| Package | hl7.fhir.us.sdoh-clinicalcare |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/sdoh-clinicalcare/https://build.fhir.org/ig/HL7/fhir-sdoh-clinicalcare/StructureDefinition-SDOHCC-ObservationScreeningResponse.html |
| Url | http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse |
| Version | 2.2.0 |
| Status | active |
| Date | 2024-09-06T13:58:27+00:00 |
| Name | SDOHCCObservationScreeningResponse |
| Title | SDOHCC Observation Screening Response |
| Experimental | False |
| Realm | us |
| Authority | hl7 |
| Description | Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments. |
| Type | Observation |
| Kind | resource |
| CapabilityStatement | |
SDOHCC-CoordinationPlatform  | SDOHCC Coordination Platform |
| SDOHCC-PatientApp | SDOHCC Patient Application |
| SDOHCC-ReferralRecipient | SDOHCC Referral Recipient |
| SDOHCC-ReferralRecipientLight | SDOHCC Referral Recipient - Light |
| SDOHCC-ReferralSource | SDOHCC Referral Source |
| http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Condition | SDOHCC Condition |
| http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Goal | SDOHCC Goal |
| http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse | SDOHCC Observation Screening Response |
| http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Procedure | SDOHCC Procedure |
| http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ServiceRequest | SDOHCC ServiceRequest |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition SDOHCC-ObservationScreeningResponse
| Name | Flags | Card. | Type | Description & Constraints | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
  Observation | 0..* | Observation | SDOH screening questionnaire observations | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
  status | S | 1..1 | code | final | corrected | entered-in-error | unknown Binding: SDOHCC ValueSet Observation Status (required) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 Slices for category | 2..* | CodeableConcept | Classification of type of observation Slice: Unordered, Open by value:$this | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
   category:SocialHistory | S | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
   coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: social-history | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| category:Survey | S | 1..1 | CodeableConcept | Classification of type of observation Required Pattern: At least the following | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: survey | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 category:SDOH | S | 0..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| code | S | 1..1 | CodeableConcept | Type of observation (code / type) Binding: LOINCCodes (required): Codes identifying names of simple observations.
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 subject | S | 1..1 | Reference(US Core Patient Profile) | Who and/or what the observation is about | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 effective[x] | S | 1..1 | Clinically relevant time/time-period for observation | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 effectiveDateTime | dateTime | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 effectivePeriod | Period | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| performer | S | 0..* | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) | Who is responsible for the observation | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Slices for value[x] | S | 0..1 | Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period | Actual result Slice: Unordered, Open by type:$this | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| value[x]:valueQuantity | 0..1 | Quantity | Actual result Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| value[x]:valueCodeableConcept | 0..1 | CodeableConcept | Actual result Binding: LOINCCodes (preferred): This value set includes all LOINC codes
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| dataAbsentReason | S | 0..1 | CodeableConcept | Why the result is missing | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| bodySite | 0..0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| specimen | 0..0 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Slices for hasMember | 0..* | Reference(Observation | QuestionnaireResponse | MolecularSequence) | References the child observations of a grouping observation Slice: Unordered, Open by profile:$this.resolve() | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| hasMember:SupportedHasMember | S | 0..* | Reference(SDOHCC Observation Screening Response) | For an Observation Grouping, the Observations generated from an assessment instrument | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Slices for derivedFrom | S | 0..* | Reference(DocumentReference | QuestionnaireResponse | Observation) | Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve() | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| derivedFrom:SupportedDerivedFrom | S | 0..* | Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) | Related questionnaire responses or observations that the observation is made from | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Documentation for this format | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
FHIR
{
"resourceType" : "StructureDefinition",
"id" : "SDOHCC-ObservationScreeningResponse",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: StructureDefinition SDOHCC-ObservationScreeningResponse</b></p><a name=\"SDOHCC-ObservationScreeningResponse\"> </a><a name=\"hcSDOHCC-ObservationScreeningResponse\"> </a><a name=\"SDOHCC-ObservationScreeningResponse-en-US\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th style=\"width: 100px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_resource.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation\" title=\"For Observations derived from SDOH screening surveys/questionnaires.\">Observation</a><a name=\"Observation\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SDOH screening questionnaire observations</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.status\" title=\"The status of the observation value.\">status</a><a name=\"Observation.status\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">final | corrected | entered-in-error | unknown<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-SDOHCC-ValueSetObservationStatus.html\" title=\"http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus\">SDOHCC ValueSet Observation Status</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>)</td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.category\">Slices for category</a><a name=\"Observation.category\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"font-style: italic\">2</span><span style=\"font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Classification of type of observation</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by value:$this</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.category:SocialHistory\" title=\"Slice SocialHistory\">category:SocialHistory</a><a name=\"Observation.category.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of type of observation</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://terminology.hl7.org/CodeSystem/observation-category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">social-history</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck135.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.category:Survey\" title=\"Slice Survey\">category:Survey</a><a name=\"Observation.category.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Classification of type of observation</span><br/><span style=\"font-weight:bold\">Required Pattern: </span><span style=\"color: darkgreen\">At least the following</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1341.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slice.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#CodeableConcept.coding\">coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..*</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Coding\">Coding</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Code defined by a terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">(complex)</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13410.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.system\">system</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Identity of the terminology system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">http://terminology.hl7.org/CodeSystem/observation-category</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13400.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_fixed.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Fixed Value\" class=\"hierarchy\"/> <a href=\"http://hl7.org/fhir/R4/datatypes-definitions.html#Coding.code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Symbol in syntax defined by the system<br/><span style=\"font-weight: bold\">Fixed Value: </span><span style=\"color: darkgreen\">survey</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.category:SDOH\" title=\"Slice SDOH: An SDOH category assigned to the observation.\">category:SDOH</a><a name=\"Observation.category.4\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">e.g., food-insecurity | transportation-insecurity<br/><span style=\"font-weight:bold\">Binding: </span><a href=\"ValueSet-SDOHCC-ValueSetSDOHCategory.html\" title=\"http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory\">SDOHCC ValueSet SDOH Category</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): Codes for high-level SDOH categories.<br/><br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.code\">code</a><a name=\"Observation.code\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">1</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Type of observation (code / type)</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): Codes identifying names of simple observations.<br/><br/><table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td><td style=\"font-size: 11px\">Usage</td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.240/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.240\">Digital Access Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-access}\">digital-access</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = required)\">Required</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-literacy}\">digital-literacy</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.199/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.199\">Less Than High School Education Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes educational-attainment}\">educational-attainment</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.191/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.191\">Elder Abuse Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes elder-abuse}\">elder-abuse</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.205/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.205\">Unemployment Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes employment-status}\">employment-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.193/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.193\">Financial Insecurity Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes financial-insecurity}\">financial-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.194/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.194\">Food Insecurity Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes food-insecurity}\">food-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.3519/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.3519\">Health Insurance Coverage Status Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes