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
{
"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>: <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>: <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}"
}
}
]
}