FHIR IG analytics| Package | hl7.fhir.us.healthedata1-sandbox |
| Resource Type | Observation |
| Id | Observation-tobacco-use-panel.json |
| FHIR Version | R4 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Observation tobacco-use-panel
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
effective: 2026-05-20
performer: Dr Ronald Bone
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}')
FHIR
FHIRsmith{
"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": "<!-- snip (see above) -->"
},
"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}"
}
}
]
}