description: This profile represents the constraints applied to the Observation resource by the PS-CA project to represent a more generic social history profile used to represent health related lifestyle factors or lifestyle observations in a patient summary. Currently, there is no equivalent IPS UV profile, however there are ISO CEN IPS 17269 requirements for a more generic social history section that were used to inform this profile.  This profile is considered a draft version, and is informed and created as per the requirements of the first jurisdiction (i.e. Alberta) to pilot its use in patient summary within jurisdictional context. The constraints have been compared against other Social History FHIR profiles in Canada and internationally (US Core, Cyprus Core, Malaysia Core)  and share many constraints in common with those profiles but represent the minimum requirements as they are known in Canada today. This profile is expected to be refined further as more jurisdictional requirements are defined and as more is known about use in the international patient summary space.
package_name: ca.infoway.io.psca
derivation: constraint
name: ObservationSocialHistoryPSCA
type: Observation
elements:
  status: {mustSupport: true, index: 0}
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        social-history:
          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
  code: {type: CodeableConcept, mustSupport: true, index: 3}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/patient-ca-ps']
    index: 4
    elements:
      reference: {mustSupport: true, index: 5}
    required: [reference]
  effective:
    choices: []
    index: 7
  value:
    mustSupport: true
    choices: []
    index: 9
  note:
    mustSupport: true
    index: 10
    elements:
      text: {mustSupport: true, index: 11}
package_version: 2.0.0-DFT-Ballot
class: profile
kind: resource
url: http://fhir.infoway-inforoute.ca/io/psca/StructureDefinition/observation-socialhistory-ca-ps
base: http://hl7.org/fhir/StructureDefinition/Observation
version: null
required: [subject]