health-insurance-coverage-status}\">health-insurance-coverage-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.196/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.196\">Homelessness Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes homelessness}\">homelessness</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.197/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.197\">Housing Instability Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes housing-instability}\">housing-instability</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.3520/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.3520\">Inadequate Housing Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes inadequate-housing}\">inadequate-housing</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.198/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.198\">Intimate Partner Violence Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes intimate-partner-violence}\">intimate-partner-violence</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.200/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.200\">Material Hardship Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes material-hardship}\">material-hardship</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.201/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.201\">Medical Cost Burden Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes medical-cost-burden}\">medical-cost-burden</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.195/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.195\">Health Literacy Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes personal-health-literacy}\">personal-health-literacy</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.202/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.202\">Social Connection Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes social-connection}\">social-connection</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.203/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.203\">Stress Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes stress}\">stress</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.204/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.204\">Transportation Insecurity Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes transportation-insecurity}\">transportation-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.251/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.251\">Utility Insecurity Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes utility-insecurity}\">utility-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.192/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.192\">Veteran Status Screening Assessments And Questions <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes veteran-status}\">veteran-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = required)\">Required</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes sdoh-category-unspecified}\">sdoh-category-unspecified</span></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.subject\">subject</a><a name=\"Observation.subject\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who and/or what the observation is about</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck11.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_choice.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Choice of Types\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.effective[x]\" title=\"The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the "physiologically relevant time".\">effective[x]</a><a name=\"Observation.effective_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..<span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Clinically relevant time/time-period for observation</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck110.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for dateTime Type: A date, date-time or partial date (e.g. just year or year + month). If hours and minutes are specified, a time zone SHALL be populated. The format is a union of the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints but may be zero-filled and may be ignored. Dates SHALL be valid dates.\">effectiveDateTime</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck100.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span title=\"Base StructureDefinition for Period Type: A time period defined by a start and end date and optionally time.\">effectivePeriod</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_reference.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Reference to another Resource\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.performer\">performer</a><a name=\"Observation.performer\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a> | <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-organization.html\">US Core Organization Profile</a> | <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-careteam.html\">US Core CareTeam Profile</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Who is responsible for the observation</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.value[x]\">Slices for value[x]</a><a name=\"Observation.value_x_\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#boolean\">boolean</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#integer\">integer</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Range\">Range</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Ratio\">Ratio</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#SampledData\">SampledData</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#time\">time</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#dateTime\">dateTime</a><span style=\"opacity: 0.5; font-style: italic\">, </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/datatypes.html#Period\">Period</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Actual result</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by type:$this</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck134.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.value[x]:valueQuantity\" title=\"Slice valueQuantity\">value[x]:valueQuantity</a><a name=\"Observation.value_x_.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#Quantity\">Quantity</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Actual result</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://terminology.hl7.org/6.0.2/ValueSet-v3-UnitsOfMeasureCaseSensitive.html\" title=\"http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive\">UnitsOfMeasureCaseSensitive</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#required\" title=\"To be conformant, the concept in this element SHALL be from the specified value set.\">required</a>): This is the entire UCUM code set.<br/><br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.value[x]:valueCodeableConcept\" title=\"Slice valueCodeableConcept\">value[x]:valueCodeableConcept</a><a name=\"Observation.value_x_.3\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Actual result</span><br/><span style=\"font-weight:bold\">Binding: </span><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a> (<a href=\"http://hl7.org/fhir/R4/terminologies.html#preferred\" title=\"Instances are encouraged to draw from the specified codes for interoperability purposes but are not required to do so to be considered conformant.\">preferred</a>): This value set includes all LOINC codes<br/><br/><table class=\"grid\"><tr><td style=\"font-size: 11px\"><b>Additional Bindings</b></td><td style=\"font-size: 11px\">Purpose</td><td style=\"font-size: 11px\">Usage</td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.239/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.239\">Digital Access Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-access}\">digital-access</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"This is the value set that is recommended (documentation should explain why)\">Preferred</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes digital-literacy}\">digital-literacy</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.179/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.179\">Less Than High School Education Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes educational-attainment}\">educational-attainment</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.190/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.190\">Elder Abuse Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes elder-abuse}\">elder-abuse</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.183/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.183\">Unemployment Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes employment-status}\">employment-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.173/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.173\">Financial Insecurity Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes financial-insecurity}\">financial-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.174/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.174\">Food Insecurity Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes food-insecurity}\">food-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.185/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.185\">Health Insurance Coverage Status Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes health-insurance-coverage-status}\">health-insurance-coverage-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.176/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.176\">Homelessness Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes homelessness}\">homelessness</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.177/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.177\">Housing Instability Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes housing-instability}\">housing-instability</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1196.178/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.178\">VSAC 2.16.840.1.113762.1.4.1196.178 <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes inadequate-housing}\">inadequate-housing</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.209/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.209\">Intimate Partner Violence Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes intimate-partner-violence}\">intimate-partner-violence</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.180/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.180\">Material Hardship Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes material-hardship}\">material-hardship</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.187/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.187\">Medical Cost Burden Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes medical-cost-burden}\">medical-cost-burden</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.175/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.175\">Health Literacy Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes personal-health-literacy}\">personal-health-literacy</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.210/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.210\">Social Connection Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes social-connection}\">social-connection</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.181/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.181\">Stress Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes stress}\">stress</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.182/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.182\">Transportation Insecurity Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes transportation-insecurity}\">transportation-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.250/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.250\">Utility Insecurity Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes utility-insecurity}\">utility-insecurity</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.184/expansion\" title=\"http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.184\">Veteran Status Screening Assessments Answers <img src=\"external.png\" alt=\".