{ "resourceType" : "Questionnaire", "id" : "SocialContext", "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: Questionnaire SocialContext

Structure\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
LinkIDTextCardinalityTypeDescription & Constraints\"doco\"
\"\"\"\" SocialContextThe social setting in which the person lives - household, accommodation, occupation,\neducation, lifestyle, smoking, alcohol, drug / substance use, social circumstances\n(including caring responsibilities), access, dependants and household environment. Based\non the PRSB [Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 Social context section. Used as referral supporting information, for example for\nsocial prescribing, community, virtual ward and exercise referrals.Questionnairehttps://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/SocialContext#0.1.0
\"\"\"\"\"\" SocialContext / HOUSEHOLDHousehold composition0..1group
\"\"\"\"\"\"\"\" SocialContext / HOUSEHOLD / HOUSEHOLD/224130005Household composition (e.g. lives alone, lives with family, lives with partner)0..1choiceValue Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E1027891000000106
\"\"\"\"\"\"\"\" SocialContext / HOUSEHOLD / HOUSEHOLD/textHousehold composition - details0..1string
\"\"\"\"\"\" SocialContext / ACCOMMODATIONAccommodation status0..1group
\"\"\"\"\"\"\"\" SocialContext / ACCOMMODATION / ACCOMMODATION/statusType of accommodation where the person lives (main or permanent residence) - NHS Data Dictionary ACCOMMODATION STATUS CODE0..1string
\"\"\"\"\"\" SocialContext / OCCUPATIONALOccupational history0..1group
\"\"\"\"\"\"\"\" SocialContext / OCCUPATIONAL / OCCUPATIONAL/14679004Current or previous occupation0..*choiceValue Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999001571000000109
\"\"\"\"\"\"\"\" SocialContext / OCCUPATIONAL / OCCUPATIONAL/textOccupational history - details0..1text
\"\"\"\"\"\" SocialContext / EDUCATIONALEducational history0..1text
\"\"\"\"\"\" SocialContext / LIFESTYLELifestyle choices (e.g. physical activity level, pets, hobbies)0..1text
\"\"\"\"\"\" SocialContext / SMOKINGSmoking status0..1group
\"\"\"\"\"\"\"\" SocialContext / SMOKING / SMOKING/365980008Smoking status0..1choiceValue Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999000891000000102
\"\"\"\"\"\"\"\" SocialContext / SMOKING / SMOKING/detailsSmoking status - details0..1string
\"\"\"\"\"\"\"\" SocialContext / SMOKING / SMOKING/160625004Date stopped smoking (if known)0..1date
\"\"\"\"\"\" SocialContext / ALCOHOLAlcohol intake0..1group
\"\"\"\"\"\"\"\" SocialContext / ALCOHOL / ALCOHOL/228273003Alcohol current status0..1choiceOptions: 5 options
\"\"\"\"\"\"\"\" SocialContext / ALCOHOL / ALCOHOL/228273003/219006Amount of drinking0..1choiceEnable When: ALCOHOL/228273003 = Alcohol user (SNOMED CT#219006)
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C219006
\"\"\"\"\"\"\"\" SocialContext / ALCOHOL / ALCOHOL/228273003/105542008Non drinker type0..1choiceEnable When: ALCOHOL/228273003 = Abstinent (SNOMED CT#105542008)
Value Set: http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C105542008
\"\"\"\"\"\" SocialContext / DRUGDrug / substance use0..1group
\"\"\"\"\"\"\"\" SocialContext / DRUG / DRUG/228366006Latest or current drug / substance use0..1choiceOptions: 4 options
\"\"\"\"\"\"\"\" SocialContext / DRUG / DRUG/detailsDrug / substance use - details0..1string
\"\"\"\"\"\" SocialContext / SOCIALSocial circumstances - social background, network and personal circumstances, including whether the person is a carer or has a carer0..1text
\"\"\"\"\"\" SocialContext / ACCESSAccess - special access requirements (e.g. key safe, coded lock, which door to use, stretcher access)0..1text
\"\"\"\"\"\" SocialContext / DEPENDANTSDependants - responsibility for dependants (for children, their date of birth)0..1text
\"\"\"\"\"\" SocialContext / HOUSEHOLD-ENVIRONMENTHousehold environment - factors in the household affecting health and wellbeing (e.g. smoking in the home, alcohol or substance use)0..1text

