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FHIR IG Statistics: StructureDefinition/Observation

Packageca.on.oh.mha-pds
TypeStructureDefinition
IdObservation
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=ca.on.oh.mha-pds@0.9.0-alpha-1.9.7.38&canonical=http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status
URLhttp://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status
Version1.0.0
Statusactive
Date2022-08-22T20:17:06.3613088+00:00
NameObservationCitizenshipStatus
TitleMHA Observation-CitizenshipStatus Profile
Realmca
Authorityhl7
DescriptionThis profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessments conducted along the client journey.
PurposeThis resource will capture information pertaining to the client's citizenship status.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
ca-on-mha-profile-bundleMHA Bundle Profile
ca-on-mha-profile-BundleMHA Bundle Profile

Resources that this resource uses

StructureDefinition
ca-on-mha-profile-patientMHA Patient Profile
ca-on-ext-bornInCanadaBornInCanada
ca-on-ext-yearArrivedInCanadaYearArrivedInCanada
ValueSet
citizenshipStatusCitizenship Status
sdohObservationCodeSDOH Observation Code

Narrative

Note: links and images are rebased to the (stated) source

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..*ObservationThis is an abstract profile
SDOH assessment observation
... status S1..1coderegistered | preliminary | final | amended +
... Slices for category 1..*CodeableConceptClassification of type of observation
Slice: Unordered, Open by value:$this
.... category:SocialHistory S1..1CodeableConceptClassification of type of observation
Required Pattern: At least the following
..... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
...... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
...... code1..1codeSymbol in syntax defined by the system
Fixed Value: social-history
.... category:SDOHDomain S0..*CodeableConcepte.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.

... code S1..1CodeableConceptType of observation (code / type)
Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred)
... subject S1..1Reference(Group | US Core Patient Profile)Who and/or what the observation is about
... performer S0..*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
... value[x] S0..1Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, PeriodActual result

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "Observation",
  "meta": {
    "lastUpdated": "2022-06-28T17:17:16.285742+00:00"
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status",
  "version": "1.0.0",
  "name": "ObservationCitizenshipStatus",
  "title": "MHA Observation-CitizenshipStatus Profile",
  "status": "active",
  "date": "2022-08-22T20:17:06.3613088+00:00",
  "publisher": "Ontario Health",
  "description": "This profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessments conducted along the client journey.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "This resource will capture information pertaining to the client's citizenship status.",
  "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"
    },
    {
      "identity": "MHA-PDS-Mapping",
      "name": "MHA PDS Mapping"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation",
        "short": "SDOH assessment observation",
        "definition": "For SDOH observations derived from assessment of the client.",
        "comment": "For representation of SDOH observations that involve assessments conducted along the client journey."
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "min": 1,
        "max": "1",
        "fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status",
        "mustSupport": true
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "Observation.extension:bornInCanada",
        "path": "Observation.extension",
        "sliceName": "bornInCanada",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:bornInCanada.value[x]",
        "path": "Observation.extension.value[x]",
        "min": 1
      },
      {
        "id": "Observation.extension:yearArrivedInCanada",
        "path": "Observation.extension",
        "sliceName": "yearArrivedInCanada",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-yearArrivedInCanada"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "min": 1,
        "max": "1",
        "mustSupport": true,
        "binding": {
          "strength": "required"
        }
      },
      {
        "id": "Observation.category.coding",
        "path": "Observation.category.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.system",
        "path": "Observation.category.coding.system",
        "min": 1,
        "fixedUri": "http://terminology.hl7.org/CodeSystem/observation-category",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.code",
        "path": "Observation.category.coding.code",
        "min": 1,
        "fixedCode": "social-history",
        "mustSupport": true
      },
      {
        "id": "Observation.category.coding.display",
        "path": "Observation.category.coding.display",
        "min": 1,
        "fixedString": "Social History",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/sdohObservationCode"
        }
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://loinc.org",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "min": 1,
        "fixedCode": "69433-1",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "min": 1,
        "fixedString": "Citizenship Status",
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.subject.reference",
        "path": "Observation.subject.reference",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.effective[x]",
        "path": "Observation.effective[x]",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "description": "The citizenship status of the client.",
          "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/citizenshipStatus"
        }
      },
      {
        "id": "Observation.value[x].coding",
        "path": "Observation.value[x].coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.system",
        "path": "Observation.value[x].coding.system",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.code",
        "path": "Observation.value[x].coding.code",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.display",
        "path": "Observation.value[x].coding.display",
        "min": 1,
        "mustSupport": true
      }
    ]
  }
}