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 Questionnaire Example - JSON Representation

Active as of 2026-05-20

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    {
      "resourceType" : "Questionnaire",
      "id" : "88028-6",
      "meta" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
            "valueString" : "Tobacco Use Panel Questionnaire Example"
          },
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
            "valueMarkdown" : "LOINC 88028-6 *Tobacco use panel* rendered as a structured FHIR Questionnaire. Generated using the NIH SDC LHC-Forms application at <https://lhcforms.nlm.nih.gov/lforms-fhir-app/>. The paired QuestionnaireResponse captures the source data used to derive the *US Core Tobacco Use* panel Observation."
          }
        ],
        "profile" : [
          🔗 "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire"
        ]
      },
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire 88028-6</b></p><a name=\"88028-6\"> </a><a name=\"hc88028-6\"> </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: <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaire.html\">SDCBaseQuestionnaire</a></p></div><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description &amp; Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> TobaccoUsePanel</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">http://hl7.org/fhir/us/core/Questionnaire/88028-6#0.1.0</td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item./74011-8\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /74011-8</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Lifetime tobacco use</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item./74011-8-help\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> /74011-8-help</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tobacco use (e.g. by packs or cigarettes) per period of time (e.g. per year) over the patient's lifetime.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./11366-2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-string.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"string\" class=\"hierarchy\"/> /11366-2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">History of Tobacco use Narrative</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-string\">string</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item./88029-4\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /88029-4</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tobacco use duration</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item./88029-4-help\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> /88029-4-help</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Amount of time (e.g. years) the patient has used smoking or smokeless tobacco products</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./72166-2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /72166-2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tobacco smoking status</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./72166-2\">8 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./88031-0\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /88031-0</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Smokeless tobacco status</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./88031-0\">5 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./82769-1\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /82769-1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Smoked or non-smoked tobacco</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./82769-1\">8 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" id=\"item./81228-9\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /81228-9</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Tobacco product</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item./81228-9\">9 options</a></td></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" id=\"item./81228-9-help\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> /81228-9-help</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The type(s) of tobacco used for known tobacco users. Examples include cigarettes, cigars, pipe tobacco and smokeless tobacco. This term was created for, but is not limited in use to, the Joint Commission's tobacco treatment eCQM, which uses separate OIDs for each recommended answer and associated SNOMED CT code rather than a single OID for the answer list as a whole. The answer OIDs that are available as of the date this term was created are specified in the description for each answer in the LOINC answer list, and new OIDs will be added as they become available and are reported to the LOINC development team.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./8663-7\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /8663-7</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Cigarettes smoked current (pack per day) - Reported</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./74010-0\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /74010-0</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date quit tobacco smoking</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item./88030-2\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-decimal.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"decimal\" class=\"hierarchy\"/> /88030-2</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Date quit smokeless tobacco</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-decimal\">decimal</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck01.png)\" id=\"item./48766-0\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> /48766-0</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Source of info</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck000.png)\" id=\"item./48766-0-help\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> /48766-0-help</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">The information or data source may be a person, organization, information system, reference to some other data object, etc.