SDOH Clinical Care
2.2.0 - STU 2.2 United States of America flag

SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

Resource Profile: SDOHCC Observation Screening Response

Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ObservationScreeningResponse Version: 2.2.0
Standards status: Trial-use Computable Name: SDOHCCObservationScreeningResponse

Profile for observations that represent question and answer pairs from Social Determinants of Health (SDOH) screening instruments.

Purpose

SDOHCC Observation Screening Response (OSR) is intended to represent question-answer pairs from Social Determinants of Health (SDOH) assessment instruments. An OSR that identifies a social risk or need can be referenced as evidence for an SDOHCC Condition. Additionally, an OSR may be addressed by, or be the outcome of, an SDOHCC Goal, or the reason for an SDOHCC ServiceRequest or SDOHCC Procedure. See the Data Modeling Framework for more detail on the relationships between OSR and other profiles in this IG.

This IG focuses on a workflow where completed assessment instruments are captured using QuestionnaireResponse. To facilitate querying and searching, individual question-answer pairs from a QuestionnaireResponse can be converted into Observations. The decision as to which responses from a QuestionnaireResponse to convert into Observations will generally be driven by the usage need. For more information on this topic see Representing Assessment Instrument Data in a FHIR Format.

In the future, for standardized assessment instruments, a StructureMap instance would ideally be provided by a Questionnaire steward to ensure consistency in the Observations and Conditions (i.e., unconfirmed health concerns) generated from the assessment instrument. For more information on this topic, see Using StructureMap to Generate Observations or Conditions from QuestionnaireResponse.

Usage

Observation.code and Observation.value have bindings to LOINCCodes (required). Observation.code and Observation.value also have additional bindings to SDOH domain-specific value sets (e.g., for Food Insecurity, Inadequate Housing, etc.) which are determined by the value selected for Observation.category. When Observataion.category is a value from SDOHCC ValueSet SDOH Category (e.g., food-insecurity), Observation.code and Observation.value SHALL be selected from the corresponding domain-specific value set found in Additional Bindings (e.g. Food Insecurity Screening Assessments And Questions for Observation.code and Food Insecurity Screening Assessments Answers for Observation.value). If more than one value is selected from SDOHCC ValueSet SDOH Category (e.g., food-insecurity and financial-insecurity) for Observation.category, then Observation.code and Observation.value SHALL be selected from at least one of the corresponding domain-specific value sets found in Additional Bindings (e.g. Food Insecurity Screening Assessments And Questions for Observation.code and Food Insecurity Screening Assessments Answers for Observation.value).

Occasionally, questions are reused across assessment instruments and represented by the same LOINC code, but the question’s allowed answer set may vary on different assessment instruments. Therefore, the allowed answer set (for Observation.value) for a question (Observation.code) is determined by the assessment instrument. For this reason, Gravity provides Downloadable Assessment Instrument Spreadsheets that link Gravity-vetted questions to the assessment instruments from which they were chosen and their allowed answer sets. For access to the Spreadsheets and more information on this topic, see Social Risk Terminology Value Sets on the Gravity Confluence site and specifically the Assessment Instruments Spreadsheet Guidance document.

Of note, Gravity Project is continuously developing terminology for new SDOH domains. For new SDOH domains where the Gravity terminology development cycle is in progress, domain-specific value sets may not yet be available in VSAC. If a domain-specific value set is not yet available in VSAC, the Additional Binding is the default binding for the profile element. If a domain-specific value set is available in VSAC but does not yet include all standardized codes identified during the domain’s terminology development cycle, the value set’s VSAC “Description” tab will state, “In progress”. Additional information related to Gravity value sets is provided on the Social Risk Terminology Value Sets page on the Gravity Project Confluence site.

