Social history (medicine)
In medicine, a social history (abbreviated "SocHx")[1] is a portion of the medical history (and thus the admission note) addressing familial, occupational, and recreational aspects of the patient's personal life that have the potential to be clinically significant.
Components
Components can include inquiries about:
- Substances
- Alcohol
- pack years)
- illicit drugs
- occupation
- prostitutes, people who have sex with people for money, and males engaging in anal-receptive intercourse)
- prison (especially if tuberculosis needs to be ruled out)
- travel
- exercise
- diet
- Firearms in household (especially if children or persons with cognitive impairment are present)
Relation to history
| Type of history | CC | HPI | ROS | Past, family, and/or social |
|---|---|---|---|---|
| Problem focused | Required | Brief | N/A | N/A |
| Expanded problem focused | Required | Brief | Problem pertinent | N/A |
| Detailed | Required | Extended | Extended | Pertinent |
| Comprehensive | Required | Extended | Complete | Complete |
References
- ^ "Medscape.com". Archived from the original on January 1, 2004. Retrieved 2009-04-10.
- ^ "Evaluation and Management Services Guide" (PDF). www.cms.gov. December 2010. Archived from the original (PDF) on 2012-04-11. Retrieved 2011-02-27.