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64, \" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item./72166-2\"> </a><p><b>Answer options for /72166-2 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA18976-3 (&quot;Current every day smoker&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18977-1 (&quot;Current some day smoker&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA15920-4 (&quot;Former smoker&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18978-9 (&quot;Never smoker&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18979-7 (&quot;Smoker, current status unknown&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18980-5 (&quot;Unknown if ever smoked&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18981-3 (&quot;Heavy tobacco smoker&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA18982-1 (&quot;Light tobacco smoker&quot;)</li></ul><a name=\"opt-item./88031-0\"> </a><p><b>Answer options for /88031-0 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA28391-3 (&quot;Current every day user&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA28392-1 (&quot;Current some day user&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA28393-9 (&quot;Former user&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA4519-0 (&quot;Never used&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li></ul><a name=\"opt-item./82769-1\"> </a><p><b>Answer options for /82769-1 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA26671-0 (&quot;Smoked tobacco only&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26672-8 (&quot;Non-smoked tobacco only&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26673-6 (&quot;Use of both smoked and non-smoked tobacco products&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA137-2 (&quot;None&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26674-4 (&quot;Use of smoked tobacco but no information about non-smoked tobacco use&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA21413-2 (&quot;No information&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA4489-6 (&quot;Unknown&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA46-8 (&quot;Other&quot;)</li></ul><a name=\"opt-item./81228-9\"> </a><p><b>Answer options for /81228-9 </b></p><ul><li style=\"font-size: 11px\">http://loinc.org#LA15332-2 (&quot;Cigarettes&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA15333-0 (&quot;Cigars&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26091-1 (&quot;Pipe tobacco&quot;)</li><li style=\"font-size: 11px\">http://loinc.org#LA26092-9 (&quot;Smokeless tobacco&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#598111000005109 (&quot;Nicotine pouch (product)&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#698289004 (&quot;Hookah pipe smoker (finding)&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#81911001 (&quot;Chewing tobacco (substance)&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#39789004 (&quot;Snuff tobacco (substance)&quot;)</li><li style=\"font-size: 11px\">http://snomed.info/sct#1303239008 (&quot;Electronic cigarette liquid containing nicotine (substance)&quot;)</li></ul></div>"
      },
      "url" : "http://hl7.org/fhir/us/core/Questionnaire/88028-6",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.35.7"
        }
      ],
      "version" : "0.1.0",
      "name" : "TobaccoUsePanel",
      "title" : "Tobacco use panel",
      "status" : "active",
      "experimental" : true,
      "subjectType" : [
        "Patient"
      ],
      "date" : "2026-05-20",
      "publisher" : "HL7 International / Cross-Group Projects",
      "contact" : [
        {
          "name" : "HL7 International / Cross-Group Projects",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/cgp"
            },
            {
              "system" : "email",
              "value" : "cgp@lists.HL7.org"
            }
          ]
        }
      ],
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "copyright" : "This material contains content from LOINC (http://loinc.org). LOINC is copyright 1995-2026, Regenstrief Institute, Inc. and the LOINC Committee, and is available at no cost under the license at http://loinc.org/license.",
      "code" : [
        {
          "system" : "http://loinc.org",
          "code" : "88028-6",
          "display" : "Tobacco use panel"
        }
      ],
      "item" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "/a",
                "display" : "/a"
              }
            }
          ],
          "linkId" : "/74011-8",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "74011-8",
              "display" : "Lifetime tobacco use"
            }
          ],
          "text" : "Lifetime tobacco use",
          "type" : "decimal",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "help",
                        "display" : "Help-Button"
                      }
                    ],
                    "text" : "Help-Button"
                  }
                }
              ],
              "linkId" : "/74011-8-help",
              "text" : "Tobacco use (e.g. by packs or cigarettes) per period of time (e.g. per year) over the patient's lifetime.",
              "type" : "display"
            }
          ]
        },
        {
          "linkId" : "/11366-2",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "11366-2",
              "display" : "History of Tobacco use Narrative"
            }
          ],
          "text" : "History of Tobacco use Narrative",
          "type" : "string"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "a",
                "display" : "a"
              }
            }
          ],
          "linkId" : "/88029-4",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "88029-4",
              "display" : "Tobacco use duration"
            }
          ],
          "text" : "Tobacco use duration",
          "type" : "decimal",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "help",
                        "display" : "Help-Button"
                      }
                    ],
                    "text" : "Help-Button"
                  }
                }
              ],
              "linkId" : "/88029-4-help",
              "text" : "Amount of time (e.g. years) the patient has used smoking or smokeless tobacco products",
              "type" : "display"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "/72166-2",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "72166-2",
              "display" : "Tobacco smoking status"
            }
          ],
          "text" : "Tobacco smoking status",
          "type" : "choice",
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18976-3",
                "display" : "Current every day smoker"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18977-1",
                "display" : "Current some day smoker"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA15920-4",
                "display" : "Former smoker"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18978-9",
                "display" : "Never smoker"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18979-7",
                "display" : "Smoker, current status unknown"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18980-5",
                "display" : "Unknown if ever smoked"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18981-3",
                "display" : "Heavy tobacco smoker"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA18982-1",
                "display" : "Light tobacco smoker"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "/88031-0",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "88031-0",
              "display" : "Smokeless tobacco status"
            }
          ],
          "text" : "Smokeless tobacco status",
          "type" : "choice",
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA28391-3",
                "display" : "Current every day user"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA28392-1",
                "display" : "Current some day user"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA28393-9",
                "display" : "Former user"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA4519-0",
