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: ObservationSexualOrientation
abstract: true
type: Observation
elements:
  category:
    mustSupport: true
    index: 2
    elements:
      coding:
        index: 3
        elements:
          system:
            pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/observation-category'}
            mustSupport: true
            index: 4
          code:
            pattern: {type: Code, value: social-history}
            mustSupport: true
            index: 5
          display:
            pattern: {type: String, value: Social History}
            mustSupport: true
            index: 6
        required: [display, system, code]
    required: [coding]
  value[x]:
    elements:
      coding:
        index: 20
        elements:
          system: {mustSupport: true, index: 21}
          code: {mustSupport: true, index: 22}
          display: {mustSupport: true, index: 23}
        required: [display, system, code]
    required: [coding]
  meta:
    mustSupport: true
    index: 0
    elements:
      profile: {mustSupport: true, index: 1}
    required: [profile]
  encounter:
    type: Reference
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-encounter']
    index: 12
  value:
    mustSupport: true
    choices: [valueCodeableConcept]
    index: 18
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 15}
  effective:
    mustSupport: true
    choices: [effectiveDateTime]
    index: 14
  code:
    binding: {strength: required, valueSet: 'http://ontariohealth.ca/fhir/ValueSet/sdohObservationCode'}
    mustSupport: true
    index: 7
    elements:
      coding:
        elements:
          system:
            pattern: {type: Uri, value: 'http://loinc.org'}
            mustSupport: true
            index: 8
          code:
            pattern: {type: Code, value: 76690-7}
            mustSupport: true
            index: 9
          display:
            pattern: {type: String, value: Sexual Orientation}
            mustSupport: true
            index: 10
        required: [display, system, code]
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 19}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient']
    index: 11
  performer:
    type: Reference
    refers: ['http://hl7.org/fhir/StructureDefinition/RelatedPerson', 'http://hl7.org/fhir/StructureDefinition/careteam', 'http://hl7.org/fhir/StructureDefinition/practitioner', 'http://hl7.org/fhir/StructureDefinition/practitionerrole']
    index: 16
package_version: 0.9.0-alpha-1.9.4
class: profile
kind: resource
url: http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-sexual-orientation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 1.0.0
required: [value, subject, valueCodeableConcept, meta, category]