SocialHistoryObservation

Social History Observation

draftC-CDA Templates4.0.0logical12 key elements

This 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, nutrition and pregnancy 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.

#### Templates Used Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: AssessmentScaleObservation, EntryReference

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation
ID
SocialHistoryObservation
Type
Base Definition
Observation
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
templateId
1+
:social-history-obs1..1
1+
templateId.root
1+
templateId.extension
1+
id
1+
sdtcCategory1..1
1+
statusCode
1+
statusCode.code
1+
effectiveTime
1+
value.unit
1+
entryRelationship.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entryRelationship.act
http://hl7.org/cda/stds/core/StructureDefinition/Act
1+