{
  "description": "This profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessments conducted along the client journey.",
  "_filename": "StructureDefinition.ca-on-mha-profile-ObservationCitizenshipStatus-V2.json",
  "package_name": "ca.on.oh.mha.pds",
  "date": null,
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2024-09-20T20:52:42.0532613+00:00"
  },
  "publisher": "Ontario Health",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "purpose": "This resource will capture information pertaining to the client's citizenship status.",
  "name": "ObservationCitizenshipStatusV2Draft",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://snomed.info/conceptdomain",
    "name": "SNOMED CT Concept Domain Binding",
    "identity": "sct-concept"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://snomed.org/attributebinding",
    "name": "SNOMED CT Attribute Binding",
    "identity": "sct-attr"
  }, {
    "name": "MHA PDS Mapping",
    "identity": "MHA-PDS-Mapping"
  } ],
  "abstract": true,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MHA Observation-CitizenshipStatus Profile",
  "package_version": "2.0.0-alpha-preview",
  "status": "draft",
  "id": "1edfd84c-414a-414f-ac23-dff14f88b333",
  "kind": "resource",
  "url": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-Observation-citizenship-status",
  "version": "2.0.0",
  "differential": {
    "element": [ {
      "id": "Observation",
      "path": "Observation",
      "short": "SDOH assessment observation",
      "comment": "For representation of SDOH observations that involve assessments conducted along the client journey.",
      "constraint": [ {
        "key": "citienship-status-inv-1",
        "human": "\"Arrive in Canada\" must be provided if \"Born in Canada\" is set to \"N\"",
        "severity": "error",
        "expression": "extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada').value.code='N' implies extension('http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-yearArrivedInCanada').value.exists()"
      } ],
      "definition": "For SDOH observations derived from assessment of the client."
    }, {
      "id": "Observation.meta",
      "min": 1,
      "path": "Observation.meta",
      "mustSupport": true
    }, {
      "id": "Observation.meta.profile",
      "max": "1",
      "min": 1,
      "path": "Observation.meta.profile",
      "mustSupport": true,
      "fixedCanonical": "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status"
    }, {
      "id": "Observation.extension:bornInCanadaV2Draft",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada-v2-draft" ]
      } ],
      "sliceName": "bornInCanadaV2Draft",
      "isModifier": false,
      "mustSupport": true
    }, {
      "id": "Observation.extension:ArrivedInCanada",
      "max": "1",
      "path": "Observation.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-yearArrivedInCanada" ]
      } ],
      "sliceName": "ArrivedInCanada",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "max": "1",
      "min": 1,
      "path": "Observation.category",
      "binding": {
        "strength": "required"
      },
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.category.coding",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.system",
      "min": 1,
      "path": "Observation.category.coding.system",
      "fixedUri": "http://terminology.hl7.org/CodeSystem/observation-category",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.code",
      "min": 1,
      "path": "Observation.category.coding.code",
      "fixedCode": "social-history",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.display",
      "min": 1,
      "path": "Observation.category.coding.display",
      "fixedString": "Social History",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "binding": {
        "strength": "required",
        "valueSet": "http://ontariohealth.ca/fhir/ValueSet/sdohObservationCode"
      },
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "max": "1",
      "min": 1,
      "path": "Observation.code.coding",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.system",
      "min": 1,
      "path": "Observation.code.coding.system",
      "fixedUri": "http://loinc.org",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.code",
      "min": 1,
      "path": "Observation.code.coding.code",
      "fixedCode": "69433-1",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding.display",
      "min": 1,
      "path": "Observation.code.coding.display",
      "fixedString": "Citizenship Status",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.subject.reference",
      "min": 1,
      "path": "Observation.subject.reference",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "min": 1,
      "path": "Observation.value[x]",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://ontariohealth.ca/fhir/ValueSet/mha/citizenshipStatus",
        "description": "The citizenship status of the client."
      },
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding",
      "max": "1",
      "min": 1,
      "path": "Observation.value[x].coding",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.system",
      "min": 1,
      "path": "Observation.value[x].coding.system",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.code",
      "min": 1,
      "path": "Observation.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "Observation.value[x].coding.display",
      "min": 1,
      "path": "Observation.value[x].coding.display",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}