Generated Narrative: Questionnaire SocialContext

Structure
LinkIDTextCardinalityTypeDescription & Constraintsdoco
SocialContextThe 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.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

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