : "Practitioner/practitioner-1",
          "display" : "Dr Ronald Bone"
        }
      ],
      "component" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "72166-2",
                "display" : "Tobacco smoking status"
              }
            ],
            "text" : "72166-2 (LOINC): Tobacco smoking status"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "449868002",
                "display" : "Current every day smoker"
              }
            ],
            "text" : "449868002 (SNOMED CT): Current every day smoker"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "88031-0",
                "display" : "Smokeless tobacco status"
              }
            ],
            "text" : "88031-0 (LOINC): Smokeless tobacco status"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "881731000124108",
                "display" : "Uses smokeless tobacco occasionally"
              }
            ],
            "text" : "881731000124108 (SNOMED CT): Uses smokeless tobacco occasionally"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "82769-1",
                "display" : "Smoked or non-smoked tobacco"
              }
            ],
            "text" : "82769-1 (LOINC): Smoked or non-smoked tobacco"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "LA26673-6",
                "display" : "Use of both smoked and non-smoked tobacco products"
              }
            ],
            "text" : "LA26673-6 (LOINC): Use of both smoked and non-smoked tobacco products"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "81228-9",
                "display" : "Tobacco product"
              }
            ],
            "text" : "81228-9 (LOINC): Tobacco product"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "LA15332-2",
                "display" : "Cigarettes"
              }
            ],
            "text" : "LA15332-2 (LOINC): Cigarettes"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "81228-9",
                "display" : "Tobacco product"
              }
            ],
            "text" : "81228-9 (LOINC): Tobacco product"
          },
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "722498003",
                "display" : "Electronic cigarette"
              }
            ],
            "text" : "722498003 (SNOMED CT): Electronic cigarette"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "8663-7",
                "display" : "Cigarettes smoked current (pack per day) - Reported"
              }
            ],
            "text" : "8663-7 (LOINC): Cigarettes smoked current (pack per day) - Reported"
          },
          "valueQuantity" : {
            "value" : 1,
            "comparator" : "<",
            "unit" : "{pack}/d",
            "system" : "http://unitsofmeasure.org",
            "code" : "{pack}/d"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://loinc.org",
                "code" : "88029-4",
                "display" : "Tobacco use duration"
              }
            ],
            "text" : "88029-4 (LOINC): Tobacco use duration"
          },
          "valueQuantity" : {
            "value" : 10,
            "unit" : "a",
            "system" : "http://unitsofmeasure.org",
            "code" : "a"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "782516008",
                "display" : "Number of calculated pack years for cumulative lifetime tobacco exposure (observable entity)"
              }
            ],
            "text" : "782516008 (SNOMED CT): Number of calculated pack years for cumulative lifetime tobacco exposure"
          },
          "valueQuantity" : {
            "value" : 10,
            "comparator" : "<",
            "unit" : "{PackYears}",
            "system" : "http://unitsofmeasure.org",
            "code" : "{PackYears}"
          }
        }
      ]
    }