Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). SDOH-Con-1: Can only have a max of one asserter.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
value[x]		0..1	Reference(Device)	Value of extension
verificationStatus		0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
bodySite		0..0
onset[x]		0..1	dateTime, Period	Fecha y hora o período estimados.
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder		0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
code		0..*	CodeableConcept	Manifestation/symptom
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
extension		0..0
url		1..1	uri	"https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
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()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
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()

Summary

Mandatory: 1 element
Must-Support: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• Respuesta de Detección de Observación de SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ObservationScreeningResponseCL)
• Condición SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ConditionCL)
• Evaluación de Observación de SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ObservationAssessmentCL)
• SDC Questionnaire Response (http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse)

Extensions

This structure refers to these extensions:

• https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category
• The element 1 is sliced based on the value of Condition.evidence.detail

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). SDOH-Con-1: Can only have a max of one asserter.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
value[x]		0..1	Reference(Device)	Value of extension
verificationStatus		0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
bodySite		0..0
onset[x]		0..1	dateTime, Period	Fecha y hora o período estimados.
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder		0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
code		0..*	CodeableConcept	Manifestation/symptom
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
extension		0..0
url		1..1	uri	"https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
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()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Confirmador de condiciones de extensión SDOHCC URL: https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('SDOHCCExtensionConditionAsserterCL').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
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()

Summary

Mandatory: 1 element
Must-Support: 5 elements
Prohibited: 2 elements

Structures

This structure refers to these other structures:

• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• Respuesta de Detección de Observación de SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ObservationScreeningResponseCL)
• Condición SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ConditionCL)
• Evaluación de Observación de SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ObservationAssessmentCL)
• SDC Questionnaire Response (http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse)

Extensions

This structure refers to these extensions:

• https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ExtensionConditionAsserterCL

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.category
• The element 1 is sliced based on the value of Condition.evidence.detail