Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Social Context (Experimental)

Official URL: https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/SocialContext Version: 0.1.0
Draft as of 2026-11-03 Computable Name: SocialContext

The social setting in which the person lives - household, accommodation, occupation, education, lifestyle, smoking, alcohol, drug / substance use, social circumstances (including caring responsibilities), access, dependants and household environment. Based on the PRSB Core Information Standard v2.01 Social context section. Used as referral supporting information, for example for social prescribing, community, virtual ward and exercise referrals.

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
SocialContext The social setting in which the person lives - household, accommodation, occupation, education, lifestyle, smoking, alcohol, drug / substance use, social circumstances (including caring responsibilities), access, dependants and household environment. Based on the PRSB [Core Information Standard](https://theprsb.org/standards/core-information-standard/) v2.01 Social context section. Used as referral supporting information, for example for social prescribing, community, virtual ward and exercise referrals. Questionnaire https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/SocialContext#0.1.0
SocialContext / HOUSEHOLD Household composition 0..1 group Value Set:
SocialContext / HOUSEHOLD / HOUSEHOLD/224130005 Household composition (e.g. lives alone, lives with family, lives with partner) 0..1 choice Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E1027891000000106
SocialContext / HOUSEHOLD / HOUSEHOLD/text Household composition - details 0..1 string Value Set:
SocialContext / ACCOMMODATION Accommodation status 0..1 group Value Set:
SocialContext / ACCOMMODATION / ACCOMMODATION/status Type of accommodation where the person lives (main or permanent residence) - NHS Data Dictionary ACCOMMODATION STATUS CODE 0..1 string Value Set:
SocialContext / OCCUPATIONAL Occupational history 0..1 group Value Set:
SocialContext / OCCUPATIONAL / OCCUPATIONAL/14679004 Current or previous occupation 0..* choice Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999001571000000109
SocialContext / OCCUPATIONAL / OCCUPATIONAL/text Occupational history - details 0..1 text Value Set:
SocialContext / EDUCATIONAL Educational history 0..1 text Value Set:
SocialContext / LIFESTYLE Lifestyle choices (e.g. physical activity level, pets, hobbies) 0..1 text Value Set:
SocialContext / SMOKING Smoking status 0..1 group Value Set:
SocialContext / SMOKING / SMOKING/365980008 Smoking status 0..1 choice Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999000891000000102
SocialContext / SMOKING / SMOKING/details Smoking status - details 0..1 string Value Set:
SocialContext / SMOKING / SMOKING/160625004 Date stopped smoking (if known) 0..1 date Value Set:
SocialContext / ALCOHOL Alcohol intake 0..1 group Value Set:
SocialContext / ALCOHOL / ALCOHOL/228273003 Alcohol current status 0..1 choice Value Set:
Options: 5 options
SocialContext / ALCOHOL / ALCOHOL/228273003/219006 Amount of drinking 0..1 choice Enable When: ALCOHOL/228273003 = Alcohol user (SNOMED CT#219006)
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C219006
SocialContext / ALCOHOL / ALCOHOL/228273003/105542008 Non drinker type 0..1 choice Enable When: ALCOHOL/228273003 = Abstinent (SNOMED CT#105542008)
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C105542008
SocialContext / DRUG Drug / substance use 0..1 group Value Set:
SocialContext / DRUG / DRUG/228366006 Latest or current drug / substance use 0..1 choice Value Set:
Options: 4 options
SocialContext / DRUG / DRUG/details Drug / substance use - details 0..1 string Value Set:
SocialContext / SOCIAL Social circumstances - social background, network and personal circumstances, including whether the person is a carer or has a carer 0..1 text Value Set:
SocialContext / ACCESS Access - special access requirements (e.g. key safe, coded lock, which door to use, stretcher access) 0..1 text Value Set:
SocialContext / DEPENDANTS Dependants - responsibility for dependants (for children, their date of birth) 0..1 text Value Set:
SocialContext / HOUSEHOLD-ENVIRONMENT Household environment - factors in the household affecting health and wellbeing (e.g. smoking in the home, alcohol or substance use) 0..1 text Value Set:

doco Documentation for this format

Options Sets

Answer options for ALCOHOL/228273003

  • http://snomed.info/sct#219006 ("Alcohol user")
  • http://snomed.info/sct#105542008 ("Abstinent")
  • http://snomed.info/sct#228274009 ("Lifetime abstainer from drink")
  • http://snomed.info/sct#1104551000000109 ("Declined to provide information about alcohol use")
  • http://snomed.info/sct#371434005 ("History of alcohol abuse")

