US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701 United States of America flag

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Resource Profile: Decision Precision Plus Observation[social]

Official URL: http://va.gov/fhir/StructureDefinition/DecisionPrecisionPlusObservationsocial Version: 1.6.49
Draft as of 2025-06-13 Computable Name: DecisionPrecisionPlusObservationsocial

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

See also the FHIR Shorthand.

Use Case Overview

Use Case: Decision Precision Plus«us-core-smokingstatus»DecisionPrecisionPlusObservationsmokingencounter«us-core-observation-social-history»DecisionPrecisionPlusObservationsocialencounterEncounterOutpatient

Usages:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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

doco Documentation for this format

Terminology Bindings

Constraints

PathConformanceValueSet / CodeURI
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:us-core/social-historypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:sdohpreferredPattern Value: sdoh
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeDatetime must be at least to day.
: $this is DateTime implies $this.toString().length() >= 10

This structure is derived from USCoreObservationSocialHistoryProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

Constraints

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:us-core/social-historypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:sdohpreferredPattern Value: sdoh
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeDatetime 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:

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
.... 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

doco Documentation for this format

Terminology Bindings

Constraints

PathConformanceValueSet / CodeURI
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:us-core/social-historypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:sdohpreferredPattern Value: sdoh
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeDatetime must be at least to day.
: $this is DateTime implies $this.toString().length() >= 10

Differential View

This structure is derived from USCoreObservationSocialHistoryProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... 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

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG

Constraints

IdGradePath(s)DetailsRequirements
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 BindingsPurpose
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

doco Documentation for this format

Terminology Bindings

Constraints

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Observation.statusrequiredPattern Value: final
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
From the FHIR Standard
Observation.categorypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:us-core/social-historypreferredPattern Value: social-history
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.category:sdohpreferredPattern Value: sdoh
http://hl7.org/fhir/ValueSet/observation-category
From the FHIR Standard
Observation.coderequiredDPPLungCancerScreeningOED
http://va.gov/fhir/ValueSet/DPPLungCancerScreeningOED
From this IG
Observation.value[x]:valueQuantity.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
Observation.bodySiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
From the FHIR Standard
Observation.methodexampleObservationMethods
http://hl7.org/fhir/ValueSet/observation-methods
From the FHIR Standard
Observation.referenceRange.typepreferredObservationReferenceRangeMeaningCodes
http://hl7.org/fhir/ValueSet/referencerange-meaning
From the FHIR Standard
Observation.referenceRange.appliesToexampleObservationReferenceRangeAppliesToCodes
http://hl7.org/fhir/ValueSet/referencerange-appliesto
From the FHIR Standard
Observation.component.codeexampleLOINCCodes(a valid code from LOINC)
http://hl7.org/fhir/ValueSet/observation-codes
From the FHIR Standard
Observation.component.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
From the FHIR Standard
Observation.component.interpretationextensibleObservationInterpretationCodes
http://hl7.org/fhir/ValueSet/observation-interpretation
From the FHIR Standard
IdGradePath(s)DetailsRequirements
dom-2errorObservationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorObservationIf 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-4errorObservationIf 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-5errorObservationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceObservationA resource should have narrative for robust management
: text.`div`.exists()
dppo-38-2223best practiceObservation.codeIf In VF_DPPLungCancerScreeningOEQ then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOEQ
: true
dppo-38-2224best practiceObservation.value[x]:valueQuantity.valueIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-220)
: true
dppo-38-2225best practiceObservation.value[x]:valueQuantity.codeIf In VF_DPPLungCancerScreeningOEQ then source value from (9000010.23-221)
: true
dppo-38-2226best practiceObservation.value[x]:valueDateTimeIf In VF_DPPLungCancerScreeningOED then source value from (9000010.23-220)
: true
dppo-38-2233best practiceObservation.codeIf In VF_DPPLungCancerScreeningOED then terminologyMaps (9000010.23-.01) using VF_DPPLungCancerScreeningOED
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
obs-3errorObservation.referenceRangeMust have at least a low or a high or text
: low.exists() or high.exists() or text.exists()
obs-6errorObservationdataAbsentReason SHALL only be present if Observation.value[x] is not present
: dataAbsentReason.empty() or value.empty()
obs-7errorObservationIf 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-1errorObservation.effective[x], Observation.effective[x]:effectiveDateTimeDatetime 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:

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