description: Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments that are represented in LOINC. The Cross-Group Projects work group granted a variance to US Core on 12/03/2020 - Jira ticket FHIR-29795.
package_name: rs/hl7.fhir.us.sdoh
derivation: constraint
name: SDOHCCObservationScreeningResponse
type: Observation
elements:
  category:
    array: true
    min: 2
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 2
      slices:
        SocialHistory:
          match:
            coding:
            - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: social-history, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            _required: true
            type: CodeableConcept
            index: 2
          min: 1
          max: 1
        Survey:
          match:
            coding:
            - {code: survey, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: survey, system: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            _required: true
            type: CodeableConcept
            index: 3
          min: 1
          max: 1
        SDOH:
          match: {}
          schema:
            short: e.g., food-insecurity | transportation-insecurity
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory'}
            mustSupport: true
            index: 4
  hasMember: {index: 23}
  derivedFrom:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/DocumentReference', 'http://hl7.org/fhir/StructureDefinition/Observation', 'http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse']
    index: 24
    slicing:
      rules: open
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        SupportedDerivedFrom:
          match: {}
          schema:
            short: Related questionnaire responses or observations that the observation is made from
            refers: ['http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse', 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse']
            type: Reference
            mustSupport: true
            index: 25
  specimen: {index: 22}
  valueQuantity:
    type: Quantity
    choiceOf: value
    index: 16
    slicing:
      slices:
        valueQuantity:
          match: {}
          schema: {type: Quantity, choiceOf: value, index: 16}
  value:
    choices: [valueCodeableConcept]
    index: 18
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema:
            choices: [valueCodeableConcept]
            index: 18
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 9}
  status:
    short: final | corrected | entered-in-error | unknown
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus'}
    mustSupport: true
    index: 0
  effective:
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod]
    index: 8
  code: {mustSupport: true, index: 5}
  valueCodeableConcept:
    type: CodeableConcept
    choiceOf: value
    index: 19
    slicing:
      slices:
        valueCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, choiceOf: value, index: 19}
  bodySite: {index: 21}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 6
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', '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']
    index: 11
  dataAbsentReason: {mustSupport: true, index: 20}
  effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 10}
package_version: clinicalcare-2.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [effective, effectiveDateTime, effectivePeriod, subject]