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Resource Profile: Decision Precision Plus Observation[social]

This StructureDefinition contains the maps for VistA file V HEALTH FACTORS (9000010.23) to us-core-observation-social-history.

Usages:

• CapabilityStatements using this Profile: Lighthouse Clinical Health API
• This Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreObservationSocialHistoryProfile	assessment observation Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:us-core/social-history	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:sdoh	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Who and/or what the observation is about
encounter	SΣ	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	0..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: us-core-1
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	Clinically relevant time/time-period for observation Constraints: us-core-1
performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1))	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
code	SΣC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result Constraints: dppo-38-2226
note	S	0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings

Constraints

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:us-core/social-history	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:sdoh	preferred	Pattern Value: sdoh http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
us-core-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	Datetime must be at least to day. : $this is DateTime implies $this.toString().length() >= 10

This structure is derived from USCoreObservationSocialHistoryProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	USCoreObservationSocialHistoryProfile	assessment observation
status		1..1	code	registered | preliminary | final | amended + Required Pattern: final
category		1..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	C	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
encounter	S	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]		0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	Clinically relevant time/time-period for observation
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual result
value	SC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
code	SC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SC	0..1	dateTime	Actual result Constraints: dppo-38-2226
note	S	0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreObservationSocialHistoryProfile	assessment observation Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core/social-history	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:sdoh	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	0..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: us-core-1
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	Clinically relevant time/time-period for observation Constraints: us-core-1
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core Patient Profile(5.0.1) | PractitionerRole | US Core CareTeam Profile(5.0.1) | US Core RelatedPerson Profile)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept S
valueString			string S
valueBoolean			boolean S
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	SΣC	0..1	Quantity S	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result Constraints: dppo-38-2226
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note	S	0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Constraints

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:us-core/social-history	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:sdoh	preferred	Pattern Value: sdoh http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
us-core-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	Datetime must be at least to day. : $this is DateTime implies $this.toString().length() >= 10

This structure is derived from USCoreObservationSocialHistoryProfile

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Encounter: Outpatient (http://va.gov/fhir/StructureDefinition/EncounterOutpatient)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreObservationSocialHistoryProfile	assessment observation Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:us-core/social-history	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:sdoh	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Who and/or what the observation is about
encounter	SΣ	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	0..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: us-core-1
effectiveDateTime			dateTime
effective[x]:effectiveDateTime	SΣC	0..1	dateTime	Clinically relevant time/time-period for observation Constraints: us-core-1
performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1))	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual result
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
code	SΣC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result Constraints: dppo-38-2226
note	S	0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings

Constraints

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:us-core/social-history	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:sdoh	preferred	Pattern Value: sdoh http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
us-core-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	Datetime must be at least to day. : $this is DateTime implies $this.toString().length() >= 10

Differential View

This structure is derived from USCoreObservationSocialHistoryProfile

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation		0..*	USCoreObservationSocialHistoryProfile	assessment observation
status		1..1	code	registered | preliminary | final | amended + Required Pattern: final
category		1..*	CodeableConcept	Classification of type of observation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	C	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
encounter	S	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]		0..1	dateTime, Period, Timing, instant	Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime S	Clinically relevant time/time-period for observation
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual result
value	SC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
code	SC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SC	0..1	dateTime	Actual result Constraints: dppo-38-2226
note	S	0..*	Annotation	Comments about the observation
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	USCoreObservationSocialHistoryProfile	assessment observation Constraints: obs-6, obs-7
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business Identifier for observation
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Required Pattern: final
Slices for category	S	1..*	CodeableConcept	Classification of type of observation Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:us-core/social-history	S	1..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:sdoh	S	0..1	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-tags
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: sdoh
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
code	SΣC	1..1	CodeableConcept	Type of observation (code / type) Binding: DPPLungCancerScreeningOED FHIR (required): see mapping VF_DPPLungCancerScreeningOED Constraints: dppo-38-2223, dppo-38-2233
subject	SΣ	1..1	Reference(US Core Patient Profile(5.0.1))	Who and/or what the observation is about
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter: Outpatient)	Healthcare event during which this observation is made
Slices for effective[x]	SΣC	0..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this Constraints: us-core-1
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣC	0..1	dateTime S	Clinically relevant time/time-period for observation Constraints: us-core-1
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(US Core Practitioner Profile(5.0.1) S | US Core Organization Profile(5.0.1) | US Core Patient Profile(5.0.1) | PractitionerRole | US Core CareTeam Profile(5.0.1) | US Core RelatedPerson Profile)	Who is responsible for the observation
Slices for value[x]	SΣC	0..1		Actual result Slice: Unordered, Open by type:$this
valueQuantity			Quantity S
valueCodeableConcept			CodeableConcept S
valueString			string S
valueBoolean			boolean S
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	SΣC	0..1	Quantity S	Actual result
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
value	SΣC	0..1	decimal	Numerical value (with implicit precision) Constraints: dppo-38-2224
comparator	?!Σ	0..1	code	< | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form
code	SΣC	0..1	code	Coded form of the unit Constraints: dppo-38-2225
value[x]:valueDateTime	SΣC	0..1	dateTime	Actual result Constraints: dppo-38-2226
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
note	S	0..*	Annotation	Comments about the observation
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen		0..1	Reference(Specimen)	Specimen used for this observation
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation Constraints: obs-3
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	Σ	0..*	Reference(Observation | QuestionnaireResponse | MolecularSequence)	Related resource that belongs to the Observation group
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	Σ	0..*	BackboneElement	Component results
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
value[x]	Σ	0..1		Actual component result
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation		0..*	CodeableConcept	High, low, normal, etc. Binding: ObservationInterpretationCodes (extensible): Codes identifying interpretations of observations.
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Constraints

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Pattern Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.category	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:us-core/social-history	preferred	Pattern Value: social-history http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.category:sdoh	preferred	Pattern Value: sdoh http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	DPPLungCancerScreeningOED http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED From this IG
Observation.value[x]:valueQuantity.comparator	required	QuantityComparator http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1 From the FHIR Standard
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site From the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods From the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
dppo-38-2223	best practice	Observation.code	If In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ : true
dppo-38-2224	best practice	Observation.value[x]:valueQuantity.value	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220) : true
dppo-38-2225	best practice	Observation.value[x]:valueQuantity.code	If In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221) : true
dppo-38-2226	best practice	Observation.value[x]:valueDateTime	If In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220) : true
dppo-38-2233	best practice	Observation.code	If In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED : true
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
us-core-1	error	Observation.effective[x], Observation.effective[x]:effectiveDateTime	Datetime must be at least to day. : $this is DateTime implies $this.toString().length() >= 10

This structure is derived from USCoreObservationSocialHistoryProfile

Summary

Must-Support: 6 elements

Structures

This structure refers to these other structures:

• Encounter: Outpatient (http://va.gov/fhir/StructureDefinition/EncounterOutpatient)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]
• The element 1 is sliced based on the value of Observation.value[x]

 

Other representations of profile: CSV, Excel, Schematron

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IG © 2025 VA. Package va.maps#1.6.49 based on FHIR 4.0.1. Generated 2025-06-13
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