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Source1

{
  "resourceType": "Observation",
  "id": "Tobacco-item-example-81228-9",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "Tobacco Item Example 81228-9"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This is a Tobacco Item Example 81228-9 (Tobacco product) for the *US Core Observation Screening Assessment Profile*"
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-screening-assessment"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "final",
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "Survey"
        }
      ]
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "81228-9",
        "display": "Tobacco product"
      }
    ],
    "text": "Tobacco product"
  },
  "subject": {
    "reference": "Patient/example"
  },
  "effectiveDateTime": "2026-05-21T03:32:19.408Z",
  "performer": [
    {
      "reference": "Practitioner/practitioner-1"
    }
  ],
  "valueCodeableConcept": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "LA15332-2",
        "display": "Cigarettes"
      }
    ],
    "text": "Cigarettes"
  },
  "note": [
    {
      "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."
    }
  ],
  "derivedFrom": [
    {
      "reference": "QuestionnaireResponse/5497959",
      "display": "Tobacco Use Panel QuestionnaireResponse Example"
    }
  ]
}