StructureDefinition-2.16.840.1.113883.10.20.22.4.38

Sourcehl7.cda.us.ccda#current:Consolidated CDA Release 2.1 StructureDefinition Publication (v5.0.0)
resourceTypeStructureDefinition
id2.16.840.1.113883.10.20.22.4.38
canonicalhttp://hl7.org/cda/us/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.38
version2.1
statusactive
publisherHealth Level Seven
nameSocialHistoryObservationV4
titleSocial History Observation (V4)
date2023-08-24T14:33:15+00:00
descriptionThis template represents a patient's job (occupation and industry), lifestyle, and environmental health risk factors. Demographic data (e.g., marital status, race, ethnicity, religious affiliation) are captured in the header. Though tobacco use and exposure may be represented with a Social History Observation, it is recommended to use the Current Smoking Status template or the Tobacco Use template instead, to represent smoking or tobacco habits. There are supplemental templates and guidance for observations of [Occupational Data for Health](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=522), [nutrition](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=478) and [pregnancy](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=494) that could be captured in the Social History Observation, and implementers may want to consider using those more specific templates in the Social History section.
jurisdictionsus
fhirVersion5.0.0
kindlogical
abstractfalse
sdTtypehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
derivationconstraint
basehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
Usages
Name Flags Card. Type Description & Constraints doco
. . Observation CDAR2.Observation XML Namespace: urn:hl7-org:v3
This logical model cannot be the target of a reference
. . . classCode 1..1 classCode
Fixed Value: OBS
. . . moodCode 1..1 moodCode
Fixed Value: EVN
. . . Slices for templateId 1 .. Slice: Unordered, Open by value:root, value:extension
. . . . templateId:templateId1 1..1 templateId
. . . . . root 1..1 root
Required Pattern: 2.16.840.1.113883.10.20.22.4.38
. . . . . extension 1..1 extension
Required Pattern: 2022-06-01
. . . id 1..* id
. . . code C 1..1 code
Binding: Social History Type ( preferred )
4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956).
. . . statusCode 1..1 statusCode
. . . . code 1..1 code
Fixed Value: completed
. . . effectiveTime 1..1 effectiveTime
. . . value C 0..1 value
4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure **SHOULD** be selected from ValueSet UnitsOfMeasureCaseSensitive (2.16.840.1.113883.1.11.12839) *DYNAMIC* (CONF:4515-8555).
4515-32957: If the Social History Observation is a Social Determinant of Health Observation, the observation/value code **SHOULD** be selected from ValueSet [Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.788/expansion) **DYNAMIC** (CONF:4515-32957).
. . . author 0..* http://hl7.org/cda/stds/core/StructureDefinition/Author author
. . . Slices for entryRelationship 1 .. Slice: Unordered, Open by value:act, value:observation, value:typeCode
. . . . entryRelationship:entryRelationship1 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: SPRT
. . . . . observation 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Observation observation
. . . . entryRelationship:entryRelationship2 0..* entryRelationship
. . . . . typeCode 1..1 typeCode
Fixed Value: SPRT
. . . . . act 1..1 http://hl7.org/cda/stds/core/StructureDefinition/Act act

doco Documentation for this format

Produced 08 Sep 2023