\"/></a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"Validators will check this binding (strength = extensible)\">Extensible</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes veteran-status}\">veteran-status</span></td></tr><tr><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/valueset-observation-codes.html\" title=\"http://hl7.org/fhir/ValueSet/observation-codes\">LOINCCodes</a></td><td style=\"font-size: 11px\"><a href=\"http://hl7.org/fhir/R4/terminologies.html#strength\" title=\"This is the value set that is recommended (documentation should explain why)\">Preferred</a></td><td>Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): <span title=\"Codes:{http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes sdoh-category-unspecified}\">sdoh-category-unspecified</span></td></tr></table></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.dataAbsentReason\">dataAbsentReason</a><a name=\"Observation.dataAbsentReason\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">0</span><span style=\"opacity: 0.5\">..</span><span style=\"opacity: 0.5\">1</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"opacity: 0.5\" href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5\">Why the result is missing</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">bodySite</span><a name=\"Observation.bodySite\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <span style=\"text-decoration:line-through\">specimen</span><a name=\"Observation.specimen\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"text-decoration:line-through\"/><span style=\"text-decoration:line-through\">0</span><span style=\"text-decoration:line-through\">..</span><span style=\"text-decoration:line-through\">0</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck13.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.hasMember\" title=\"References the child observations of a grouping observation.\">Slices for hasMember</a><a name=\"Observation.hasMember\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a><span style=\"font-style: italic\"> | </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/questionnaireresponse.html\">QuestionnaireResponse</a><span style=\"font-style: italic\"> | </span><a style=\"opacity: 0.5; font-style: italic\" href=\"http://hl7.org/fhir/R4/molecularsequence.html\">MolecularSequence</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\">References the child observations of a grouping observation</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:$this.resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck124.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vline.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.hasMember:SupportedHasMember\" title=\"Slice SupportedHasMember: This is the set of child observations that are expected to be supported by SDOH implementations.\">hasMember:SupportedHasMember</a><a name=\"Observation.hasMember.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse.html\">SDOHCC Observation Screening Response</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">For an Observation Grouping, the Observations generated from an assessment instrument<br/></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck03.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"Slice Definition\" class=\"hierarchy\"/> <a style=\"font-style: italic\" href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.derivedFrom\" title=\"The target resource represents a QuestionnaireResponse or other Observation from which the value of this Observation was inferred or calculated.\">Slices for derivedFrom</a><a name=\"Observation.derivedFrom\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red; font-style: italic\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"font-style: italic\"/><span style=\"opacity: 0.5; font-style: italic\">0</span><span style=\"opacity: 0.5; font-style: italic\">..</span><span style=\"opacity: 0.5; font-style: italic\">*</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/references.html\">Reference</a><span style=\"font-style: italic\">(</span><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/documentreference.html\">DocumentReference</a><span style=\"font-style: italic\"> | </span><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/questionnaireresponse.html\">QuestionnaireResponse</a><span style=\"font-style: italic\"> | </span><a style=\"font-style: italic\" href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a><span style=\"font-style: italic\">)</span></td><td style=\"vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"opacity: 0.5; font-style: italic\">Related measurements the observation is made from</span><br style=\"font-style: italic\"/><span style=\"font-weight:bold; font-style: italic\">Slice: </span><span style=\"font-style: italic\">Unordered, Open by profile:$this.resolve()</span></td></tr>\r\n<tr style=\"border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck024.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_blank.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end_slicer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_slice_item.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Slice Item\" class=\"hierarchy\"/> <a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse-definitions.html#Observation.derivedFrom:SupportedDerivedFrom\" title=\"Slice SupportedDerivedFrom: The types of 'derivedFrom' resources that must be supported by implementations conforming to this IG\">derivedFrom:SupportedDerivedFrom</a><a name=\"Observation.derivedFrom.2\"> </a></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><span style=\"padding-left: 3px; padding-right: 3px; color: white; background-color: red\" title=\"This element must be supported\">S</span></td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..*</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"http://hl7.org/fhir/R4/references.html\">Reference</a>(<a href=\"StructureDefinition-SDOHCC-ObservationScreeningResponse.html\">SDOHCC Observation Screening Response</a> | <a href=\"http://hl7.org/fhir/uv/sdc/STU3/StructureDefinition-sdc-questionnaireresponse.html\">SDC Questionnaire Response</a>)</td><td style=\"vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Related questionnaire responses or observations that the observation is made from<br/></td></tr>\r\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pc"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/sdoh-clinicalcare/ImplementationGuide/hl7.fhir.us.sdoh-clinicalcare"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"version" : "2.2.0",
"name" : "SDOHCCObservationScreeningResponse",
"title" : "SDOHCC Observation Screening Response",
"status" : "active",
"date" : "2024-09-06T13:58:27+00:00",
"publisher" : "HL7 International / Patient Care",
"contact" : [
{
"name" : "HL7 International / Patient Care",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/patientcare"
},
{
"system" : "email",
"value" : "patientcare@lists.hl7.org"
}
]
}
],
"description" : "Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "sct-concept",
"uri" : "http://snomed.info/conceptdomain",
"name" : "SNOMED CT Concept Domain Binding"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
},
{
"identity" : "sct-attr",
"uri" : "http://snomed.org/attributebinding",
"name" : "SNOMED CT Attribute Binding"
}
],
"kind" : "resource",
"abstract" : false,
"type" : "Observation",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation" : "constraint",
"snapshot" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "SDOH screening questionnaire observations",
"definition" : "For Observations derived from SDOH screening surveys/questionnaires.",
"comment" : "Used for simple observations such as education status, food insecurity observations, etc. \r\nThis profile allows the representation of SDOH observations based on SDOH screening questionnaire responses (which can also be represented using SDC QuestionnaireResponse). \r\n\r\nMany of the SDOHCC profiles reference one another. One flow supported by this IG is that QuestionnaireResponses result in Observations that can be used as evidence for Conditions that can lead to Goals, ServiceRequests and Procedures. However, alternatives paths are also possible.",
"alias" : [
"Vital Signs",
"Measurement",
"Results",
"Tests"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation",
"min" : 0,
"max" : "*"
},
"constraint" : [
{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
}
],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "obs-6",
"severity" : "error",
"human" : "dataAbsentReason SHALL only be present if Observation.value[x] is not present",
"expression" : "dataAbsentReason.empty() or value.empty()",
"xpath" : "not(exists(f:dataAbsentReason)) or (not(exists(*[starts-with(local-name(.), 'value')])))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"key" : "obs-7",
"severity" : "error",
"human" : "If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present",
"expression" : "value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()",
"xpath" : "not(f:*[starts-with(local-name(.), 'value')] and (for $coding in f:code/f:coding return f:component/f:code/f:coding[f:code/@value=$coding/f:code/@value] [f:system/@value=$coding/f:system/@value]))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "sct-concept",
"map" : "< 363787002 |Observable entity|"
},
{
"identity" : "v2",
"map" : "OBX"
},
{
"identity" : "rim",
"map" : "Observation[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Observation.id",
"path" : "Observation.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "id"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Observation.meta",
"path" : "Observation.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Meta"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Observation.implicitRules",
"path" : "Observation.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "uri"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "Observation.language",
"path" : "Observation.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
}
],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Observation.text",
"path" : "Observation.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : [
"narrative",
"html",
"xhtml",
"display"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Narrative"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "Act.text?"
}
]
},
{
"id" : "Observation.contained",
"path" : "Observation.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : [
"inline resources",
"anonymous resources",
"contained resources"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Resource"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Observation.extension",
"path" : "Observation.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Observation.modifierExtension",
"path" : "Observation.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Observation.identifier",
"path" : "Observation.identifier",
"short" : "Business Identifier for observation",
"definition" : "A unique identifier assigned to this observation.",
"requirements" : "Allows observations to be distinguished and referenced.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.identifier",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Identifier"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "v2",
"map" : "OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4."
