CDA Examples
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CDA Examples, published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-Examples/ and changes regularly. See the Directory of published versions

Example: Electronic Cigarette

Approval Status: Approved
Task Force Approval: 2019-12-19
SDWG Approval:

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.

This file includes examples of the following templates: 


<section xmlns="urn:hl7-org:v3">
  <!--  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 codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1"
        code="29762-2"/>
  <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 moodCode="EVN" classCode="OBS">
      <templateId root="2.16.840.1.113883.10.20.22.4.38"
                  extension="2022-06-01"/>
      <!--  Companion Guide  -->
      <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 root="1.2.840.114350.1.13.861.1.7.1.1040.8"
          extension="Z504295^^713914004"/>
      <!--  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 xsi:type="CD" displayName="Things to smoke"
            codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" code="66547-1"/>
      <text xsi:type="ED">
        <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"
             displayName="Electronic cigarette liquid containing nicotine" codeSystem="2.16.840.1.113883.6.96" code="735240008">
        <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 root="1.2.840.114350.1.13.861.1.7.2.697780" extension="259477"/>
        </assignedAuthor>
      </author>
    </observation>
  </entry>
</section>