description: Profile for Social Determinants of Health (SDOH) observations that involve assessment (e.g., by a provider, payer, etc.) as opposed to being derived only from screening surveys (as is the case for the SDOHCC Screening Response Observation). The Cross-Group Projects work group granted a variance to US Core on 06/10/2021 - Jira ticket FHIR-32892.
package_name: rs/hl7.fhir.us.sdoh
derivation: constraint
name: SDOHCCObservationAssessment
abstract: true
type: Observation
elements:
  status: {mustSupport: true, index: 0}
  category:
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: value}
      min: 1
      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
        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: 3
  code:
    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT'}
    mustSupport: true
    index: 4
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 5
  effective:
    choices: []
    index: 7
  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: 8
  value:
    mustSupport: true
    choices: []
    index: 10
package_version: clinicalcare-2.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationAssessment
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 2.0.0
required: [category, subject]