},
{
"identity" : "rim",
"map" : "id"
}
]
},
{
"id" : "Observation.basedOn",
"path" : "Observation.basedOn",
"short" : "Fulfills plan, proposal or order",
"definition" : "A plan, proposal or order that is fulfilled in whole or in part by this event. For example, a MedicationRequest may require a patient to have laboratory test performed before it is dispensed.",
"requirements" : "Allows tracing of authorization for the event and tracking whether proposals/recommendations were acted upon.",
"alias" : [
"Fulfills"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.basedOn",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/CarePlan",
"http://hl7.org/fhir/StructureDefinition/DeviceRequest",
"http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation",
"http://hl7.org/fhir/StructureDefinition/MedicationRequest",
"http://hl7.org/fhir/StructureDefinition/NutritionOrder",
"http://hl7.org/fhir/StructureDefinition/ServiceRequest"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.basedOn"
},
{
"identity" : "v2",
"map" : "ORC"
},
{
"identity" : "rim",
"map" : ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
}
]
},
{
"id" : "Observation.partOf",
"path" : "Observation.partOf",
"short" : "Part of referenced event",
"definition" : "A larger event of which this particular Observation is a component or step. For example, an observation as part of a procedure.",
"comment" : "To link an Observation to an Encounter use `encounter`. See the [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below for guidance on referencing another Observation.",
"alias" : [
"Container"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.partOf",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
"http://hl7.org/fhir/StructureDefinition/MedicationDispense",
"http://hl7.org/fhir/StructureDefinition/MedicationStatement",
"http://hl7.org/fhir/StructureDefinition/Procedure",
"http://hl7.org/fhir/StructureDefinition/Immunization",
"http://hl7.org/fhir/StructureDefinition/ImagingStudy"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.partOf"
},
{
"identity" : "v2",
"map" : "Varies by domain"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=FLFS].target"
}
]
},
{
"id" : "Observation.status",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-display-hint",
"valueString" : "default: final"
}
],
"path" : "Observation.status",
"short" : "final | corrected | entered-in-error | unknown",
"definition" : "The status of the observation value.",
"comment" : "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"requirements" : "Further constrained to values that are relevant for SDOH.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.status",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "code"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary" : true,
"binding" : {
"strength" : "required",
"valueSet" : "http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus"
},
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "sct-concept",
"map" : "< 445584004 |Report by finality status|"
},
{
"identity" : "v2",
"map" : "OBX-11"
},
{
"identity" : "rim",
"map" : "status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of \"revise\""
}
]
},
{
"id" : "Observation.category",
"path" : "Observation.category",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "$this"
}
],
"rules" : "open"
},
"short" : "Classification of type of observation",
"definition" : "A code that classifies the general type of observation being made.",
"comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
"requirements" : "To identify that an SDOH observation screening response is derived from an SDOH questionnaire, the “social-history†and “survey†codes are required.",
"min" : 2,
"max" : "*",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCategory"
}
],
"strength" : "preferred",
"description" : "Codes for high level observation categories.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.category:SocialHistory",
"path" : "Observation.category",
"sliceName" : "SocialHistory",
"short" : "Classification of type of observation",
"definition" : "A code that classifies the general type of observation being made.",
"comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
"requirements" : "Used for filtering social history observations.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history"
}
]
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCategory"
}
],
"strength" : "preferred",
"description" : "Codes for high level observation categories.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.category:Survey",
"path" : "Observation.category",
"sliceName" : "Survey",
"short" : "Classification of type of observation",
"definition" : "A code that classifies the general type of observation being made.",
"comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
"requirements" : "Used for filtering observations derived from a survey/questionnaire.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "survey"
}
]
},
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCategory"
}
],
"strength" : "preferred",
"description" : "Codes for high level observation categories.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-category"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.category:SDOH",
"path" : "Observation.category",
"sliceName" : "SDOH",
"short" : "e.g., food-insecurity | transportation-insecurity",
"definition" : "An SDOH category assigned to the observation.",
"comment" : "In addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once. The level of granularity is defined by the category concepts in the value set.",
"requirements" : "Codes from this value set can be used to assign one or more SDOH categories (e.g., food-insecurity, transportation-insecurity, etc.) to an observation. It is recommended that SDOH category codes be used to facilitate searching for SDOH observations.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.category",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"strength" : "required",
"description" : "Codes for high-level SDOH categories.",
"valueSet" : "http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory"
},
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.class"
},
{
"identity" : "rim",
"map" : ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"short" : "Type of observation (code / type)",
"definition" : "Describes what was observed. Sometimes this is called the observation \"name\".",
"comment" : "*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
"requirements" : "Knowing what kind of observation is being made is essential to understanding the observation.\r\n\r\nThe Gravity implemenation guide restricts questionnaire/survey observations to LOINC to move the industry to the use of LOINC panels/surveys (structures that are not available in other terminology systems) to standardize the coding of SDOH related risk assessment instruments. In addition, USCDI and US Core have standardized on the use of LOINC to represent Observations in general.",
"alias" : [
"Name"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.code",
"min" : 1,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationCode"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.240"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "digital-access"
& "map" : "code"
},
{
"identity" : "sct-attr",
"map" : "116680003 |Is a|"
}
]
},
{
"id" : "Observation.subject",
"path" : "Observation.subject",
"short" : "Who and/or what the observation is about",
"definition" : "The patient, or group of patients, location, or device this observation is about and into whose record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the `focus` element or the `code` itself specifies the actual focus of the observation.",
"comment" : "Cardinality is 1..1.",
"requirements" : "Observations have no value if you don't know who or what they're about.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.subject",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "PID-3"
},
{
"identity" : "rim",
"map" : "participation[typeCode=RTGT]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Observation.focus",
"path" : "Observation.focus",
"short" : "What the observation is about, when it is not about the subject of record",
"definition" : "The actual focus of an observation when it is not the patient of record representing something or someone associated with the patient such as a spouse, parent, fetus, or donor. For example, fetus observations in a mother's record. The focus of an observation could also be an existing condition, an intervention, the subject's diet, another observation of the subject, or a body structure such as tumor or implanted device. An example use case would be using the Observation resource to capture whether the mother is trained to change her child's tracheostomy tube. In this example, the child is the patient of record and the mother is the focus.",
"comment" : "Typically, an observation is made about the subject - a patient, or group of patients, location, or device - and the distinction between the subject and what is directly measured for an observation is specified in the observation code itself ( e.g., \"Blood Glucose\") and does not need to be represented separately using this element. Use `specimen` if a reference to a specimen is required. If a code is required instead of a resource use either `bodysite` for bodysites or the standard extension [focusCode](http://hl7.org/fhir/R4/extension-observation-focuscode.html).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.focus",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "v2",