\"doco\" Documentation for this format

Options Sets

Answer options for ALCOHOL/228273003

Answer options for DRUG/228366006

" }, "url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/Questionnaire/SocialContext", "version" : "0.1.0", "name" : "SocialContext", "title" : "Social Context", "status" : "draft", "experimental" : true, "subjectType" : ["Patient"], "date" : "2026-11-03T05:48:20+00:00", "publisher" : "Kevin Mayfield", "contact" : [{ "telecom" : [{ "system" : "url", "value" : "https://github.com/KevinMayfield/PatientCareCoordination" }] }], "description" : "The social setting in which the person lives - household, accommodation, occupation,\neducation, lifestyle, smoking, alcohol, drug / substance use, social circumstances\n(including caring responsibilities), access, dependants and household environment. Based\non the PRSB [Core Information Standard](https://theprsb.org/standards/core-information-standard/)\nv2.01 Social context section. Used as referral supporting information, for example for\nsocial prescribing, community, virtual ward and exercise referrals.", "jurisdiction" : [{ "coding" : [{ "system" : "urn:iso:std:iso:3166", "code" : "GB", "display" : "United Kingdom of Great Britain and Northern Ireland" }] }], "item" : [{ "linkId" : "HOUSEHOLD", "text" : "Household composition", "type" : "group", "item" : [{ "linkId" : "HOUSEHOLD/224130005", "code" : [{ "system" : "http://snomed.info/sct", "code" : "224130005", "display" : "Household composition" }], "text" : "Household composition (e.g. lives alone, lives with family, lives with partner)", "type" : "choice", "answerValueSet" : "http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E1027891000000106" }, { "linkId" : "HOUSEHOLD/text", "text" : "Household composition - details", "type" : "string" }] }, { "linkId" : "ACCOMMODATION", "text" : "Accommodation status", "type" : "group", "item" : [{ "linkId" : "ACCOMMODATION/status", "text" : "Type of accommodation where the person lives (main or permanent residence) - NHS Data Dictionary ACCOMMODATION STATUS CODE", "type" : "string" }] }, { "linkId" : "OCCUPATIONAL", "text" : "Occupational history", "type" : "group", "item" : [{ "linkId" : "OCCUPATIONAL/14679004", "code" : [{ "system" : "http://snomed.info/sct", "code" : "14679004", "display" : "Occupation" }], "text" : "Current or previous occupation", "type" : "choice", "repeats" : true, "answerValueSet" : "http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999001571000000109" }, { "linkId" : "OCCUPATIONAL/text", "text" : "Occupational history - details", "type" : "text" }] }, { "linkId" : "EDUCATIONAL", "code" : [{ "system" : "http://snomed.info/sct", "code" : "105421008", "display" : "Educational achievement" }], "text" : "Educational history", "type" : "text" }, { "linkId" : "LIFESTYLE", "text" : "Lifestyle choices (e.g. physical activity level, pets, hobbies)", "type" : "text" }, { "linkId" : "SMOKING", "text" : "Smoking status", "type" : "group", "item" : [{ "linkId" : "SMOKING/365980008", "code" : [{ "system" : "http://snomed.info/sct", "code" : "365980008", "display" : "Finding of tobacco use and exposure" }], "text" : "Smoking status", "type" : "choice", "answerValueSet" : "http://snomed.info/sct/83821000000107?fhir_vs=ecl/%5E999000891000000102" }, { "linkId" : "SMOKING/details", "text" : "Smoking status - details", "type" : "string" }, { "linkId" : "SMOKING/160625004", "code" : [{ "system" : "http://snomed.info/sct", "code" : "160625004", "display" : "Date ceased smoking" }], "text" : "Date stopped smoking (if known)", "type" : "date" }] }, { "linkId" : "ALCOHOL", "text" : "Alcohol intake", "type" : "group", "item" : [{ "linkId" : "ALCOHOL/228273003", "code" : [{ "system" : "http://snomed.info/sct", "code" : "228273003", "display" : "Finding relating to alcohol drinking behavior" }], "text" : "Alcohol current status", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "219006", "display" : "Alcohol user" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "105542008", "display" : "Abstinent" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "228274009", "display" : "Lifetime abstainer from drink" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "1104551000000109", "display" : "Declined to provide information about alcohol use" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "371434005", "display" : "History of alcohol abuse" } }] }, { "linkId" : "ALCOHOL/228273003/219006", "code" : [{ "system" : "http://snomed.info/sct", "code" : "219006", "display" : "Alcohol user" }], "text" : "Amount of drinking", "type" : "choice", "enableWhen" : [{ "question" : "ALCOHOL/228273003", "operator" : "=", "answerCoding" : { "system" : "http://snomed.info/sct", "code" : "219006" } }], "answerValueSet" : "http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C219006" }, { "linkId" : "ALCOHOL/228273003/105542008", "code" : [{ "system" : "http://snomed.info/sct", "code" : "105542008", "display" : "Abstinent" }], "text" : "Non drinker type", "type" : "choice", "enableWhen" : [{ "question" : "ALCOHOL/228273003", "operator" : "=", "answerCoding" : { "system" : "http://snomed.info/sct", "code" : "105542008" } }], "answerValueSet" : "http://snomed.info/sct/83821000000107?fhir_vs=ecl/%3C%3C105542008" }] }, { "linkId" : "DRUG", "text" : "Drug / substance use", "type" : "group", "item" : [{ "linkId" : "DRUG/228366006", "code" : [{ "system" : "http://snomed.info/sct", "code" : "228366006", "display" : "Drug abuse behaviour" }], "text" : "Latest or current drug / substance use", "type" : "choice", "answerOption" : [{ "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "361055000", "display" : "Misuses drugs" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "371422002", "display" : "History of substance abuse" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "228368007", "display" : "Has never misused drugs" } }, { "valueCoding" : { "system" : "http://snomed.info/sct", "code" : "783241000000102", "display" : "Declined to give substance misuse history" } }] }, { "linkId" : "DRUG/details", "text" : "Drug / substance use - details", "type" : "string" }] }, { "linkId" : "SOCIAL", "text" : "Social circumstances - social background, network and personal circumstances, including whether the person is a carer or has a carer", "type" : "text" }, { "linkId" : "ACCESS", "text" : "Access - special access requirements (e.g. key safe, coded lock, which door to use, stretcher access)", "type" : "text" }, { "linkId" : "DEPENDANTS", "text" : "Dependants - responsibility for dependants (for children, their date of birth)", "type" : "text" }, { "linkId" : "HOUSEHOLD-ENVIRONMENT", "text" : "Household environment - factors in the household affecting health and wellbeing (e.g. smoking in the home, alcohol or substance use)", "type" : "text" }] }