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Social History

Reference:2.2.2.19
Definition:Within a CDA document, the following information maps to the HITSP/C154 Data Dictionary. See the HL7 Continuity of Care Document Section 3.7 for constraints applicable to these data elements. The text for the HL7 CDA Release 2 - Continuity of Care Document (CCD), Section 3.7 Social History, p.37.begins here: This section contains data defining 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. The text for the HL7 CDA Release 2 - Continuity of Care Document (CCD), Section 3.7 Social History, p.37 ends here.
OID:2.16.840.1.113883.3.88.11.83.19
CDA Data Location HITSP Data Element Identifier and Name O/R Additional Specification
cda:observation[ cda:templateId/@root= '2.16.840.1.113883.10.20.1.33'] Social History Event Entry See Below27
cda:effectiveTime 19.01 - Social History Dates R2/N
cda:code/@code 19.02 - Social History Type R2/N 2.2.2.19.1
cda:text 19.03 - Social History Free Text R/N
cda:value 19.04 - Social History Observed Value O/N

Optionality Legend: “R” for Required, “R2” for Required if known, “O” for Optional and Repeat = “Y” for Yes or “N” for No


Section ID Constraint ID Definition
C83-[DE-19-CDA-1] A CDA Document SHALL declare conformance for the Social History module by including a <templateID> element with the root attribute set to the value 2.16.840.1.113883.10.20.1.33
C83-[DE-19-CDA-2] Social History data elements SHALL declare conformance to the IHE Social History Observation entry by including a <templateID> element with the root attribute set to the value 2.2.2.19.1 Social History Type Constraints 1.3.6.1.4.1.19376.1.5.3.1.4.13.4
2.2.2.19.1 Social History Type Constraints Not Provided
C154-[DE-19.02-1] The Social History type SHALL be coded as specified in HITSP/C80 Section 2.2.2.4 Social History Type
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