"map" : "OBX-3"
},
{
"identity" : "rim",
"map" : "participation[typeCode=SBJ]"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}
]
},
{
"id" : "Observation.encounter",
"path" : "Observation.encounter",
"short" : "Healthcare event during which this observation is made",
"definition" : "The healthcare event (e.g. a patient and healthcare provider interaction) during which this observation is made.",
"comment" : "This will typically be the encounter the event occurred within, but some events may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter (e.g. pre-admission laboratory tests).",
"requirements" : "For some observations it may be important to know the link between an observation and a particular encounter.",
"alias" : [
"Context"
],
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.encounter",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Encounter"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.context"
},
{
"identity" : "w5",
"map" : "FiveWs.context"
},
{
"identity" : "v2",
"map" : "PV1"
},
{
"identity" : "rim",
"map" : "inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]"
}
]
},
{
"id" : "Observation.effective[x]",
"path" : "Observation.effective[x]",
"short" : "Clinically relevant time/time-period for observation",
"definition" : "The time or time-period the observed value is asserted as being true. For biological subjects - e.g. human patients - this is usually called the \"physiologically relevant time\".",
"comment" : "At least a date should be present unless this observation is a historical report.",
"requirements" : "Knowing when an observation was deemed true is important to its relevance as well as determining trends.",
"alias" : [
"Occurrence"
],
"min" : 1,
"max" : "1",
"base" : {
"path" : "Observation.effective[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.done[x]"
},
{
"identity" : "v2",
"map" : "OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)"
},
{
"identity" : "rim",
"map" : "effectiveTime"
}
]
},
{
"id" : "Observation.issued",
"path" : "Observation.issued",
"short" : "Date/Time this version was made available",
"definition" : "The date and time this version of the observation was made available to providers, typically after the results have been reviewed and verified.",
"comment" : "For Observations that don’t require review and verification, it may be the same as the [`lastUpdated` ](http://hl7.org/fhir/R4/resource-definitions.html#Meta.lastUpdated) time of the resource itself. For Observations that do require review and verification for certain updates, it might not be the same as the `lastUpdated` time of the resource itself due to a non-clinically significant update that doesn’t require the new version to be reviewed and verified again.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.issued",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "instant"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "v2",
"map" : "OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)"
},
{
"identity" : "rim",
"map" : "participation[typeCode=AUT].time"
}
]
},
{
"id" : "Observation.performer",
"path" : "Observation.performer",
"short" : "Who is responsible for the observation",
"definition" : "Who was responsible for asserting the observed value as \"true\".",
"requirements" : "Some questions on an SDOH screening questionnaire are not answered directly (e.g., asserted) by the individual completing the questionnaire. Rather, the answer to some questions (e.g., the Hunger Vital Sign 88124-3 “Food insecurity riskâ€) may be derived from answers to one or more other questions. For an Observation Screening Response that is derived, as opposed to answered directly, Observation.performer should not be specified.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.performer",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson",
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner",
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole",
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization",
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "workflow",
"map" : "Event.performer.actor"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "v2",
"map" : "OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'"
},
{
"identity" : "rim",
"map" : "participation[typeCode=PRF]"
}
]
},
{
"id" : "Observation.value[x]",
"path" : "Observation.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"ordered" : false,
"rules" : "open"
},
"short" : "Actual result",
"definition" : "The information determined as a result of making the observation, if the information has a simple value.",
"comment" : "An observation exists to have a value, though it might not if it is in error, if it represents a group of observations, or if a reason for its omission is captured by Observation.dataAbsentReason.",
"requirements" : "An observation exists to have a value, though it might not if it is in error, if it represents a group of observations, or if it a reason for its omission is captured by Observation.dataAbsentReason.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
},
{
"code" : "CodeableConcept"
},
{
"code" : "string"
},
{
"code" : "boolean"
},
{
"code" : "integer"
},
{
"code" : "Range"
},
{
"code" : "Ratio"
},
{
"code" : "SampledData"
},
{
"code" : "time"
},
{
"code" : "dateTime"
},
{
"code" : "Period"
}
],
"condition" : [
"obs-7"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 441742003 |Evaluation finding|"
},
{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
},
{
"identity" : "rim",
"map" : "value"
},
{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.value[x]:valueQuantity",
"path" : "Observation.value[x]",
"sliceName" : "valueQuantity",
"short" : "Actual result",
"definition" : "The information determined as a result of making the observation, if the information has a simple value.",
"comment" : "An observation may have; 1) a single value here, 2) both a value and a set of related or component values, or 3) only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value. For additional guidance, see the [Notes section](http://hl7.org/fhir/R4/observation.html#notes) below.",
"requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity"
}
],
"condition" : [
"obs-7"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"strength" : "required",
"description" : "This is the entire UCUM code set.",
"valueSet" : "http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 441742003 |Evaluation finding|"
},
{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
},
{
"identity" : "rim",
"map" : "value"
},
{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.value[x]:valueCodeableConcept",
"path" : "Observation.value[x]",
"sliceName" : "valueCodeableConcept",
"short" : "Actual result",
"definition" : "The information determined as a result of making the observation, if the information has a simple value.",
"comment" : "The allowed set of codes will be determined by Observation.code. A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.",
"requirements" : "An observation exists to have a value, though it might not if it is in error, or if it represents a group of observations.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.value[x]",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"obs-7"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.239"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "digital-access"
}
],
"text" : "digital-access"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "preferred"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/observation-codes"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "digital-literacy"
}
],
"text" : "digital-literacy"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.179"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "educational-attainment"
}
],
"text" : "educational-attainment"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.190"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "elder-abuse"
}
],
"text" : "elder-abuse"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.183"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "employment-status"
}
],
"text" : "employment-status"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.173"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "financial-insecurity"
}
],
"text" : "financial-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.174"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "food-insecurity"
}
],
"text" : "food-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.185"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "health-insurance-coverage-status"
}
],
"text" : "health-insurance-coverage-status"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.176"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "homelessness"
}
],
"text" : "homelessness"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.177"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "housing-instability"
}
],
"text" : "housing-instability"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.178"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "inadequate-housing"
}
],
"text" : "inadequate-housing"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.209"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "intimate-partner-violence"
