3.7.2.1 Social history observation
The template identifier for a social history observation is 2.16.840.1.113883.10.20.1.33.
CONF-237: A social history observation (templateId 2.16.840.1.113883.10.20.1.33) SHALL be represented with Observation.
CONF-238: The value for “Observation / @classCode” in a social history observation SHALL be “OBS” 2.16.840.1.113883.5.6 ActClass STATIC.
CONF-239: The value for “Observation / @moodCode” in a social history observation SHALL be “EVN” 2.16.840.1.113883.5.1001 ActMood STATIC.
CONF-240: A social history observation SHALL contain at least one Observation / id.
CONF-241: A social history observation SHALL include exactly one Observation / statusCode.
CONF-242: The value for “Observation / statusCode” in a social history observation SHALL be “completed” 2.16.840.1.113883.5.14 ActStatus STATIC.
CONF-243: The value for “Observation / code” in a social history observation SHOULD be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) or SNOMED CT (codeSystem 2.16.840.1.113883.6.96), or MAY be selected from ValueSet 2.16.840.1.113883.1.11.20.18 SocialHistoryTypeCode STATIC 20061017.
CONF-244: Observation / value can be any datatype. Where Observation / value is a physical quantity, the unit of measure SHALL be expressed using a valid Unified Code for Units of Measure (UCUM) expression.
CONF-245: A social history observation SHALL contain one or more sources of information, as defined in section 5.2 Source.
3.7.2.2 Representation of “status” values
The template identifier for a social history status observation is 2.16.840.1.113883.10.20.1.56.
CONF-246: A social history observation MAY contain exactly one social history status observation.
CONF-247: A social history status observation (templateId 2.16.840.1.113883.10.20.1.56) SHALL be a conformant status observation (templateId 2.16.840.1.113883.10.20.1.57) (as defined in section 5.1 “Type” and “Status” values).
CONF-248: The value for “Observation / value” in a social history status observation SHALL be selected from ValueSet 2.16.840.1.113883.1.11.20.17 SocialHistoryStatusCode STATIC 20061017.
3.7.2.3 Episode observations
The template identifier for an episode observation is 2.16.840.1.113883.10.20.1.41.
The representation of episode in the social history section is the same as the representation in the problems section. See section 3.5.2.3 Episode observations for details.
CONF-249: A social history observation MAY contain exactly one episode observation (templateId 2.16.840.1.113883.10.20.1.41) (see section 3.5.2.3 Episode observations).