                "display" : "Never used"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "/82769-1",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "82769-1",
              "display" : "Smoked or non-smoked tobacco"
            }
          ],
          "text" : "Smoked or non-smoked tobacco",
          "type" : "choice",
          "answerOption" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "01"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26671-0",
                "display" : "Smoked tobacco only"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "02"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26672-8",
                "display" : "Non-smoked tobacco only"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "03"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26673-6",
                "display" : "Use of both smoked and non-smoked tobacco products"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "04"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA137-2",
                "display" : "None"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "05"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26674-4",
                "display" : "Use of smoked tobacco but no information about non-smoked tobacco use"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "NI"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA21413-2",
                "display" : "No information"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "UN"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA4489-6",
                "display" : "Unknown"
              }
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-optionPrefix",
                  "valueString" : "OT"
                }
              ],
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA46-8",
                "display" : "Other"
              }
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "/81228-9",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "81228-9",
              "display" : "Tobacco product"
            }
          ],
          "text" : "Tobacco product",
          "type" : "choice",
          "repeats" : true,
          "answerOption" : [
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA15332-2",
                "display" : "Cigarettes"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA15333-0",
                "display" : "Cigars"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26091-1",
                "display" : "Pipe tobacco"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://loinc.org",
                "code" : "LA26092-9",
                "display" : "Smokeless tobacco"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "598111000005109",
                "display" : "Nicotine pouch (product)"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "698289004",
                "display" : "Hookah pipe smoker (finding)"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "81911001",
                "display" : "Chewing tobacco (substance)"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "39789004",
                "display" : "Snuff tobacco (substance)"
              }
            },
            {
              "valueCoding" : {
                "system" : "http://snomed.info/sct",
                "code" : "1303239008",
                "display" : "Electronic cigarette liquid containing nicotine (substance)"
              }
            }
          ],
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "help",
                        "display" : "Help-Button"
                      }
                    ],
                    "text" : "Help-Button"
                  }
                }
              ],
              "linkId" : "/81228-9-help",
              "text" : "The type(s) of tobacco used for known tobacco users. Examples include cigarettes, cigars, pipe tobacco and smokeless tobacco. This term was created for, but is not limited in use to, the Joint Commission's tobacco treatment eCQM, which uses separate OIDs for each recommended answer and associated SNOMED CT code rather than a single OID for the answer list as a whole. The answer OIDs that are available as of the date this term was created are specified in the description for each answer in the LOINC answer list, and new OIDs will be added as they become available and are reported to the LOINC development team.",
              "type" : "display"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "{#}/d",
                "display" : "{#}/d"
              }
            }
          ],
          "linkId" : "/8663-7",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "8663-7",
              "display" : "Cigarettes smoked current (pack per day) - Reported"
            }
          ],
          "text" : "Cigarettes smoked current (pack per day) - Reported",
          "type" : "decimal"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "{mm/dd/yyyy}",
                "display" : "{mm/dd/yyyy}"
              }
            }
          ],
          "linkId" : "/74010-0",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "74010-0",
              "display" : "Date quit tobacco smoking"
            }
          ],
          "text" : "Date quit tobacco smoking",
          "type" : "decimal"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-unit",
              "valueCoding" : {
                "system" : "http://unitsofmeasure.org",
                "code" : "{mm/dd/yyyy}",
                "display" : "{mm/dd/yyyy}"
              }
            }
          ],
          "linkId" : "/88030-2",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "88030-2",
              "display" : "Date quit smokeless tobacco"
            }
          ],
          "text" : "Date quit smokeless tobacco",
          "type" : "decimal"
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/questionnaire-item-control",
                    "code" : "drop-down",
                    "display" : "Drop down"
                  }
                ],
                "text" : "Drop down"
              }
            }
          ],
          "linkId" : "/48766-0",
          "code" : [
            {
              "system" : "http://loinc.org",
              "code" : "48766-0",
              "display" : "Source of info"
            }
          ],
          "text" : "Source of info",
          "type" : "choice",
          "item" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/questionnaire-itemControl",
                  "valueCodeableConcept" : {
                    "coding" : [
                      {
                        "system" : "http://hl7.org/fhir/questionnaire-item-control",
                        "code" : "help",
                        "display" : "Help-Button"
                      }
                    ],
                    "text" : "Help-Button"
                  }
                }
              ],
              "linkId" : "/48766-0-help",
              "text" : "The information or data source may be a person, organization, information system, reference to some other data object, etc.",
              "type" : "display"
            }
          ]
        }
      ]
    }