description: This profile constrains Observations that represent individual Question and Answer (QA) pairs from SDOH screening instruments that are represented in LOINC.
package_name: hl7.fhir.us.sdoh-clinicalcare
derivation: constraint
name: SDOHCC_Observation_ScreeningResponseBase_1
type: Observation
elements:
  category:
    array: true
    min: 2
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      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
            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
            index: 3
          min: 1
          max: 1
        SDOHDomain:
          match: {}
          schema:
            short: e.g., food-insecurity-domain | transportation-insecurity-domain
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSet-SDOHDomain-1'}
            mustSupport: true
            index: 4
  referenceRange: {index: 24}
  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: 25
    slicing:
      rules: open
      discriminator:
      - {path: resolve(), type: profile}
      min: null
      slices:
        SupportedDerivedFrom:
          match: {}
          schema:
            type: Reference
            mustSupport: true
            refers: ['http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1', 'http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse']
            index: 26
  interpretation: {index: 21}
  specimen: {index: 23}
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 18
  effective[x]:
    elements:
      start: {mustSupport: true, index: 14}
      end: {mustSupport: true, index: 15}
    required: [start, end]
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 9}
  status: {mustSupport: true, index: 0}
  effective:
    choices: [effectivePeriod]
    index: 12
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            choices: [effectivePeriod]
            index: 12
  code: {mustSupport: true, index: 5}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 19}
  bodySite: {index: 22}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient']
    index: 6
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 16
  dataAbsentReason: {mustSupport: true, index: 20}
  effectivePeriod:
    type: Period
    choiceOf: effective
    index: 13
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {type: Period, choiceOf: effective, index: 13}
package_version: 0.1.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Observation-ScreeningResponseBase-1
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 0.1.0
required: [effectiveDateTime, effectivePeriod, subject, effective]