Electronic Cigarette

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Approval Status

  • Approval Status: Approved
  • Examples Task Force: 12/19/2019
  • Structured Documents: 5/28/2020

Template Examples (for inclusion in C-CDA):

  • Social History Section 2.16.840.1.113883.10.20.22.2.17:2015-08-01
  • Social History Observation 2.16.840.1.113883.10.20.22.4.38:2015-08-01

Reference to full CDA sample

  • N/A

Validation location

  • HL7 Schematron (Diameter Health hosted) December 2019

Comments:

  • This is an example of a patient using Electronic cigarette liquid containing nicotine. The concept selected aligns with the 2019 guidance https://www.healthit.gov/isa/representing-patient-electronic-cigarette-use-vaping.
  • The examples task force spent significant time discussion the different substances that can be used in an electronic cigarette, more than just nicotine.

Custodian:

Keywords:

  • eCigs, electronic cigarettes, nicotine

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Example: download example view on GitHub

<section>
    <!-- Electronic cigarette behavior may be included in social history to group with other tobacco, drug and alcohol use --> 
    <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
    <templateId root="2.16.840.1.113883.10.20.22.2.17"/>
    <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
    <title>Social History</title>
    <text>
        <table>
            <thead>
                <tr>
                    <th>Social History</th>
                    <th>Observation</th>
                    <th>Date</th>
                </tr>
            </thead>
            <tbody>
                <tr ID="_a1305452-cddd-4654-980f-bba6745588e8">
                    <td>
                        Things to smoke/vape
                    </td>
                    <td ID="_a1305452-cddd-4654-980f-bba6745588A9">
                        Electronic cigarette user with nicotine (Former user)
                    </td>
                    <td>
                        <content>unknown - Aug 2018</content>
                    </td>
                </tr>
            </tbody>
        </table>
    </text>
    <!-- Only a single entry included for this example. Note that other entries may be required for conformant social history section --> 
    <entry>
        <observation classCode="OBS" moodCode="EVN">
            <templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2015-08-01" /> 
            <templateId root="2.16.840.1.113883.10.20.22.4.38" /> 
            <id extension="Z504295^^713914004" root="1.2.840.114350.1.13.861.1.7.1.1040.8" /> 
            <!-- This LOINC code was suggested by Regenstrief but is undergoing changed expected in 2020 -->
            <!-- As more specific codes are developed in LOINC (and possibly SNOMED), other codes may be more appropriate -->
            <code code="66547-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Things to smoke" >
                <!-- Discussed 722499006 in translation and agreed not an appropriate trsnlation.
                    <!-- The code 722499006 aligns with 2019 guidance https://www.healthit.gov/isa/representing-patient-electronic-cigarette-use-vaping -->
            </code>
            <text>
                <reference value="#_a1305452-cddd-4654-980f-bba6745588e8"/>
            </text>
            <statusCode code="completed" /> 
            <!-- By having a high effectiveTime, this means that the use is behavior is historic and not ongoing -->
            <effectiveTime>
                <low nullFlavor="UNK" /> 
                <high value="201808" /> 
            </effectiveTime>
            <!-- value is optional (SHOULD binding) but can include relevant information about use --> 
            <!-- This code aligns with 2019 guidance https://www.healthit.gov/isa/representing-patient-electronic-cigarette-use-vaping -->
            <!-- This may be a coded, referenced string or value, so there may be different ways to represent --> 
            <value xsi:type="CD" code="735240008" codeSystem="2.16.840.1.113883.6.96" displayName="Electronic cigarette liquid containing nicotine"> 
                <originalText>
                    <reference value="#_a1305452-cddd-4654-980f-bba6745588A9"/>
                </originalText>
            </value>
            <author>
                <!-- This is a reference to an author, where more detail (e.g. name) may be included elsewhere in clinical document --> 
                <templateId root="2.16.840.1.113883.10.20.22.4.119" /> 
                <time nullFlavor="UNK" /> 
                <assignedAuthor>
                    <id extension="259477" root="1.2.840.114350.1.13.861.1.7.2.697780" /> 
                </assignedAuthor>
            </author>
        </observation>
    </entry>
</section>
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