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.
  • Social History Observation 2.16.840.1.113883.

Reference to full CDA sample

  • N/A

Validation location

  • HL7 Schematron (Diameter Health hosted) December 2019


  • 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.



  • eCigs, electronic cigarettes, nicotine



Example: download example view on GitHub

    <!-- 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." extension="2015-08-01"/>
    <templateId root="2.16.840.1.113883."/>
    <code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
    <title>Social History</title>
                    <th>Social History</th>
                <tr ID="_a1305452-cddd-4654-980f-bba6745588e8">
                        Things to smoke/vape
                    <td ID="_a1305452-cddd-4654-980f-bba6745588A9">
                        Electronic cigarette user with nicotine (Former user)
                        <content>unknown - Aug 2018</content>
    <!-- Only a single entry included for this example. Note that other entries may be required for conformant social history section --> 
        <observation classCode="OBS" moodCode="EVN">
            <templateId root="2.16.840.1.113883." extension="2015-08-01" /> 
            <templateId root="2.16.840.1.113883." /> 
            <id extension="Z504295^^713914004" root="1.2.840.114350.1.13.861." /> 
            <!-- 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 -->
                <reference value="#_a1305452-cddd-4654-980f-bba6745588e8"/>
            <statusCode code="completed" /> 
            <!-- By having a high effectiveTime, this means that the use is behavior is historic and not ongoing -->
                <low nullFlavor="UNK" /> 
                <high value="201808" /> 
            <!-- 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"> 
                    <reference value="#_a1305452-cddd-4654-980f-bba6745588A9"/>
                <!-- 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." /> 
                <time nullFlavor="UNK" /> 
                    <id extension="259477" root="1.2.840.114350.1.13.861." /> 
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