# Tobacco Use Panel Example - Health eData 1 Sandbox v0.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Tobacco Use Panel Example**

## Example Observation: Tobacco Use Panel Example

Profile: `http://hl7.org/fhir/us/core/StructureDefinition/us-core-tobacco-use`

**status**: Final

**category**: Social History

**code**: 88028-6 (LOINC): Tobacco use panel

**subject**: [Amy Shaw](http://hl7.org/fhir/us/core/2026Jan/Patient-example.html)

**effective**: 2026-05-20

**performer**: [Dr Ronald Bone](http://hl7.org/fhir/us/core/2026Jan/Practitioner-practitioner-1.html)

> **component****code**: 72166-2 (LOINC): Tobacco smoking status**value**: 449868002 (SNOMED CT): Current every day smoker

> **component****code**: 88031-0 (LOINC): Smokeless tobacco status**value**: 881731000124108 (SNOMED CT): Uses smokeless tobacco occasionally

> **component****code**: 82769-1 (LOINC): Smoked or non-smoked tobacco**value**: LA26673-6 (LOINC): Use of both smoked and non-smoked tobacco products

> **component****code**: 81228-9 (LOINC): Tobacco product**value**: LA15332-2 (LOINC): Cigarettes

> **component****code**: 81228-9 (LOINC): Tobacco product**value**: 722498003 (SNOMED CT): Electronic cigarette

> **component****code**: 8663-7 (LOINC): Cigarettes smoked current (pack per day) - Reported**value**: <1 {pack}/d (Details: UCUM code{pack}/d = '{pack}/d')

> **component****code**: 88029-4 (LOINC): Tobacco use duration**value**: 10 a (Details: UCUM codea = 'a')

> **component****code**: 782516008 (SNOMED CT): Number of calculated pack years for cumulative lifetime tobacco exposure**value**: <10 {PackYears} (Details: UCUM code{PackYears} = '{PackYears}')



## Resource Content

```json
{
  "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"]
  },
  "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}"
    }
  }]
}

```
