Id2.16.840.1.113883.10.20.22.4.38
ref
ccda-
Effective Date2013‑01‑31
Statusdraft DraftVersion Label1.1
NameSocialHistoryObservationDisplay NameSocial History Observation
Description
This Social History Observation defines the patient’s occupational, personal (e.g., lifestyle), social, and environmental history and health risk factors, as well as administrative data such as marital status, race, ethnicity, and religious affiliation.
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.38
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 5 transactions and 7 templates, Uses 0 templates
Used by as NameVersion
2.16.840.1.113883.3.1937.99.3.4.3Transactionfinal Discharge Summary (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.5Transactionfinal Procedure Note (US Realm – Release 1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.2Transactionfinal Consultation Notes (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.7Transactionfinal History and Physical (H and P) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.3.4.1Transactionfinal Continuity of Care Document (CCD) (Release 1.1)2013‑01‑31
2.16.840.1.113883.3.1937.99.61.41.10.4linkdraft Discharge Summary (1.1)2018‑02‑19 15:30:38
2.16.840.1.113883.10.20.22.1.2linkdraft Continuity of Care Document (CCD) (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.3linkdraft History and Physical (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.4linkdraft Consultation Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.6linkdraft Procedure Note (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.1.8linkdraft Discharge Summary (1.1)2013‑01‑31
2.16.840.1.113883.10.20.22.2.17Containmentdraft Social History Section (1.1)2013‑01‑31
ItemDTCardConfDescriptionLabel
cda:observation
Socidotstion
@classCode
cs1 … 1FOBSconf‑8548
@moodCode
cs1 … 1FEVNconf‑8549
cda:templateId
II1 … 1MSHALL contain exactly one [1..1] templateId (CONF:8550) such that itconf‑8550
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.38confdots0526
cda:id
II1 … *SHALL contain at least one [1..*] id (CONF:8551).conf‑8551
cda:code
CD1 … 1SHALL contain exactly one [1..1] code (CONF:8558).conf‑8558
cda:originalText
0 … 1RThis code SHOULD contain zero or one [0..1] originalText (CONF:19221).confdots9221
cda:reference
0 … 1RThe originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:19222).

This reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1)		confdots9222
@value
0 … 1 confdots9223
 Schematron assertrolered error 
 teststarts-with(@value, '#') 
 MessageThis reference/@value SHALL begin with a '#' and SHALL point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) 
cda:statusCode
CS1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:8553).conf‑8553
@code
CONF1 … 1Fcompleted
cda:value
0 … 1RSHOULD contain zero or one [0..1] value (CONF:8559).

Observation/value can be any data type. 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‑8559