Specification - Extended

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm

Document Description

extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38

Existing Wording

Social History Observation (V3) [observation: identifier urn:hl7ii:2.16.840.1.113883.10.20.22.4.38:2015-08-01 (open)] SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Social History Type urn:oid:2.16.840.1.113883.3.88.12.80.60 STATIC 2008-12-18 (CONF:1198-8558). We have trouble adding new Social History Observations when the US Gov't identifies the observation using LOINC. We really should be using LOINC in the code ("the question"). I recommend creating a Grouping Value Set that combines the original set of concepts using SNOMEDCT (Social History Type (SNOMEDCT)) and then agree to put all new/additional social history observation codes in the Social History Type (LOINC) value set. Use the existing OID for the new Grouping VS and make two new value sets for the parts of the grouping VS.

Proposed Wording

Social History Observation (V3) [observation: identifier urn:hl7ii:2.16.840.1.113883.10.20.22.4.38:2015-08-01 (open)] SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Social History Type Grouping urn:oid:2.16.840.1.113883.3.88.12.80.60 DYNAMIC 2008-12-18 (CONF:1198-8558).