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In this paper, we present pilot work on characterising the documentation of electronic cigarettes (e-cigarettes) in the United States Veterans Administration Electronic Health Record. The Veterans Health Administration is the largest health care system in the United States with 1,233 health care facilities nationwide, serving 8.9 million veterans per year. We identified a random sample of 2000 Veterans Administration patients, coded as current tobacco users, from 2008 to 2014. Using simple keyword matching techniques combined with qualitative analysis, we investigated the prevalence and distribution of e-cigarette terms in these clinical notes, discovering that for current smokers, 11.9% of patient records contain an ecigarette related term.

Investigating the Documentation of Electronic Cigarette Use in the Veteran Affairs Electronic Health Record: A Pilot Study