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# Template eHDSI Social History Observation

Id | 1.3.6.1.4.1.19376.1.5.3.1.4.13.4 | Effective Date | 2020‑04‑16 13:28:51 Other versions this id: eHDSISocialHistoryObservation as of 2020‑09‑03 15:28:25 EntrySocialHistoryObservation as of 2013‑12‑20
Status | Retired | Version Label |
Name | eHDSISocialHistoryObservation | Display Name | eHDSI Social History Observation
Description
A social history observation is a simple observation that uses a specific vocabulary, and inherits constraints from CCD. epSOS functional experts limited the social observations to smoke, alcohol and diet related observations. The parent of this template is Simple Observation . This template is compatible with the ASTM/HL7 Continuity of Care Document template: 2.16.840.1.113883.10.20.1.33
Context | Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.13.4
Classification | CDA Entry Level Template
Open/Closed | Open (other than defined elements are allowed)
Associated with |
Associated with 2 concepts
Id | Name | Dataset
--- | --- | ---
epsos-dataelement-112 | Social History Observations | epSOS Data Set
epsos-dataelement-113 | Social History Observations related to: smoke, alcohol and diet | epSOS Data Set
Used by / Uses |
Used by 3 transactions and 9 templates, Uses 0 templates
Used by | as | Name | Version
--- | --- | --- | ---
epsos-transactions-23 | Transaction | Return MRO | 2013‑11‑02
epsos-transactions-21 | Transaction | Send HCER to country A | 2013‑11‑02
epsos-transactions-12 | Transaction | Return PS of country A | 2012‑05‑02
1.3.6.1.4.1.19376.1.5.3.1.3.16.1 | Containment | eHDSI Social History | 2020‑04‑16 12:14:00
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | eHDSI Patient Summary | 2020‑04‑14 13:03:47
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | epSOS-Patient Summary | 2018‑11‑14 10:53:50
1.3.6.1.4.1.12559.11.10.1.3.1.1.3 |  | epSOS-Patient Summary | 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 |  | epSOS-Health Care Encounter Report | 2018‑11‑14 09:02:41
1.3.6.1.4.1.12559.11.10.1.3.1.1.4 |  | epSOS-Health Care Encounter Report | 2013‑12‑20
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 |  | epSOS-Medication Related Overview | 2018‑11‑14 09:03:13
1.3.6.1.4.1.12559.11.10.1.3.1.1.5 |  | epSOS-Medication Related Overview | 2013‑12‑20
1.3.6.1.4.1.19376.1.5.3.1.3.16.1 | Containment | Section Coded Social History | 2013‑12‑20
Relationship | Specialization: template 2.16.840.1.113883.10.20.1.33 Social history observation (DYNAMIC) ref ccd1-
Item | DT | Card | Conf | Description | Label
--- | --- | --- | --- | --- | ---
hl7:observation |  |  | R |  |
epsos-dataelement-112 | Social History Observations | epSOS Data Set
| Example | <observation typeCode="OBS" moodCode="EVN"> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13"/> <templateId root="2.16.840.1.113883.10.20.1.33"/> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13.4"/> <id root=" " extension=" "/> <code code=" " displayName=" " codeSystem=" " codeSystemName=" "/> <text> <reference value="#xxx"/> </text> <statusCode code="completed"/> <effectiveTime> <low value=" "/> <high value=" "/> </effectiveTime> <value type=" "/></observation>
hl7:templateId | II.EPSOS | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.13
hl7:templateId | II.EPSOS | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 2.16.840.1.113883.10.20.1.33
hl7:templateId | II.EPSOS | 1 … 1 | R |  |
@root | uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.5.3.1.4.13.4
hl7:id | II.EPSOS | 1 … 1 | M | Since a Social History Observation is fulfilling the rules of a Simple Observation pattern, each Social History Observation shall have an identifier. |
hl7:code | CD | 1 … 1 | M | The <code> element identifies the type social history observation. The first two columns of following table describe the value set to be used for this attribute, derived from the code systeme SNOMED CT (2.16.840.1.113883.6.96). For each used concept the data type of the “value” attribute, and the related unit, is reported.
CODE | VALUE
Code | displayName | xsi:type | unit
229819007 | Smoking | PQ | {pack}/d or {pack}/wk or {pack}/a
256235009 | Exercise |  | {times}/wk
160573003 | ETOH (Alcohol) Use |  | {drink}/d or {drink}/wk
364393001 | Nutritional observable | CD | N/A
364703007 | Employment detail |  |
425400000 | Toxic exposure status |  |
363908000 | Details of drug misuse behavior |  |
228272008 | Health-related behavior | ANY |
epsos-dataelement-113 | Social History Observations related to: smoke, alcohol and diet | epSOS Data Set
| CONF |
The value of @code SHALL be drawn from value set 1.3.6.1.4.1.12559.11.10.1.3.1.42.14 eHDSISocialHistory (DYNAMIC)
hl7:text | ED | 1 … 1 | M | Since a Social History Observation is fulfilling the rules of a Simple Observation pattern, each Social History Observation shall have a text element. |
hl7:statusCode | CS | 1 … 1 | R |  |
@code | CONF | 0 … 1 | F | completed
hl7:effectiveTime | IVL_TS | 1 … 1 | R | The effectiveTime element contains a required low and an optional high subelement representing the start date and potential end date of the smoking habit, alcohol consumption or diet. The low subelement represents the start date of the habit/consumption. The high subelement represents the date the patient stopped the habit/consumption if applicable. This element shall not be present when observation is still active. |
hl7:low |  | 1 … 1 | R | The element shall be present. |
hl7:high |  | 0 … 1 | C | The element shall be present for completed or stopped habits/consumptions, and shall not be present otherwise. |
hl7:repeatNumber |  |  | NP | The <repeatNumber> element should not be used in a social history observation. |
hl7:value | ANY | 1 … * | R | The <value> element reports the value associated with the social history observation. The data type to use for each observation should be drawn from the table above. Observations in the table above using the PQ data type have a unit in the form {xxx}/d, {xxx}/wk or {xxx}/a represent the number of items per day, week or year respectively. The value attribute indicates the number of times of the act performed, and the units represent the frequency. The example below shows how to represent 1 drink per day.
        :
      <code code='160573003' displayName='ETOH Use'
            codeSystem='2.16.840.1.113883.6.96'
            codeSystemName='SNOMED CT'/>
        :
      <value xsi:type='PQ' value='1' unit='{drink}/d'/>
        :

    Observations in the table using the CD data type should include coded values from an appropriate vocabulary to represent the social history item. The example below shows the encoding to indicate drug use of cannabis.

        :
                                                <code code='363908000' displayName='Drug Use'
                                                      codeSystem='2.16.840.1.113883.6.96'
                                                      codeSystemName='SNOMED CT'/>
                                                  :
                                                <value xsi:type='CD' code='398705004' displayName='cannabis'
                                                       codeSystem='2.16.840.1.113883.6.96'
                                                       codeSystemName='SNOMED CT'/>
                                                  :

                                           Other social history observations may use any appropriate data type.
hl7:interpretationCode |  |  | NP | The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be used in a social history observation. |
hl7:methodCode |  |  | NP | The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be used in a social history observation. |
hl7:targetSiteCode |  |  | NP | The <interpretationCode>, <methodCode>, and <targetSiteCode> elements should not be used in a social history observation. |