description: This profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessments conducted along the client journey.
package_name: ca.on.oh.mha-pds
derivation: constraint
name: ObservationCitizenshipStatus
abstract: true
type: Observation
elements:
  category:
    mustSupport: true
    index: 8
    elements:
      coding:
        index: 9
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            mustSupport: true
            index: 10
          code:
            pattern: {type: Code, value: social-history}
            mustSupport: true
            index: 11
          display:
            pattern: {type: String, value: Social History}
            mustSupport: true
            index: 12
        required: [display, system, code]
    required: [coding]
  value[x]:
    elements:
      coding:
        index: 25
        elements:
          system: {mustSupport: true, index: 26}
          code: {mustSupport: true, index: 27}
          display: {mustSupport: true, index: 28}
        required: [display, system, code]
    required: [coding]
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
    required: [profile]
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 23
  extension:
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: url, type: value}
      min: 0
      slices:
        bornInCanada:
          match: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada'}
          schema:
            type: Extension
            mustSupport: true
            url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada
            index: 3
            elements:
              url:
                pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada'}
                index: 4
              value:
                choices: []
                index: 6
            required: [value]
        yearArrivedInCanada:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-yearArrivedInCanada', index: 7}
          min: 0
          max: 1
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 20}
  effective:
    mustSupport: true
    choices: [effectiveDateTime]
    index: 19
  code:
    binding: {strength: required, valueSet: 'https://simplifier.net/on-mentalhealthandaddictiondatarepository/sdohcategory'}
    mustSupport: true
    index: 13
    elements:
      coding:
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 14
          code:
            pattern: {type: Code, value: 69433-1}
            mustSupport: true
            index: 15
          display:
            pattern: {type: String, value: Citizenship Status}
            mustSupport: true
            index: 16
        required: [display, system, code]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 24}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient']
    index: 17
  performer:
    type: Reference
    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: 21
package_version: 0.9.0-alpha-1.9.4
extensions:
  bornInCanada:
    url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada
    type: Extension
    mustSupport: true
    index: 3
    elements:
      url:
        pattern: {type: Uri, value: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-bornInCanada'}
        index: 4
      value:
        choices: []
        index: 6
    required: [value]
  yearArrivedInCanada: {url: 'http://ontariohealth.ca/fhir/StructureDefinition/ca-on-ext-yearArrivedInCanada', min: 0, max: 1, type: Extension, mustSupport: true, index: 7}
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-citizenship-status
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0
required: [value, subject, valueCodeableConcept, meta, category]