Health eData 1 Sandbox
0.1.0 - CI Build United States of America flag

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

Raw xml | Download


<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>