Non-Normative Content The Normative content for these specifications may be found on the HL7, IHE, and HITSP web sites.

Social History Observation

[Observation: templateId 2.16.840.1.113883.10.20.22.4.38]

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.

  1. SHALL contain exactly one [1..1] templateId ( CONF:8550 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.38"
  2. SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: 2.16.840.1.113883.5.6 HL7ActClass) (CONF:8548)
  3. SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:8549)
  4. SHALL contain at least one [1..*] id (CONF:8551)
  5. SHOULD contain zero or one [0..1] code (CONF:8558), where the @code SHOULD be selected from ValueSet Social History Type Set Definition 2.16.840.1.113883.3.88.12.80.60 STATIC 1 (CONF:8896)
  6. SHALL contain exactly one [1..1] statusCode/@code="completed" (CodeSystem: 2.16.840.1.113883.5.14 ActStatus) (CONF:8553)
  7. SHOULD 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.

  8. code, if present, SHOULD contain zero or one [0..1] originalText (CONF:8893)
  9. originalText, if present, SHOULD contain zero or one [0..1] reference/@value. (CONF:8894)
  10. 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) (CONF:8895). (CONF:8895)

Social History Observation example

<observation xmlns="urn:hl7-org:v3">
  <id root="MDHT" extension="1202981834"/>
  <code code="962842557"/>
  <effectiveTime>
    <low value="2013"/>
    <high value="2013"/>
  </effectiveTime>
</observation>