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Template Social history observation 2007‑04‑01

Id2.16.840.1.113883.10.20.1.33Effective Date2007‑04‑01
Statuspending Under pre-publication reviewVersion Label
NameSocialHistoryObservationDisplay NameSocial history observation
Description

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).

ContextParent nodes of template element with id 2.16.840.1.113883.10.20.1.33
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 1 transaction and 22 templates, Uses 5 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.777.4.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.777.4.10.50linkpending Procedure activity (act)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.51linkpending Procedure activity (observation)2007‑04‑01
2.16.840.1.113883.3.1937.777.4.10.52linkpending Procedure activity (procedure)2007‑04‑01
2.16.840.1.113883.10.20.1linkpending CCD v1.0 Templates Root2007‑04‑01
2.16.840.1.113883.10.20.1.2linkpending Alerts section2007‑04‑01
2.16.840.1.113883.10.20.1.5linkpending Functional status section2007‑04‑01
2.16.840.1.113883.10.20.1.6linkpending Immunization section2007‑04‑01
2.16.840.1.113883.10.20.1.7linkpending Medical equipment section2007‑04‑01
2.16.840.1.113883.10.20.1.8linkpending Medication section2007‑04‑01
2.16.840.1.113883.10.20.1.11linkpending Problem section2007‑04‑01
2.16.840.1.113883.10.20.1.12linkpending Procedures section2007‑04‑01
2.16.840.1.113883.10.20.1.14linkpending Results section2007‑04‑01
2.16.840.1.113883.10.20.1.15Containmentpending Social history section2007‑04‑01
2.16.840.1.113883.10.20.1.16linkpending Vital signs section2007‑04‑01
2.16.840.1.113883.10.20.1.18linkpending Alert observation2007‑04‑01
2.16.840.1.113883.10.20.1.24linkpending Medication activity2007‑04‑01
2.16.840.1.113883.10.20.1.27linkpending Problem act2007‑04‑01
2.16.840.1.113883.10.20.1.32linkpending Result organizer2007‑04‑01
2.16.840.1.113883.10.20.1.33linkpending Social history observation2007‑04‑01
2.16.840.1.113883.10.20.1.35linkpending Vital signs organizer2007‑04‑01
2.16.840.1.113883.10.20.1.41linkpending Episode observation2007‑04‑01
2.16.840.1.113883.10.20.1.54linkpending Reaction observation2007‑04‑01
Uses as NameVersion
2.16.840.1.113883.3.1937.777.4.10.3Containmentpending CCD Subject (Body)DYNAMIC
2.16.840.1.113883.3.1937.777.4.10.20Containmentpending CCD Informant (Body)DYNAMIC
2.16.840.1.113883.10.20.1.40Containmentpending CommentDYNAMIC
2.16.840.1.113883.10.20.1.41Containmentpending Episode observationDYNAMIC
2.16.840.1.113883.10.20.1.56Containmentpending Social history status observationDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 (2005‑09‑07)
ItemDTCardConfDescriptionLabel
hl7:observation
CONF‑237
@classCode
cs0 … 1 CONF‑238
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑239
@negationInd
bl0 … 1 
 Schematron assertroleorange warning 
 testhl7:informant or hl7:reference[@typeCode='XCRPT'] or hl7:entryRelationship[@typeCode='REFR']/hl7:observation[@classCode='OBS'][@moodCode='EVN'][hl7:statusCode/@code='completed'][hl7:code[@code='48766-0'][@codeSystem='2.16.840.1.113883.6.1'][@displayName='Information source']][hl7:value] 
 MessageCONF-245: A social history observation SHALL contain one or more sources of information, as defined in section 5.2 Source. 
hl7:templateId
II1 … 1CONF‑237
@root
uid1 … 1F2.16.840.1.113883.10.20.1.33
hl7:id
II1 … *CONF‑240
hl7:code
CD1 … 1RCONF‑243
 CONF
@codeSystem shall be "2.16.840.1.113883.6.1"
or
@codeSystem shall be "2.16.840.1.113883.6.96"
or
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.20.18 SocialHistoryTypeCode (2006‑10‑17)
hl7:derivationExpr
ST0 … 1CONF‑237
hl7:text
ED0 … 1CONF‑237
hl7:statusCode
CS1 … 1MCONF‑241 / CONF‑242
@code
CONF1 … 1Fcompleted
hl7:effectiveTime
IVL_TS0 … 1CONF‑237
hl7:priorityCode
CE0 … 1CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1CONF‑237
hl7:languageCode
CS0 … 1CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.11526 HumanLanguage (DYNAMIC)
hl7:value
0 … *CONF‑244
hl7:interpretationCode
CE0 … *CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)
hl7:methodCode
CE0 … *CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.14079 ObservationMethod (DYNAMIC)
hl7:targetSiteCode
CD0 … *CONF‑237
 CONF
shall be drawn from concept domain "ActSite"
hl7:subject
0 … 1Contains 2.16.840.1.113883.3.1937.777.4.10.3 CCD Subject (Body) (DYNAMIC)CONF‑237
hl7:informant
0 … *Contains 2.16.840.1.113883.3.1937.777.4.10.20 CCD Informant (Body) (DYNAMIC)CONF‑245
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.56 Social history status observation (DYNAMIC)CONF‑246
@typeCode
cs1 … 1FREFRCONF‑509
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑246
hl7:seperatableInd
BL0 … 1CONF‑246
hl7:entryRelationship
0 … 1Contains 2.16.840.1.113883.10.20.1.41 Episode observation (DYNAMIC)CONF‑249
@typeCode
cs1 … 1FSUBJCONF‑176
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 CONF‑176
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑249
hl7:seperatableInd
BL0 … 1CONF‑249
hl7:entryRelationship
0 … *Contains 2.16.840.1.113883.10.20.1.40 Comment (DYNAMIC)CONF‑502
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑502
hl7:seperatableInd
BL0 … 1CONF‑502
hl7:entryRelationship
0 … *CONF‑245
@typeCode
cs1 … 1FREFRCONF‑524
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1CONF‑245
hl7:seperatableInd
BL0 … 1CONF‑245
hl7:observation
1 … 1CONF‑523 / CONF‑525
@classCode
cs0 … 1 CONF‑526
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs1 … 1FEVNCONF‑527
hl7:code
CD1 … 1MCONF‑530 / CONF‑531
@code
CONF1 … 1F48766-0
@codeSystem
1 … 1F2.16.840.1.113883.6.1
@displayName
1 … 1FInformation source
hl7:statusCode
CS1 … 1MCONF‑528 / CONF‑529
@code
CONF1 … 1Fcompleted
hl7:value
1 … 1MCONF‑532 / CONF‑533
hl7:reference
0 … *CONF‑245
where [@typeCode='XCRPT']
hl7:referenceRange
0 … *CONF‑237
@typeCode
cs0 … 1FREFV
hl7:observationRange
1 … 1CONF‑237
@classCode
cs0 … 1 
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.11529 ActClassObservation (DYNAMIC)
@moodCode
cs0 … 1 
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.20268 ActMoodEventCriterion (DYNAMIC)
hl7:code
CD0 … 1CONF‑237
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1CONF‑237
hl7:value
0 … 1CONF‑237
hl7:interpretationCode
CE0 … 1CONF‑237
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.78 ObservationInterpretation (DYNAMIC)