Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions
This content is an example of the Social History Section Logical Model and is not a FHIR Resource
<section xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01" />
<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" displayName="Social History" />
<title>SOCIAL HISTORY</title>
<text>
. . .
</text>
<!-- Various optional Social History entries
<entry>
<observation classCode="OBS" moodCode="EVN">
// Social history observation
<templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2015-08-01" />
...
</observation>
</entry>-->
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.511" extension="2024-05-01" />
<id extension="123456789" root="2.16.840.1.113883.19" />
<code code="72166-2" codeSystem="2.16.840.1.113883.6.1" displayName="Tobacco smoking status" />
<text>
<reference value="#smokingstatus" />
</text>
<statusCode code="completed" />
<!-- The effectiveTime reflects when the current smoking status was observed. -->
<effectiveTime value="20120910" />
<!-- The value represents the patient's smoking status currently observed. -->
<value xsi:type="CD" code="8517006" displayName="Former smoker" codeSystem="2.16.840.1.113883.6.96" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="199803161030-0800" />
<assignedAuthor>
<id extension="555555555" root="1.1.1.1.1.1.1.2" />
<addr use="HP">
<streetAddressLine>2222 Home Street</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97867</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1(555)555-2003" use="HP"/>
<assignedPerson>
<name>
<given>Nurse</given>
<family>Nightingale</family>
<suffix>RN</suffix>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
<!-->
<entry>
<observation classCode="OBS" moodCode="EVN">
// Caregiver Characteristics
<templateId root="2.16.840.1.113883.10.20.22.4.72" />
...
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="EVN">
// **Cultural and Religious Observations(NEW)**
<templateId root="2.16.840.1.113883.10.20.22.4.111" />
...
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="EVN">
// ** Characteristics of Care Environment**
<templateId root="2.16.840.1.113883.10.20.22.4.109" />
...
</observation>
</entry> -->
</section>