Additionally, some SDOH domains may not yet be represented in SDOHCC ValueSet SDOH Category. In this case, Observation.category: sdoh-category-unspecified can be used so that the Observation instance can still be categorized as SDOH-related. If desired, category.text can also be used to further specify the domain. For example, at the time of publication of this IG, “disability-status” is not yet included in SDOHCC ValueSet SDOH Category. In this case, Observation.category: sdoh-category-unspecified can be used along with category.text: Disability Status. For Observation.category: sdoh-category-unspecified, there will not be domain-specific value sets and Additional Bindings for Observation.code and Observation.value will designate the default binding to LOINCCodes (required).

For more information on the correlation between Observation.category and the domain-specific value sets in Additional Bindings for Observation.code and Observation.value, see Gravity Project Value Sets.

When Observation.category is used to tag Observations by SDOH domain (e.g., Food Insecurity, Housing Instability), Observation.interpretation: POS (Positive) can be used to flag Observations that might represent a health-related social need (HRSN) in the specified SDOH domain(s). For more information on the use of Observation.category and Observation.interpretation and their interplay when used with OSR, see Additional Guidance on SDOHCC Observation Screening Response Elements.

Observation can also indicate relationships to other artifacts. For example:

  • If a question-answer pair is not answered directly on an assessment instrument (e.g., when a score or value is based on other question-answer pairs), OSR can reference one or more other OSRs via Observation.derivedFrom (see SDOHCC Observation Response NHANES Question 6 Example).
  • If assessment instrument context is needed, Observations generated from a QuestionnaireResponse can reference QuestionnaireResponse via Observation.derivedFrom.
  • In addition to representing instances of question-answer pairs, SDOHCC Observation Screening Response can be used as an Observation Grouping that, via Observation.member, references the OSR instances that result from a completed assessment instrument. For this reason, in addition to codes that represent questions, the value sets bound to Observation.code include codes that represent assessment instruments (LOINC panel codes). For an Observation Grouping, Observation.code SHALL be a LOINC panel code and Observation.member SHALL reference the OSR instances generated from that LOINC panel (assessment instrument). Observation Grouping is most useful when additional assessment instrument context is needed and a QuestionnaireResponse has not been created. For more information on Observation Grouping, see Using Observation Screening Response to Group Observations.

Usage:

Formal Views of Profile Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation SDOH screening questionnaire observations
... status S 1..1 code final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
.... category:SocialHistory S 1..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)
...... 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:Survey S 1..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)
...... 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: survey
.... category:SDOH S 0..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... effective[x] S 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer S 0..* Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) Who is responsible for the observation
... Slices for value[x] S 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
Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set.

.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: LOINCCodes (preferred): This value set includes all LOINC codes

Additional BindingsPurposeUsage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... dataAbsentReason S 0..1 CodeableConcept Why the result is missing
... bodySite 0..0
... specimen 0..0
... Slices for hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) References the child observations of a grouping observation
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:SupportedHasMember S 0..* Reference(SDOHCC Observation Screening Response) For an Observation Grouping, the Observations generated from an assessment instrument
... Slices for derivedFrom S 0..* Reference(DocumentReference | QuestionnaireResponse | Observation) Related measurements the observation is made from
Slice: Unordered, Open by profile:$this.resolve()
.... derivedFrom:SupportedDerivedFrom S 0..* Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) Related questionnaire responses or observations that the observation is made from

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredSDOHCCValueSetObservationStatus
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus
from this IG
Observation.category:SDOHrequiredSDOHCCValueSetSDOHCategory
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
from this IG
Observation.coderequiredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantityrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConceptpreferredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation SDOH screening questionnaire observations
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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 final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
.... category:SocialHistory 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:Survey 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: survey
.... category:SDOH S 0..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... subject SΣ 1..1 Reference(US Core Patient Profile) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) 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
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set.