}
],
"text" : "intimate-partner-violence"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.180"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "material-hardship"
}
],
"text" : "material-hardship"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.187"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "medical-cost-burden"
}
],
"text" : "medical-cost-burden"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.175"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "personal-health-literacy"
}
],
"text" : "personal-health-literacy"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.210"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "social-connection"
}
],
"text" : "social-connection"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.181"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "stress"
}
],
"text" : "stress"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.182"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "transportation-insecurity"
}
],
"text" : "transportation-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.250"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "utility-insecurity"
}
],
"text" : "utility-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.184"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "veteran-status"
}
],
"text" : "veteran-status"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "preferred"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/observation-codes"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
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"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "sdoh-category-unspecified"
}
],
"text" : "sdoh-category-unspecified"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"description" : "This value set includes all LOINC codes",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 441742003 |Evaluation finding|"
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{
"identity" : "v2",
"map" : "OBX.2, OBX.5, OBX.6"
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{
"identity" : "rim",
"map" : "value"
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{
"identity" : "sct-attr",
"map" : "363714003 |Interprets|"
}
]
},
{
"id" : "Observation.dataAbsentReason",
"path" : "Observation.dataAbsentReason",
"short" : "Why the result is missing",
"definition" : "Provides a reason why the expected value in the element Observation.value[x] is missing.",
"comment" : "\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.",
"requirements" : "For many results it is necessary to handle exceptional values in measurements.",
"min" : 0,
"max" : "1",
"base" : {
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"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"condition" : [
"obs-6"
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"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
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],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
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}
],
"strength" : "extensible",
"description" : "Codes specifying why the result (`Observation.value[x]`) is missing.",
"valueSet" : "http://hl7.org/fhir/ValueSet/data-absent-reason"
},
"mapping" : [
{
"identity" : "v2",
"map" : "N/A"
},
{
"identity" : "rim",
"map" : "value.nullFlavor"
}
]
},
{
"id" : "Observation.interpretation",
"path" : "Observation.interpretation",
"short" : "High, low, normal, etc.",
"definition" : "A categorical assessment of an observation value. For example, high, low, normal.",
"comment" : "Historically used for laboratory results (known as 'abnormal flag' ), its use extends to other use cases where coded interpretations are relevant. Often reported as one or more simple compact codes this element is often placed adjacent to the result value in reports and flow sheets to signal the meaning/normalcy status of the result.",
"requirements" : "For some results, particularly numeric results, an interpretation is necessary to fully understand the significance of a result.",
"alias" : [
"Abnormal Flag"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.interpretation",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationInterpretation"
}
],
"strength" : "extensible",
"description" : "Codes identifying interpretations of observations.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-interpretation"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 260245000 |Findings values|"
},
{
"identity" : "v2",
"map" : "OBX-8"
},
{
"identity" : "rim",
"map" : "interpretationCode"
},
{
"identity" : "sct-attr",
"map" : "363713009 |Has interpretation|"
}
]
},
{
"id" : "Observation.note",
"path" : "Observation.note",
"short" : "Comments about the observation",
"definition" : "Comments about the observation or the results.",
"comment" : "May include general statements about the observation, or statements about significant, unexpected or unreliable results values, or information about its source when relevant to its interpretation.",
"requirements" : "Need to be able to provide free text additional information.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.note",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Annotation"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)"
},
{
"identity" : "rim",
"map" : "subjectOf.observationEvent[code=\"annotation\"].value"
}
]
},
{
"id" : "Observation.bodySite",
"path" : "Observation.bodySite",
"short" : "Observed body part",
"definition" : "Indicates the site on the subject's body where the observation was made (i.e. the target site).",
"comment" : "Only used if not implicit in code found in Observation.code. In many systems, this may be represented as a related observation instead of an inline component. \n\nIf the use case requires BodySite to be handled as a separate resource (e.g. to identify and track separately) then use the standard extension[ bodySite](http://hl7.org/fhir/R4/extension-bodysite.html).",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.bodySite",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "BodySite"
}
],
"strength" : "example",
"description" : "Codes describing anatomical locations. May include laterality.",
"valueSet" : "http://hl7.org/fhir/ValueSet/body-site"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 123037004 |Body structure|"
},
{
"identity" : "v2",
"map" : "OBX-20"
},
{
"identity" : "rim",
"map" : "targetSiteCode"
},
{
"identity" : "sct-attr",
"map" : "718497002 |Inherent location|"
}
]
},
{
"id" : "Observation.method",
"path" : "Observation.method",
"short" : "How it was done",
"definition" : "Indicates the mechanism used to perform the observation.",
"comment" : "Only used if not implicit in code for Observation.code.",
"requirements" : "In some cases, method can impact results and is thus used for determining whether results can be compared or determining significance of results.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.method",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationMethod"
}
],
"strength" : "example",
"description" : "Methods for simple observations.",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-methods"
},
"mapping" : [
{
"identity" : "v2",
"map" : "OBX-17"
},
{
"identity" : "rim",
"map" : "methodCode"
}
]
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"short" : "Specimen used for this observation",
"definition" : "The specimen that was used when this observation was made.",
"comment" : "Should only be used if not implicit in code found in `Observation.code`. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).",
"min" : 0,
"max" : "0",
"base" : {
"path" : "Observation.specimen",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Specimen"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 123038009 |Specimen|"
},
{
"identity" : "v2",
"map" : "SPM segment"
},
{
"identity" : "rim",
"map" : "participation[typeCode=SPC].specimen"
},
{
"identity" : "sct-attr",
"map" : "704319004 |Inherent in|"
}
]
},
{
"id" : "Observation.device",
"path" : "Observation.device",
"short" : "(Measurement) Device",
"definition" : "The device used to generate the observation data.",
"comment" : "Note that this is not meant to represent a device involved in the transmission of the result, e.g., a gateway. Such devices may be documented using the Provenance resource where relevant.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.device",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Device",
"http://hl7.org/fhir/StructureDefinition/DeviceMetric"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 49062001 |Device|"
},
{
"identity" : "v2",
"map" : "OBX-17 / PRT -10"
},
{
"identity" : "rim",
"map" : "participation[typeCode=DEV]"
},
{
"identity" : "sct-attr",
"map" : "424226004 |Using device|"
}
]
},
{
"id" : "Observation.referenceRange",
"path" : "Observation.referenceRange",
"short" : "Provides guide for interpretation",
"definition" : "Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an \"OR\". In other words, to represent two distinct target populations, two `referenceRange` elements would be used.",
"comment" : "Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.",
"requirements" : "Knowing what values are considered \"normal\" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.referenceRange",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "obs-3",
