| Id |
2.16.840.1.113883.10.20.22.4.38
ref
ccda-
|
Effective Date |
2015‑08‑01 |
| Status |
 Under pre-publication review
|
Version Label |
2.1 |
| Name |
SocialHistoryObservationV3 |
Display Name |
Social History Observation (V3) |
| Description |
|
This template represents a patient's occupations, 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.
|
|
| Context |
Parent nodes of template element with id 2.16.840.1.113883.10.20.22.4.38 |
| Classification |
CDA Entry Level Template |
| Open/Closed |
Open (other than defined elements are allowed) |
| Used by / Uses |
| Used by 0 transactions and 2 templates, Uses 1 template |
|
|
|
| Relationship |
Specialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Version: template 2.16.840.1.113883.10.20.22.4.38 Social History Observation (2013‑01‑31)
ref
ccda-
|
| Item |
DT |
Card |
Conf |
Description |
Label |
|
|
|
|
|
|
(Soc nV3) |
 |
@classCode
|
|
|
1 … 1 |
F |
OBS |
CONF8548 |
| |
SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass
urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8548).
|
|
@moodCode
|
|
|
1 … 1 |
F |
EVN |
CONF8549 |
| |
SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: ActMood urn:oid:2.16.840.1.113883.5.1001
STATIC) (CONF:1198-8549).
|
|
cda:templateId
|
|
II |
1 … 1 |
M |
SHALL contain exactly one [1..1] templateId (CONF:1198-8550) such that it |
CONF8550 |
 |
|
@root
|
|
|
1 … 1 |
F |
2.16.840.1.113883.10.20.22.4.38 |
CONF0526 |
| |
SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.38" (CONF:1198-10526). |
|
|
@extension
|
|
|
1 … 1 |
F |
2015-08-01 |
CONF2495 |
| |
SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32495). |
|
cda:id
|
|
II |
1 … * |
|
SHALL contain at least one [1..*] id (CONF:1198-8551). |
CONF8551 |
|
cda:code
|
|
CD |
1 … 1 |
|
SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Social
History Type urn:oid:2.16.840.1.113883.3.88.12.80.60 STATIC 2008-12-18 (CONF:1198-8558).
|
CONF8558 |
| |
CONF |
|
|
|
cda:translation
|
|
|
1 … * |
M |
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:1198-32853).
|
CONF2853 |
|
|
CONF |
1 … 1 |
F |
2.16.840.1.113883.6.1 (LOINC) |
|
cda:statusCode
|
|
CS |
1 … 1 |
M |
SHALL contain exactly one [1..1] statusCode (CONF:1198-8553). |
CONF8553 |
|
|
@code
|
|
CONF |
1 … 1 |
F |
completed |
|
cda:effectiveTime
|
|
IVL_TS |
1 … 1 |
|
SHALL contain exactly one [1..1] effectiveTime (CONF:1198-31868). |
CONF1868 |
|
cda:value
|
|
|
0 … 1 |
R |
SHOULD contain zero or one [0..1] value (CONF:1198-8559). |
CONF8559 |
| |
Constraint |
If Observation/value is a physical quantity (xsi:type="PQ"), the unit of measure *SHALL*
be selected from ValueSet UnitsOfMeasureCaseSensitive (2.16.840.1.113883.1.11.12839)
*DYNAMIC*
|
|
cda:author
|
|
|
0 … * |
R |
SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119)
(CONF:1198-31869).
Contains 2.16.840.1.113883.10.20.22.4.119 Author Participation (2015‑08‑13)
|
CONF1869 |
|
where [cda:templateId [@root = '2.16.840.1.113883.10.20.22.4.119']] |
|
|
|
Social History Section (V3) (2.1)
