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Social Context Section

Gives information about the Social context section

Social Context Section content

The Social context section carries information about the social context of the patient. PRSB Elements should be formatted as subheadings in any HTML sent.

Section Description Card. MRO* FHIR Target and Guidance
Social context The social setting in which the patient lives, such as their household, occupational history, and lifestyle factors. 0 to 1 O Carried in the CodeableConcept of Composition.section.code FHIR element.
PRSB Element Description Card. MRO* FHIR Target and Guidance
Household composition E.g., lives alone, lives with family, lives with partner, etc. This may be free text. 0 to 1 O This is the record of the people living in the household with the patient (including where the patient lives alone) as given by the patient or their representative or carer. Free text.
Occupational history The current and/or previous relevant occupation(s) of the patient/individual. 0 to many O This is a record of the patient's current or previous occupations as volunteered by the patient or their representative or carer. Text only
Educational history The current and/or previous relevant educational history of the patient/individual 0 to 1 O This is a record of the patient's current or previous educational history as volunteered by the patient or their representative or carer. Text.
Lifestyle The record of lifestyle choices made by the patient which are pertinent to his or her health and well-being, eg the record of the patient's physical activity level, pets, hobbies,  and sexual habits 0 to 1 O This is a record of the patient's lifestyle choices which are pertinent to his or her health as volunteered by the patient. Text only.
Smoking Latest or current smoking observation. 0 to 1 R This is a record of the patient's attest or current smoking observation. Text only
Alcohol intake Latest or current alcohol consumption observation 0 to 1 R This is a record of the patient's attest or current alcohol consumption. Text only.
Drug/substance use Latest or current drug/ substance use observation 0 to 1 R This is a record of the patient's attest or current drug/ substance use observation. Text.
Social circumstances The record of a patient's social background, network and personal circumstances, eg housing, religious, ethnic and spiritual needs, social concerns and whether the patient has dependents or is a carer. May include reference to safeguarding issues that are recorded elsewhere in the record. 0 to 1 O This is a record of the patient's social background, network and personal circumstances as volunteered by the patient or their representative or carer. Text.
Services and care The description of services and care providing support for patient's health and social wellbeing. 0 to many O This is a description of services and care providing support for patient's health and social well-being, as volunteered by the patient or their representative or carer, or sourced through patient records. Text.
* M=Mandatory R=Required O=Optional

Example Social Context Section

Coded Resources

This text section should be linked to the following FHIR Resources to provide the textual information in a coded format.

  • The ITK3 FHIR Outpatient Letter does not currently support coded social context information.
Tags: fhir

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