"severity" : "error",
"human" : "Must have at least a low or a high or text",
"expression" : "low.exists() or high.exists() or text.exists()",
"xpath" : "(exists(f:low) or exists(f:high)or exists(f:text))",
"source" : "http://hl7.org/fhir/StructureDefinition/Observation"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX.7"
},
{
"identity" : "rim",
"map" : "outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]"
}
]
},
{
"id" : "Observation.referenceRange.id",
"path" : "Observation.referenceRange.id",
"representation" : [
"xmlAttr"
],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}
],
"code" : "http://hl7.org/fhirpath/System.String"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.referenceRange.extension",
"path" : "Observation.referenceRange.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : [
"extensions",
"user content"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "n/a"
}
]
},
{
"id" : "Observation.referenceRange.modifierExtension",
"path" : "Observation.referenceRange.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
"alias" : [
"extensions",
"user content",
"modifiers"
],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Extension"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [
{
"identity" : "rim",
"map" : "N/A"
}
]
},
{
"id" : "Observation.referenceRange.low",
"path" : "Observation.referenceRange.low",
"short" : "Low Range, if relevant",
"definition" : "The value of the low bound of the reference range. The low bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the low bound is omitted, it is assumed to be meaningless (e.g. reference range is <=2.3).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.low",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"condition" : [
"obs-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX-7"
},
{
"identity" : "rim",
"map" : "value:IVL_PQ.low"
}
]
},
{
"id" : "Observation.referenceRange.high",
"path" : "Observation.referenceRange.high",
"short" : "High Range, if relevant",
"definition" : "The value of the high bound of the reference range. The high bound of the reference range endpoint is inclusive of the value (e.g. reference range is >=5 - <=9). If the high bound is omitted, it is assumed to be meaningless (e.g. reference range is >= 2.3).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.high",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Quantity",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"condition" : [
"obs-3"
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX-7"
},
{
"identity" : "rim",
"map" : "value:IVL_PQ.high"
}
]
},
{
"id" : "Observation.referenceRange.type",
"path" : "Observation.referenceRange.type",
"short" : "Reference range qualifier",
"definition" : "Codes to indicate the what part of the targeted reference population it applies to. For example, the normal or therapeutic range.",
"comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal range is assumed.",
"requirements" : "Need to be able to say what kind of reference range this is - normal, recommended, therapeutic, etc., - for proper interpretation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.type",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationRangeMeaning"
}
],
"strength" : "preferred",
"description" : "Code for the meaning of a reference range.",
"valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-meaning"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
},
{
"identity" : "v2",
"map" : "OBX-10"
},
{
"identity" : "rim",
"map" : "interpretationCode"
}
]
},
{
"id" : "Observation.referenceRange.appliesTo",
"path" : "Observation.referenceRange.appliesTo",
"short" : "Reference range population",
"definition" : "Codes to indicate the target population this reference range applies to. For example, a reference range may be based on the normal population or a particular sex or race. Multiple `appliesTo` are interpreted as an \"AND\" of the target populations. For example, to represent a target population of African American females, both a code of female and a code for African American would be used.",
"comment" : "This SHOULD be populated if there is more than one range. If this element is not present then the normal population is assumed.",
"requirements" : "Need to be able to identify the target population for proper interpretation.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.referenceRange.appliesTo",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "CodeableConcept"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ObservationRangeType"
}
],
"strength" : "example",
"description" : "Codes identifying the population the reference range applies to.",
"valueSet" : "http://hl7.org/fhir/ValueSet/referencerange-appliesto"
},
"mapping" : [
{
"identity" : "sct-concept",
"map" : "< 260245000 |Findings values| OR \r< 365860008 |General clinical state finding| \rOR \r< 250171008 |Clinical history or observation findings| OR \r< 415229000 |Racial group| OR \r< 365400002 |Finding of puberty stage| OR\r< 443938003 |Procedure carried out on subject|"
},
{
"identity" : "v2",
"map" : "OBX-10"
},
{
"identity" : "rim",
"map" : "interpretationCode"
}
]
},
{
"id" : "Observation.referenceRange.age",
"path" : "Observation.referenceRange.age",
"short" : "Applicable age range, if relevant",
"definition" : "The age at which this reference range is applicable. This is a neonatal age (e.g. number of weeks at term) if the meaning says so.",
"requirements" : "Some analytes vary greatly over age.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.age",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "Range"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "rim",
"map" : "outboundRelationship[typeCode=PRCN].targetObservationCriterion[code=\"age\"].value"
}
]
},
{
"id" : "Observation.referenceRange.text",
"path" : "Observation.referenceRange.text",
"short" : "Text based reference range in an observation",
"definition" : "Text based reference range in an observation which may be used when a quantitative range is not appropriate for an observation. An example would be a reference value of \"Negative\" or a list or table of \"normals\".",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Observation.referenceRange.text",
"min" : 0,
"max" : "1"
},
"type" : [
{
"code" : "string"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : false,
"mapping" : [
{
"identity" : "v2",
"map" : "OBX-7"
},
{
"identity" : "rim",
"map" : "value:ST"
}
]
},
{
"id" : "Observation.hasMember",
"path" : "Observation.hasMember",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "$this.resolve()"
}
],
"description" : "Slicing based on profile conformance of the referenced resource.",
"rules" : "open"
},
"short" : "References the child observations of a grouping observation",
"definition" : "References the child observations of a grouping observation.",
"comment" : "When using this element, an observation will typically have either a value or a set of related resources, although both may be present in some cases. For a discussion on the ways Observations can assembled in groups together, see [Notes](http://hl7.org/fhir/R4/observation.html#obsgrouping) below. Note that a system may calculate results from [QuestionnaireResponse](questionnaireresponse.html) into a final score and represent the score as an Observation.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.hasMember",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/Observation",
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"http://hl7.org/fhir/StructureDefinition/MolecularSequence"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Relationships established by OBX-4 usage"
},
{
"identity" : "rim",
"map" : "outBoundRelationship"
}
]
},
{
"id" : "Observation.hasMember:SupportedHasMember",
"path" : "Observation.hasMember",
"sliceName" : "SupportedHasMember",
"short" : "For an Observation Grouping, the Observations generated from an assessment instrument",
"definition" : "This is the set of child observations that are expected to be supported by SDOH implementations.",
"comment" : "Other types of observations or resources can still be sent, but SDOH systems aren't required to pay attention to them.",
"requirements" : "Provides context to the child observations of \"in what instrument/panel was this information collected\", which is critical in situations where the child observations do not have derivedFrom relationships to a QuestionnaireResponse.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.hasMember",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Relationships established by OBX-4 usage"
},
{
"identity" : "rim",
"map" : "outBoundRelationship"
}
]
},
{
"id" : "Observation.derivedFrom",
"path" : "Observation.derivedFrom",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "$this.resolve()"
}
],
"description" : "Slicing based on profile conformance of the referenced resource.",
"rules" : "open"
},
"short" : "Related measurements the observation is made from",
"definition" : "The target resource represents a QuestionnaireResponse or other Observation from which the value of this Observation was inferred or calculated.",
"comment" : "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.derivedFrom",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/DocumentReference",
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Relationships established by OBX-4 usage"
},
{
"identity" : "rim",
