SocialHistorySection

Social History Section

draftC-CDA Templates4.0.0logical16 key elements

This section contains social history data that influence a patient's physical, psychological or emotional health (e.g., smoking status, pregnancy). Demographic data, such as marital status, race, ethnicity, and religious affiliation, is captured in the header. Mental/behavioral health assessments such as PHQ-9 (Patient Health Questionnaire-9) for depression screening are captured in the Mental Status section.

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

Recommended Entries: SmokingStatus

Optional Entries: CaregiverCharacteristics, CharacteristicsofHomeEnvironment, CulturalandReligiousObservation, PregnancyIntentionInNextYear, PregnancyStatusObservation, SocialHistoryObservation

Metadata

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

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

PathCard.TypeFlagsDescription
templateId
1+
:section1..1
1+
templateId.root
1+
templateId.extension
1+
code
1+
Social history Narrative
code.code
1+
code.codeSystem
1+
title
1+
text
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+
entry.observation
http://hl7.org/cda/stds/core/StructureDefinition/Observation
1+