{
  "description": null,
  "_filename": "DwObservationSocialHistory.StructureDefinition.json",
  "package_name": "telus.dw.emr.extract",
  "date": "2024-05-08T20:50:08.0817635+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2024-04-25T16:50:10.5223053+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "DwObservationSocialHistory",
  "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"
  } ],
  "abstract": false,
  "type": "Observation",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "60a4c695-7858-40cc-80fe-2909dae81940",
  "kind": "resource",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationSocialHistory",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Observation.id",
      "min": 1,
      "path": "Observation.id",
      "mustSupport": true
    }, {
      "id": "Observation.meta",
      "path": "Observation.meta"
    }, {
      "id": "Observation.meta.id",
      "min": 1,
      "path": "Observation.meta.id"
    }, {
      "id": "Observation.meta.lastUpdated",
      "min": 1,
      "path": "Observation.meta.lastUpdated"
    }, {
      "id": "Observation.meta.source",
      "min": 1,
      "path": "Observation.meta.source"
    }, {
      "id": "Observation.text",
      "path": "Observation.text",
      "mustSupport": true
    }, {
      "id": "Observation.identifier",
      "path": "Observation.identifier",
      "mustSupport": true
    }, {
      "id": "Observation.status",
      "path": "Observation.status",
      "comment": "Usage Note - Historical load do not send the deleted entries. For delta send all updated resource including deleted\r\nPSS -->FHIR\r\nNeeds Review, unfinished --> Final\r\nUpdated --> amended - only if delta is being send\r\ndeleted --> entered-in-error - only if delta is being sent\r\n\r\nMA --> FHIR\r\nActive --> Final\r\ndeleted --> entered-in-error - only if delta is being sent\r\n\r\nThis element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "mustSupport": true
    }, {
      "id": "Observation.category",
      "path": "Observation.category",
      "comment": "Useage note : Lifestyle, social history and personal traits category in EMRs will map to social-history category in FHIR\r\n\r\nIn addition to the required category valueset, this element allows various categorization schemes based on the owner’s definition of the category and effectively multiple categories can be used at once.  The level of granularity is defined by the category concepts in the value set.",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding",
      "path": "Observation.category.coding",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.system",
      "path": "Observation.category.coding.system",
      "fixedUri": "http://hl7.org/fhir/ValueSet/observation-category",
      "mustSupport": true
    }, {
      "id": "Observation.category.coding.code",
      "path": "Observation.category.coding.code",
      "fixedCode": "social-history",
      "mustSupport": true
    }, {
      "id": "Observation.code",
      "path": "Observation.code",
      "comment": "This provides the EMR text of the social history type ex. gambling, personal trait, exercise, social history etc \n\nIn MedAccess if type value is empty then this will repeat category.coding.display value\"\r\n\r\n*All* code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.",
      "mustSupport": true
    }, {
      "id": "Observation.code.coding",
      "path": "Observation.code.coding",
      "mustSupport": false
    }, {
      "id": "Observation.code.text",
      "min": 1,
      "path": "Observation.code.text",
      "mustSupport": true
    }, {
      "id": "Observation.subject",
      "min": 1,
      "path": "Observation.subject",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Observation.encounter",
      "path": "Observation.encounter",
      "mustSupport": true
    }, {
      "id": "Observation.effective[x]",
      "path": "Observation.effective[x]",
      "mustSupport": true
    }, {
      "id": "Observation.value[x]",
      "path": "Observation.value[x]",
      "comment": "Useage note: MA - TBD\r\nPSS - description (to fit in profile) text field \r\n\r\nAn observation may have; 1)  a single value here, 2)  both a value and a set of related or component values,  or 3)  only a set of related or component values. If a value is present, the datatype for this element should be determined by Observation.code.  A CodeableConcept with just a text would be used instead of a string if the field was usually coded, or if the type associated with the Observation.code defines a coded value.  For additional guidance, see the [Notes section](observation.html#notes) below.",
      "mustSupport": true
    }, {
      "id": "Observation.note",
      "path": "Observation.note",
      "mustSupport": true
    }, {
      "id": "Observation.bodySite",
      "max": "0",
      "path": "Observation.bodySite"
    }, {
      "id": "Observation.specimen",
      "max": "0",
      "path": "Observation.specimen"
    }, {
      "id": "Observation.device",
      "max": "0",
      "path": "Observation.device"
    }, {
      "id": "Observation.referenceRange",
      "max": "0",
      "path": "Observation.referenceRange"
    }, {
      "id": "Observation.hasMember",
      "path": "Observation.hasMember",
      "mustSupport": true
    }, {
      "id": "Observation.derivedFrom",
      "max": "0",
      "path": "Observation.derivedFrom"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation"
}