The codes below can be used to standardize social history/risk issues. These could be reported on if needed.
To add these to your client's medical record, follow Problems help file.
Code | Description |
SHX00 | (SHX) Sex- Contraception - infertility: |
SHX01 | (SHX) Sex- Contraception - condoms: <enter_yy> |
SHX02 | (SHX) Sex- Contraception - hormonal contraception: <enter_yy> |
SHX03 | (SHX) Sex- Contraception - Natural Family Planning: <enter_yy> |
SHX04 | (SHX) Sex- Contraception - none (trying to get pregnant): <enter_yy> |
SHX05 | (SHX) Sex- Contraception - post fertility: |
SHX06 | (SHX) Sex- Never Sexually Active: <enter_yy> |
SHX07 | (SHX) Sex- No Longer Sexually Active: <enter_yy> |
SHX08 | (SHX) Sex- Sexual Dysfunction - low libido: <enter_yy> |
SHX09 | (SHX) Sex- Sexual Dysfunction - erectile dysfunction: <enter_yy> |
SHX10 | (SHX) LS- Fitness Level: |
SHX100 | (SHX) Treatment Plan – (see synopsis tab) |
SHX101 | (SHX) Treatment Plan – Familiar Faces (see synopsis tab) |
SHX102 | (SHX) Client Care Instructions – (see synopsis tab) |
SHX103 | (SHX) Refugee Claimant (RC) |
SHX104 | (SHX) Government Assisted Refugee (GAR) |
SHX105 | (SHX) Privately Sponsored Refugee (PSR) |
SHX106 | (SHX) Attempted Client Contact |
SHX107 | (SHX) STI Screening |
SHX108 | (SHX) Outreach Visit |
SHX109 | (SHX) Hospital Visit Note |
SHX11 | (SHX) LS- Diet: |
SHX110 | (SHX) Psychosocial Assessment |
SHX111 | (SHX) Collateral History |
SHX112 | (SHX) Psychosocial Rehab Note |
SHX113 | (SHX) Lost to follow-up |
SHX114 | (SHX) Screen Eligibility |
SHX115 | (SHX) Screen/Engagement with Client |
SHX116 | (SHX) Accepted to ICMT |
SHX117 | (SHX) Contact with Referring Agent |
SHX118 | (SHX) Not Accepted to ICMT |
SHX119 | (SHX) Consent for Treatment |
SHX12 | (SHX) LS- Insufficient Sleep: |
SHX120 | (SHX) Crisis Intervention |
SHX121 | (SHX) Discharge Note |
SHX122 | (SHX) Collateral Hospital |
SHX123 | (SHX) THN - Take Home Naloxone Given |
SHX124 | (SHX) Not accepted to ICMT and requires additional follow-up |
SHX125 | (SHX) Well Women's Visit |
SHX126 | (SHX) Reconnection w/ significant other |
SHX127 | (SHX) Fall Risk |
SHX128 | (SHX) Certification |
SHX129 | (SHX) Recall |
SHX13 | (SHX) LS- Insufficient Margin: |
SHX130 | (SHX) MH Collateral History |
SHX131 | (SHX) MH Case Conference |
SHX132 | (SHX) MH Referral |
SHX133 | (SHX) AAC Contact |
SHX134 | (SHX) Peer Engagement |
SHX135 | (SHX) Transitioned to other VCH Services – Mental Health |
SHX136 | (SHX) Transitioned to other VCH Services – Substance Use |
SHX137 | (SHX) Transitioned to other VCH Services – Primary Care |
SHX138 | (SHX) Transitioned to REACH Clinic |
SHX139 | (SHX) Transitioned to Kilala Lelum |
SHX14 | (SHX) Pers- Relationship Problems: |
SHX140 | (SHX) Transitioned to Lu’ma |