"map" : ".targetObservation"
}
]
},
{
"id" : "Observation.derivedFrom:SupportedDerivedFrom",
"path" : "Observation.derivedFrom",
"sliceName" : "SupportedDerivedFrom",
"short" : "Related questionnaire responses or observations that the observation is made from",
"definition" : "The types of 'derivedFrom' resources that must be supported by implementations conforming to this IG",
"comment" : "Additional derivation targets (as supported by the underlying Observation resource) are allowed, but there is no expectation that implementers of this IG will pay attention to them.",
"requirements" : "Allows traceability (and context) for Observations derived from a QuestionnaireResponse and also establishes links for observations that were calculated or inferred based on other Observations (e.g. for calculated scores).",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.derivedFrom",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
]
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"mustSupport" : true,
"isModifier" : false,
"isSummary" : true,
"mapping" : [
{
"identity" : "v2",
"map" : "Relationships established by OBX-4 usage"
},
{
"identity" : "rim",
"map" : ".targetObservation"
}
]
},
{
"id" : "Observation.component",
"path" : "Observation.component",
"short" : "Component results",
"definition" : "Some observations have multiple component observations. These component observations are expressed as separate code value pairs that share the same attributes. Examples include systolic and diastolic component observations for blood pressure measurement and multiple component observations for genetics observations.",
"comment" : "For a discussion on the ways Observations can be assembled in groups together see [Notes](http://hl7.org/fhir/R4/observation.html#notes) below.",
"requirements" : "Component observations share the same attributes in the Observation resource as the primary observation and are always treated a part of a single observation (they are not separable). However, the reference range for the primary observation value is not inherited by the component values and is required when appropriate for each component observation.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Observation.component",
"min" : 0,
"max" : "*"
},
"type" : [
{
"code" : "BackboneElement"
}
],
"constraint" : [
{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
d-insecurity"
}
],
"text" : "food-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.185"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "health-insurance-coverage-status"
}
],
"text" : "health-insurance-coverage-status"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.176"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "homelessness"
}
],
"text" : "homelessness"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.177"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "housing-instability"
}
],
"text" : "housing-instability"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1196.178"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "inadequate-housing"
}
],
"text" : "inadequate-housing"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.209"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "intimate-partner-violence"
}
],
"text" : "intimate-partner-violence"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.180"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "material-hardship"
}
],
"text" : "material-hardship"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.187"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "medical-cost-burden"
}
],
"text" : "medical-cost-burden"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.175"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "personal-health-literacy"
}
],
"text" : "personal-health-literacy"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.210"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "social-connection"
}
],
"text" : "social-connection"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.181"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "stress"
}
],
"text" : "stress"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.182"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "transportation-insecurity"
}
],
"text" : "transportation-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.250"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "utility-insecurity"
}
],
"text" : "utility-insecurity"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "extensible"
},
{
"url" : "valueSet",
"valueCanonical" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.184"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "veteran-status"
}
],
"text" : "veteran-status"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
},
{
"extension" : [
{
"url" : "purpose",
"valueCode" : "preferred"
},
{
"url" : "valueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/observation-codes"
},
{
"url" : "usage",
"valueUsageContext" : {
"code" : {
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"code" : "Observation.category"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/sdoh-clinicalcare/CodeSystem/SDOHCC-CodeSystemTemporaryCodes",
"code" : "sdoh-category-unspecified"
}
],
"text" : "sdoh-category-unspecified"
}
}
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/additional-binding"
}
],
"strength" : "preferred",
"description" : "This value set includes all LOINC codes",
"valueSet" : "http://hl7.org/fhir/ValueSet/observation-codes"
}
},
{
"id" : "Observation.dataAbsentReason",
"path" : "Observation.dataAbsentReason",
"comment" : "\"Null\" or exceptional values can be represented two ways in FHIR Observations. One way is to simply include them in the value set and represent the exceptions in the value. The alternate way is to use the value element for actual observations and use the explicit dataAbsentReason element to record exceptional values. For a given LOINC question, if the LOINC answer list includes concepts such as 'unknown' or 'not available', they should be used for Observation.value. Where these concepts are not part of the value set for Observation.value, the Observation.dataAbsentReason can be used if necessary and appropriate.",
"mustSupport" : true
},
{
"id" : "Observation.bodySite",
"path" : "Observation.bodySite",
"max" : "0"
},
{
"id" : "Observation.specimen",
"path" : "Observation.specimen",
"max" : "0"
},
{
"id" : "Observation.hasMember",
"path" : "Observation.hasMember",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "$this.resolve()"
}
],
"description" : "Slicing based on profile conformance of the referenced resource.",
"rules" : "open"
},
"short" : "References the child observations of a grouping observation",
"definition" : "References the child observations of a grouping observation."
},
{
"id" : "Observation.hasMember:SupportedHasMember",
"path" : "Observation.hasMember",
"sliceName" : "SupportedHasMember",
"short" : "For an Observation Grouping, the Observations generated from an assessment instrument",
"definition" : "This is the set of child observations that are expected to be supported by SDOH implementations.",
"comment" : "Other types of observations or resources can still be sent, but SDOH systems aren't required to pay attention to them.",
"requirements" : "Provides context to the child observations of \"in what instrument/panel was this information collected\", which is critical in situations where the child observations do not have derivedFrom relationships to a QuestionnaireResponse.",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse"
]
}
],
"mustSupport" : true
},
{
"id" : "Observation.derivedFrom",
"path" : "Observation.derivedFrom",
"slicing" : {
"discriminator" : [
{
"type" : "profile",
"path" : "$this.resolve()"
}
],
"description" : "Slicing based on profile conformance of the referenced resource.",
"rules" : "open"
},
"definition" : "The target resource represents a QuestionnaireResponse or other Observation from which the value of this Observation was inferred or calculated.",
"comment" : "All the reference choices that are listed in this element can represent clinical observations and other measurements that may be the source for a derived value.",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/StructureDefinition/DocumentReference",
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse",
"http://hl7.org/fhir/StructureDefinition/Observation"
]
}
],
"mustSupport" : true
},
{
"id" : "Observation.derivedFrom:SupportedDerivedFrom",
"path" : "Observation.derivedFrom",
"sliceName" : "SupportedDerivedFrom",
"short" : "Related questionnaire responses or observations that the observation is made from",
"definition" : "The types of 'derivedFrom' resources that must be supported by implementations conforming to this IG",
"comment" : "Additional derivation targets (as supported by the underlying Observation resource) are allowed, but there is no expectation that implementers of this IG will pay attention to them.",
"requirements" : "Allows traceability (and context) for Observations derived from a QuestionnaireResponse and also establishes links for observations that were calculated or inferred based on other Observations (e.g. for calculated scores).",
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse",
"http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse"
]
}
],
"mustSupport" : true
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.