Consolidated CDA (C-CDA)
4.0.0-ballot - STU4 Ballot United States of America flag

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

Logical Model: SocialHistorySection - Detailed Descriptions

Draft as of 2024-12-19

Definitions for the SocialHistorySection logical model.

Guidance on how to interpret the contents of this table can be found here

0. Section
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-smoking-status: SHOULD contain Smoking Status (entry.where(observation.hasTemplateIdOf('http://hl7.org/cda/us/ccda/StructureDefinition/SmokingStatus')))
2. Section.templateId
Control1..?
SlicingThis element introduces a set of slices on Section.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. Section.templateId:section
    Slice Namesection
    Control1..1
    6. Section.templateId:section.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.2.17
    8. Section.templateId:section.extension
    Control1..?
    Pattern Value2015-08-01
    10. Section.code
    ShortSocial history Narrative
    Control1..?
    12. Section.code.code
    Control1..?
    Pattern Value29762-2
    14. Section.code.codeSystem
    Control1..?
    Pattern Value2.16.840.1.113883.6.1
    16. Section.title
    Control1..?
    18. Section.text
    Control1..?
    20. Section.entry
    SlicingThis element introduces a set of slices on Section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ observation
    • 22. Section.entry:socialHistory
      Slice NamesocialHistory
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-7953) such that it

      Control0..*
      24. Section.entry:socialHistory.observation
      Comments

      SHALL contain exactly one [1..1] Social History Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.38:2015-08-01) (CONF:1198-14821).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Social History Observation)
      26. Section.entry:pregnancyPregnancy
      Slice NamepregnancyPregnancy
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-9132) such that it

      Control0..*
      28. Section.entry:pregnancyPregnancy.observation
      Comments

      SHALL contain exactly one [1..1] Pregnancy Status Observation (identifier: urn:oid:2.16.840.1.113883.10.20.15.3.8) (CONF:1198-14822).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Pregnancy Status Observation)
      30. Section.entry:smokingStatus
      Slice NamesmokingStatus
      Comments

      SHOULD contain zero or more [0..*] entry (CONF:1198-14823) such that it

      Control0..*
      32. Section.entry:smokingStatus.observation
      Comments

      SHALL contain exactly one [1..1] Smoking Status(identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.511:2024-05-01) (CONF:1198-14824).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Smoking Status)
      34. Section.entry:caregiver
      Slice Namecaregiver
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-28361) such that it

      Control0..*
      36. Section.entry:caregiver.observation
      Comments

      SHALL contain exactly one [1..1] Caregiver Characteristics (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.72) (CONF:1198-28362).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Caregiver Characteristics)
      38. Section.entry:culturalReligious
      Slice NameculturalReligious
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-28366) such that it

      Control0..*
      40. Section.entry:culturalReligious.observation
      Comments

      SHALL contain exactly one [1..1] Cultural and Religious Observation (identifier: urn:oi d:2.16.840.1.113883.10.20.22.4.111) (CONF:1198-28367).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Cultural and Religious Observation)
      42. Section.entry:homeCharacteristics
      Slice NamehomeCharacteristics
      Comments

      MAY contain zero or more [0..*] entry (CONF:1198-28825) such that it

      Control0..*
      44. Section.entry:homeCharacteristics.observation
      Comments

      SHALL contain exactly one [1..1] Characteristics of Home Environment (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.109) (CONF:1198-28826).

      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Characteristics of Home Environment)
      46. Section.entry:individualPronoun
      Slice NameindividualPronoun
      Comments

      MAY contain zero or more [0..*] entry such that it

      Control0..*
      48. Section.entry:individualPronoun.observation
      Short𝗨𝗦𝗖𝗗𝗜: Individual Pronoun - SHALL contain exactly one [1..1] Individual Pronoun Observation (identifier: urn:oid:2.16.840.1.113883.10.15.2:2025-05-01).
      Control1..?
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Individual Pronoun Observation)