SHX141 | (SHX) Transitioned to Public Health |
SHX142 | (SHX) Transitioned to other VCH services |
SHX143 | (SHX) Transitioned to RISE CHC |
SHX144 | (SHX) Transitioned to Fee for Service Doctor |
SHX145 | (SHX) PrEP lost to follow-up |
SHX146 | (SHX) Recovery Response Team Client |
SHX15 | (SHX) Pers- Marital Problems: |
SHX150 | (SHX) Extended Leave – Next Review Date <> |
SHX151 | (SHX) Food Insecurity |
SHX152 | (SHX) Adult Protection Concerns – Do Not Disclose |
SHX153 | (SHX) VSUS - Virtual Substance Use Service |
SHX154 | (SHX) Seasonal Readiness (Snow/Ice/Cold) |
SHX155 | (SHX) Seasonal Readiness (Heat/Smoke) |
SHX156 | (SHX) Hospitalization |
SHX157 | (SHX) Wound Care |
SHX158 | (SHX) Partner Involvement |
SHX159 | (SHX) Treatment |
SHX16 | (SHX) Pers- Stressors: |
SHX160 | (SHX) Ministry of Children |
SHX161 | (SHX) Waitlist |
SHX162 | (SHX) Mental Health |
SHX163 | (SHX) ADLs |
SHX164 | (SHX) iADLs |
SHX165 | (SHX) Income |
SHX166 | (SHX) Legal |
SHX167 | (SHX) Physical Health |
SHX168 | (SHX) Psychosocial |
SHX169 | (SHX) Medical Complexity AMPS Score: <> <dd-mmm-yyyy> |
SHX17 | (SHX) Sex- Previous STI's: |
SHX170 | (SHX) Transition to Stable Housing |
SHX171 | (SHX) Primary Care - Alternate Level of Care (ALC) |
SHX172 | (SHX) MoDe Client/Moderate Crisis De-Escalation |
SHX173 | (SHX) Onsite 2 |
SHX174 | (SHX) Onsite 3 |
SHX175 | (SHX) Past or present involvement with the Ministry of Children and Family development |
SHX176 | (SHX) Unsafe Housing |
SHX177 | (SHX) Drug Treatment Court Vancouver |
SHX178 | (SHX) IHOT: SRSP |
SHX18 | (SHX) Pers- Lives Alone: |
SHX200 | (SHX) Staff Safety Plan - <> |
SHX201 | (SHX) Office Visit |
SHX202 | (SHX) Cultural Connections |
SHX22 | (SHX) 'Pers- Advanced Care Planning^^: CPR <yes> <no> ; DOI - <> ; <*in_Synopsis_Tab_add_TT_'ACP'_then_delete_bracket> |
SHX23 | (SHX) Rx- Blisterpack - # of wks: <> (Pharmacy: <> ) |
SHX24 | (SHX) Rx- Compliance - confusion (Pharmacy: <> ) |
SHX25 | (SHX) Rx- Cost Issues (Pharmacy: <> ) |
SHX26 | (SHX) Rx- Uses Pill Dispenser (Pharmacy: <> ) |
SHX30 | (SHX) Sex- Contraception - tubal ligation: |
SHX31 | (SHX) Sex- Contraception - vasectomy: |
SHX32 | (SHX) Sex- Contraception - hysterectomy: |
SHX40 | (SHX) Pers- Foster Care: |
SHX41 | (SHX) Pers- Adopted: |
SHX42 | (SHX) Rx- Pharmacy: |
SHX43 | (SHX) Rx- Sent by Fax |
SHX44 | (SHX) Risk- Firefighter - Cancer risk: brain, lung, KUB, col, pros, lymp <add_New_Intervention_'firefighter:'> |
SHX45 | (SHX) LS- Diet: Vegetarian |
SHX46 | (SHX) Pers- Disability (LT): |
SHX47 | (SHX) Pers- Family Info: |
SHX48 | (SHX) Pers- Social Info: |
SHX49 | (SHX) Risk- FHx Colon Ca: Routine Scoping <create_New_Intervention_'colonoscopy'> |
SHX50 | (SHX) Pers- Living Will: |
SHX51 | (SHX) Pers- Pt Info: |
SHX52 | (SHX) Pers- Recreation/Hobbies: |