Answer options for DRUG/228366006

  • http://snomed.info/sct#361055000 ("Misuses drugs")
  • http://snomed.info/sct#371422002 ("History of substance abuse")
  • http://snomed.info/sct#228368007 ("Has never misused drugs")
  • http://snomed.info/sct#783241000000102 ("Declined to give substance misuse history")

Household composition

  • linkId: HOUSEHOLD
  • Answers:

Household composition (e.g. lives alone, lives with family, lives with partner)

  • linkId: HOUSEHOLD/224130005
  • Answers: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E1027891000000106

Household composition - details

  • linkId: HOUSEHOLD/text
  • Answers:

Accommodation status

  • linkId: ACCOMMODATION
  • Answers:

Type of accommodation where the person lives (main or permanent residence) - NHS Data Dictionary ACCOMMODATION STATUS CODE

  • linkId: ACCOMMODATION/status
  • Answers:

Occupational history

  • linkId: OCCUPATIONAL
  • Answers:

Current or previous occupation

  • linkId: OCCUPATIONAL/14679004
  • Answers: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999001571000000109

Occupational history - details

  • linkId: OCCUPATIONAL/text
  • Answers:

Educational history

  • linkId: EDUCATIONAL
  • Answers:

Lifestyle choices (e.g. physical activity level, pets, hobbies)

  • linkId: LIFESTYLE
  • Answers:

Smoking status

  • linkId: SMOKING
  • Answers:

Smoking status

  • linkId: SMOKING/365980008
  • Answers: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999000891000000102

Smoking status - details

  • linkId: SMOKING/details
  • Answers:

Date stopped smoking (if known)

  • linkId: SMOKING/160625004
  • Answers:

Alcohol intake

  • linkId: ALCOHOL
  • Answers:

Alcohol current status

Amount of drinking

  • linkId: ALCOHOL/228273003/219006
  • Enable When: todo
  • Answers: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C219006

Non drinker type

  • linkId: ALCOHOL/228273003/105542008
  • Enable When: todo
  • Answers: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C105542008

Drug / substance use

  • linkId: DRUG
  • Answers:

Latest or current drug / substance use

Drug / substance use - details

  • linkId: DRUG/details
  • Answers:

Social circumstances - social background, network and personal circumstances, including whether the person is a carer or has a carer

  • linkId: SOCIAL
  • Answers:

Access - special access requirements (e.g. key safe, coded lock, which door to use, stretcher access)

  • linkId: ACCESS
  • Answers:

Dependants - responsibility for dependants (for children, their date of birth)

  • linkId: DEPENDANTS
  • Answers:

Household environment - factors in the household affecting health and wellbeing (e.g. smoking in the home, alcohol or substance use)

  • linkId: HOUSEHOLD-ENVIRONMENT
  • Answers:

LinkIDDescription & Constraintsdoco
HOUSEHOLD Value Set:
HOUSEHOLD / HOUSEHOLD/224130005 Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E1027891000000106
HOUSEHOLD / HOUSEHOLD/text Value Set:
ACCOMMODATION Value Set:
ACCOMMODATION / ACCOMMODATION/status Value Set:
OCCUPATIONAL Value Set:
OCCUPATIONAL / OCCUPATIONAL/14679004 Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999001571000000109
OCCUPATIONAL / OCCUPATIONAL/text Value Set:
EDUCATIONAL Value Set:
LIFESTYLE Value Set:
SMOKING Value Set:
SMOKING / SMOKING/365980008 Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999000891000000102
SMOKING / SMOKING/details Value Set:
SMOKING / SMOKING/160625004 Value Set:
ALCOHOL Value Set:
ALCOHOL / ALCOHOL/228273003 Value Set:
Options: 5 options
ALCOHOL / ALCOHOL/228273003/219006 Enable When: Not done yet
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C219006
ALCOHOL / ALCOHOL/228273003/105542008 Enable When: Not done yet
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C105542008
DRUG Value Set:
DRUG / DRUG/228366006 Value Set:
Options: 4 options
DRUG / DRUG/details Value Set:
SOCIAL Value Set:
ACCESS Value Set:
DEPENDANTS Value Set:
HOUSEHOLD-ENVIRONMENT Value Set:

doco Documentation for this format

Test this Questionnaire

Try this questionnaire out:

Responses for this Questionnaire

There are currently no QuestionnaireResponse instances for this Questionnaire defined in this IG.