.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: LOINCCodes (preferred): This value set includes all LOINC codes

Additional BindingsPurposeUsage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) References the child observations of a grouping observation
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:SupportedHasMember SΣ 0..* Reference(SDOHCC Observation Screening Response) For an Observation Grouping, the Observations generated from an assessment instrument
... Slices for derivedFrom SΣ 0..* Reference(DocumentReference | QuestionnaireResponse | Observation) Related measurements the observation is made from
Slice: Unordered, Open by profile:$this.resolve()
.... derivedFrom:SupportedDerivedFrom SΣ 0..* Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) Related questionnaire responses or observations that the observation is made from

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredSDOHCCValueSetObservationStatus
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SocialHistorypreferredPattern: social-history
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SurveypreferredPattern: survey
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SDOHrequiredSDOHCCValueSetSDOHCategory
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
from this IG
Observation.coderequiredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantityrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConceptpreferredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Constraints

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()
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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation SDOH screening questionnaire observations
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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 final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:SocialHistory 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:Survey 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: survey
...... 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..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... subject SΣ 1..1 Reference(US Core Patient Profile) 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 Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... issued Σ 0..1 instant Date/Time this version was made available
... performer SΣ 0..* Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) 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
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set.

.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: LOINCCodes (preferred): This value set includes all LOINC codes

Additional BindingsPurposeUsage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... dataAbsentReason SC 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 0..* Annotation Comments about the observation
... method 0..1 CodeableConcept How it was done
Binding: ObservationMethods (example): Methods for simple observations.

... device 0..1 Reference(Device | DeviceMetric) (Measurement) Device
... referenceRange C 0..* BackboneElement Provides guide for interpretation
obs-3: Must have at least a low or a high or text
.... 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
... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) References the child observations of a grouping observation
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:SupportedHasMember SΣ 0..* Reference(SDOHCC Observation Screening Response) For an Observation Grouping, the Observations generated from an assessment instrument
... Slices for derivedFrom SΣ 0..* Reference(DocumentReference | QuestionnaireResponse | Observation) Related measurements the observation is made from
Slice: Unordered, Open by profile:$this.resolve()
.... derivedFrom:SupportedDerivedFrom SΣ 0..* Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) Related questionnaire responses or observations that 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

PathConformanceValueSet / CodeURI
Observation.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Observation.statusrequiredSDOHCCValueSetObservationStatus
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SocialHistorypreferredPattern: social-history
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SurveypreferredPattern: survey
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SDOHrequiredSDOHCCValueSetSDOHCategory
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
from this IG
Observation.coderequiredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantityrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConceptpreferredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
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.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

Constraints

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()
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()

This structure is derived from Observation

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation 0..* Observation SDOH screening questionnaire observations
... status S 1..1 code final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
.... category:SocialHistory S 1..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)
...... 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:Survey S 1..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)
...... 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: survey
.... category:SDOH S 0..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code S 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... effective[x] S 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer S 0..* Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) Who is responsible for the observation
... Slices for value[x] S 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
Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set.

.... value[x]:valueCodeableConcept 0..1 CodeableConcept Actual result
Binding: LOINCCodes (preferred): This value set includes all LOINC codes

Additional BindingsPurposeUsage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... dataAbsentReason S 0..1 CodeableConcept Why the result is missing
... bodySite 0..0
... specimen 0..0
... Slices for hasMember 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) References the child observations of a grouping observation
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:SupportedHasMember S 0..* Reference(SDOHCC Observation Screening Response) For an Observation Grouping, the Observations generated from an assessment instrument
... Slices for derivedFrom S 0..* Reference(DocumentReference | QuestionnaireResponse | Observation) Related measurements the observation is made from
Slice: Unordered, Open by profile:$this.resolve()
.... derivedFrom:SupportedDerivedFrom S 0..* Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) Related questionnaire responses or observations that the observation is made from

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusrequiredSDOHCCValueSetObservationStatus
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus
from this IG
Observation.category:SDOHrequiredSDOHCCValueSetSDOHCategory
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
from this IG
Observation.coderequiredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantityrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConceptpreferredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation SDOH screening questionnaire observations
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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 final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
.... category:SocialHistory 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:Survey 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: survey
.... category:SDOH S 0..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... subject SΣ 1..1 Reference(US Core Patient Profile) Who and/or what the observation is about
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer SΣ 0..* Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) 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
.... valueInteger integer
.... valueRange Range
.... valueRatio Ratio
.... valueSampledData SampledData
.... valueTime time
.... valueDateTime dateTime
.... valuePeriod Period
.... value[x]:valueQuantity ΣC 0..1 Quantity Actual result
Binding: UnitsOfMeasureCaseSensitive (required): This is the entire UCUM code set.