SHX54 | (SHX) Risk- Unvaccinated Child - parents declined: <list_vaccines_declined> |
SHX55 | (SHX) Risk- Unvaccinated Adult - patient declined: <list_vaccines_declined> |
SHX56 | (SHX) LS- Alcohol Abuse - continuous^^: Stage of Change- <> /5; Import- <> /10; Confid- <> /10 <*In_Synopsis_Tab_add_TT_'asp'_then_delete_bracket> |
SHX57 | (SHX) LS- Alcohol Abuse - episodic^^: Stage of Change- <> /5; Import- <> /10; Confid- <> /10 <*In_Synopsis_Tab_add_TT_'sps'_then_delete_bracket> |
SHX58 | (SHX) LS- Alcohol Abuse - in remission: |
SHX59 | (SHX) LS- Personal Health Goal: |
SHX60 | (SHX) LS- Personal Health Goal: Improve fitness - <> |
SHX61 | (SHX) LS- Personal Health Goal: Quit smoking - <target_date> |
SHX62 | (SHX) LS- Personal Health Goal: Wt loss - target wt <> |
SHX63 | (SHX) LS- Smoker^^: Stage of Change- <> /5; Import- <> /10; Confid- <> /10 <*In_Synopsis_Tab_add_TT_'sps'_then_delete_bracket> |
SHX64 | (SHX) LS- Substance Abuse - <type> ^^: Stage of Change- <> /5; Import- <> /10; Confid- <> /10 <*In_Synopsis_Tab_add_TT_'dps'_then_delete_bracket> |
SHX65 | (SHX) Pers- Abuse (adult) - <enter_type> : |
SHX66 | (SHX) Pers- Abuse (adult) - physical: |
SHX67 | (SHX) Pers- Abuse (adult) - sexual: |
SHX68 | (SHX) Pers- Abuse (child) - <enter_type> : |
SHX69 | (SHX) Pers- Abuse (child) - physical: |
SHX70 | (SHX) Pers- Abuse (child) - sexual: |
SHX71 | (SHX) Pers- Traits: Antisocial |
SHX72 | (SHX) Pers- Traits: Avoidant |
SHX73 | (SHX) Pers- Traits: Codependent |
SHX74 | (SHX) Pers- Traits: Dependant |
SHX75 | (SHX) Pers- Traits: Histrionic |
SHX76 | (SHX) Pers- Traits: Introverted |
SHX77 | (SHX) Pers- Traits: Perfectionistic |
SHX78 | (SHX) Risk- 5 yr CVR: 15-20% (High) - <enter_yy> |
SHX79 | (SHX) Risk- 5 yr CVR: >20% (Very High) - <enter_yy> |
SHX80 | (SHX) Risk- 5 yr CVR: 10-15% (Mod) - <enter_yy> |
SHX81 | (SHX) Family History |
SHX82 | (SHX) Rx- Compliance - motivation (Pharmacy: <> ) |
SHX83 | (SHX) Sex- Contraception - IUD: <enter_yy_and_type> |
SHX84 | (SHX) Sex- Contraception - none (not trying to get pregnant): <enter_yy> |
SHX85 | (SHX) Sex- Sexual Dysfunction - <enter_type> : <enter_yy> |
SHX86 | (SHX) Barriers: Language |
SHX87 | (SHX) Barriers: Cognitive (memory) |
SHX88 | (SHX) Barriers: Education |
SHX89 | (SHX) Barriers: Emotional |
SHX90 | (SHX) Barriers: Financial |
SHX91 | (SHX) Barriers: Lack of support |
SHX92 | (SHX) Barriers: Mobility |
SHX93 | (SHX) Barriers: Motivation |
SHX94 | (SHX) Housing: |
SHX95 | (SHX) Income less than 29,000 per year |
SHX96 | (SHX) Illiterate in own language |
SHX97 | (SHX) History of Incarceration: |
SHX98 | (SHX) 'My Voice' booklet given to Pt |
SHX99 | (SHX) Pers- Advanced Care Planning^^: CPR <yes> <no> ; MOST <M1,2,3; C1,2> - copy given to pt [ <> ] <*in_Synopsis_Tab_add_TT_'ACP'_then_delete_bracket> |