Left: | Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation) |
Right: | Social History Observation (http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation) |
Error | StructureDefinition.version | Values for version differ: '3.0.0-ballot' vs '3.0.0' |
Information | StructureDefinition.date | Values for date differ: '2023-12-21T01:13:10+10:00' vs '2024-05-18T00:42:57-05:00' |
Information | StructureDefinition.short | Values for short differ: 'NOTE for PQ values: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units' vs '(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
copyright | |||
date | 2023-12-21T01:13:10+10:00 | 2024-05-18T00:42:57-05:00 |
|
description | This template represents a patient's job (occupation and industry), lifestyle, and environmental health risk factors. Demographic data (e.g., marital status, race, ethnicity, religious affiliation) are captured in the header. Though tobacco use and exposure may be represented with a Social History Observation, it is recommended to use the Current Smoking Status template or the Tobacco Use template instead, to represent smoking or tobacco habits. There are supplemental templates and guidance for observations of [Occupational Data for Health](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=522), [nutrition](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=478) and [pregnancy](https://www.hl7.org/implement/standards/product_brief.cfm?product_id=494) that could be captured in the Social History Observation, and implementers may want to consider using those more specific templates in the Social History section. | ||
experimental | |||
fhirVersion | 5.0.0 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | logical | ||
name | SocialHistoryObservation | ||
publisher | Health Level Seven | ||
purpose | |||
status | draft | ||
title | Social History Observation | ||
type | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
url | http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation | ||
version | 3.0.0-ballot | 3.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | C | 1..1 | Observation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author | |||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||||
classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | |||||||||
moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||||||||
negationInd | 0..1 | ?? | 0..1 | ?? | |||||||||||
id | 1..* | II | 1..* | II | |||||||||||
code | C | 1..1 | CD | Binding: ?? (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | C | 1..1 | CD | Binding: ?? (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). | |||||||
derivationExpr | 0..1 | ST | 0..1 | ST | |||||||||||
text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||
integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
language | 0..1 | ?? | 0..1 | ?? | |||||||||||
mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||
representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||
reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |||||||
thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||
statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||||||||
codeSystem | 0..0 | 0..0 | |||||||||||||
codeSystemName | 0..0 | 0..0 | |||||||||||||
codeSystemVersion | 0..0 | 0..0 | |||||||||||||
displayName | 0..0 | 0..0 | |||||||||||||
sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||
sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||
originalText | 0..0 | 0..0 | |||||||||||||
qualifier | 0..0 | 0..0 | |||||||||||||
translation | 0..0 | 0..0 | |||||||||||||
effectiveTime | 1..1 | IVL_TS | 1..1 | IVL_TS | |||||||||||
priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||||||||
repeatNumber | 0..1 | IVL_INT | 0..1 | IVL_INT | |||||||||||
languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||||||||
value | 0..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | NOTE for PQ values: The base CDA R2.0 standard requires @unit to be drawn from UCUM, and best practice is to use case sensitive UCUM units Binding: ?? (example): See additional binding
| 0..1 | ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | (USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this | |||||||||
interpretationCode | 0..* | CE | Binding: ?? (required) | 0..* | CE | Binding: ?? (required) | |||||||||
methodCode | 0..* | CE | Binding: ?? (example) | 0..* | CE | Binding: ?? (example) | |||||||||
targetSiteCode | 0..* | CD | 0..* | CD | |||||||||||
subject | 0..1 | Subject | 0..1 | Subject | |||||||||||
specimen | 0..* | Specimen | 0..* | Specimen | |||||||||||
performer | 0..* | Performer2 | 0..* | Performer2 | |||||||||||
author | 0..* | ?? | Base for all types and resources | 0..* | ?? | Base for all types and resources | |||||||||
informant | 0..* | Informant | 0..* | Informant | |||||||||||
participant | 0..* | Participant2 | 0..* | Participant2 | |||||||||||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | 0..* | EntryRelationship | Slice: Unordered, Open by profile:act, profile:observation | |||||||||
reference | 0..* | Reference | 0..* | Reference | |||||||||||
precondition | 0..* | Precondition | 0..* | Precondition | |||||||||||
sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||||||||
referenceRange | 0..* | InfrastructureRoot | 0..* | InfrastructureRoot | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
realmCode | 0..* | CS | 0..* | CS | |||||||||||
typeId | 0..1 | II | 0..1 | II | |||||||||||
nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||
assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||
displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||
root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||
st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||
templateId | 0..* | II | 0..* | II | |||||||||||
typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | |||||||||
observationRange | 1..1 | ObservationRange | 1..1 | ObservationRange | |||||||||||
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||||||||
Documentation for this format |