.... value[x]:valueCodeableConcept ΣC 0..1 CodeableConcept Actual result
Binding: LOINCCodes (preferred): This value set includes all LOINC codes

Additional BindingsPurposeUsage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... dataAbsentReason SC 0..1 CodeableConcept Why the result is missing
Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.

... Slices for hasMember Σ 0..* Reference(Observation | QuestionnaireResponse | MolecularSequence) References the child observations of a grouping observation
Slice: Unordered, Open by profile:$this.resolve()
.... hasMember:SupportedHasMember SΣ 0..* Reference(SDOHCC Observation Screening Response) For an Observation Grouping, the Observations generated from an assessment instrument
... Slices for derivedFrom SΣ 0..* Reference(DocumentReference | QuestionnaireResponse | Observation) Related measurements the observation is made from
Slice: Unordered, Open by profile:$this.resolve()
.... derivedFrom:SupportedDerivedFrom SΣ 0..* Reference(SDOHCC Observation Screening Response | SDC Questionnaire Response) Related questionnaire responses or observations that the observation is made from

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredSDOHCCValueSetObservationStatus
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetObservationStatus
from this IG
Observation.categorypreferredObservationCategoryCodes
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SocialHistorypreferredPattern: social-history
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SurveypreferredPattern: survey
http://hl7.org/fhir/ValueSet/observation-category
from the FHIR Standard
Observation.category:SDOHrequiredSDOHCCValueSetSDOHCategory
http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
from this IG
Observation.coderequiredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.value[x]:valueQuantityrequiredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConceptpreferredLOINCCodes (a valid code from LOINC)
Additional Bindings Purpose Usage
Digital Access Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
VSAC 2.16.840.1.113762.1.4.1196.178 . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments Answers . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Preferred Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
http://hl7.org/fhir/ValueSet/observation-codes
from the FHIR Standard
Observation.dataAbsentReasonextensibleDataAbsentReason
http://hl7.org/fhir/ValueSet/data-absent-reason
from the FHIR Standard

Constraints

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()
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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* Observation SDOH screening questionnaire observations
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
... 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 final | corrected | entered-in-error | unknown
Binding: SDOHCC ValueSet Observation Status (required)
... Slices for category 2..* CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.


.... category:SocialHistory 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:Survey 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: survey
...... 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..* CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.


... code SΣ 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (required): Codes identifying names of simple observations.

Additional BindingsPurposeUsage
Digital Access Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-access
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): digital-literacy
Less Than High School Education Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): educational-attainment
Elder Abuse Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): elder-abuse
Unemployment Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): employment-status
Financial Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): financial-insecurity
Food Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): food-insecurity
Health Insurance Coverage Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): health-insurance-coverage-status
Homelessness Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): homelessness
Housing Instability Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): housing-instability
Inadequate Housing Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): inadequate-housing
Intimate Partner Violence Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): intimate-partner-violence
Material Hardship Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): material-hardship
Medical Cost Burden Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): medical-cost-burden
Health Literacy Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): personal-health-literacy
Social Connection Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): social-connection
Stress Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): stress
Transportation Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): transportation-insecurity
Utility Insecurity Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): utility-insecurity
Veteran Status Screening Assessments And Questions . Extensible Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): veteran-status
LOINCCodes Required Observation.category (Details: SDOHCC-ObservationScreeningResponse code Observation.category = ' Observation.category ', stated as ' null '): sdoh-category-unspecified
... subject SΣ 1..1 Reference(US Core Patient Profile) 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 Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... effective[x] SΣ 1..1 Clinically relevant time/time-period for observation
.... effectiveDateTime dateTime
.... effectivePeriod Period