Objetivo

Condición SDOHCC está generalmente destinada a representar una preocupación, problema o diagnóstico de salud relacionado con un riesgo o necesidad social. Condición SDOHCC puede derivarse de las observaciones de respuesta de detección (por ejemplo, Respuesta de Detección de Observación de SDOHCC) u otras observaciones realizadas como parte de una evaluación durante un encuentro clínico (por ejemplo, Evaluación de Observación de SDOHCC). Condición SDOHCC puede abordarse mediante una (Metas/Objetivos SDOHCC) o ser la razón para una Solicitud de servicio de SDOHCC o un Procedimiento SDOHCC. Consulte el Marco de modelado de datos para obtener más detalles sobre las relaciones entre la condición SDOHCC y los otros perfiles de esta guía de implementación.

Uso

El atributo Condition.code tiene una vinculación obligatoria con el conjunto de condiciones de códigos de diagnósticos SNOMED y Ausente o Desconocido. Además,Condition.code cuenta con vinculaciones adicionales a value sets de los dominios de SDOH (por ejemplo, Inseguridad alimentaria), que se determinan según el valor seleccionado para Condition.category. Cuando Condition.category corresponde a un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo, food-insecitity (Inseguridad alimentaria)), entonces Condition.code DEBE seleccionarse de los value sets específicos del dominio correspondiente que se encuentra en enlaces adicionales (es decir, Diagnósticos de Inseguridad alimentaria). Si se selecciona más de un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo, food-insecurity y financial-insecurity (inseguridad alimentaria e inseguridad financiera)) para Condition.category, entonces Condition.code DEBE seleccionarse de al menos uno de los value sets específicos del dominio correspondientes encontrados en los enlaces adicionales Diagnósticos de Inseguridad alimentaria.

Algunos dominios de SDOH pueden no estar representados en el ValueSet SDOHCC para Categoría SDOH. En este caso, se puede usar: sdoh-category-unspecified para categorizar la instancia de Condition como relacionada con SDOH. Si se desea, también se puede usar category.text para especificar más detalladamente el dominio.

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

This structure is derived from DiagnosticoCl

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). SDOH-Con-1: Can only have a max of one asserter.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
value[x]		0..1	Reference(Device)	Value of extension
verificationStatus		0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
bodySite		0..0
onset[x]		0..1	dateTime, Period	Fecha y hora o período estimados.
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder		0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
code		0..*	CodeableConcept	Manifestation/symptom
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management SDOH-Con-1: Can only have a max of one asserter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición. ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		Fecha y hora o período estimados. ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementPeriod			Period
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición. ele-1: All FHIR elements must have a @value or children
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. ele-1: All FHIR elements must have a @value or children
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from DiagnosticoCl

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). SDOH-Con-1: Can only have a max of one asserter.
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
value[x]		0..1	Reference(Device)	Value of extension
verificationStatus		0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
bodySite		0..0
onset[x]		0..1	dateTime, Period	Fecha y hora o período estimados.
abatement[x]	S	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recorder		0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
stage		0..0
evidence	S	0..*	BackboneElement	Supporting evidence
code		0..*	CodeableConcept	Manifestation/symptom
Slices for detail		0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings (Differential)

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management SDOH-Con-1: Can only have a max of one asserter.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar ele-1: All FHIR elements must have a @value or children
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition. ele-1: All FHIR elements must have a @value or children
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel. ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición. ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón ele-1: All FHIR elements must have a @value or children
onset[x]	SΣ	0..1		Fecha y hora o período estimados. ele-1: All FHIR elements must have a @value or children
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission ele-1: All FHIR elements must have a @value or children
abatementDateTime			dateTime
abatementPeriod			Period
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition ele-1: All FHIR elements must have a @value or children
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición. ele-1: All FHIR elements must have a @value or children
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition. ele-1: All FHIR elements must have a @value or children
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Información detallada sobre las condiciones, problemas o diagnósticos de los Determinantes Sociales de la Salud (SDOH). con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error SDOH-Con-1: Can only have a max of one asserter.
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
Slices for category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Slice: Unordered, Open by value:$this Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
category:SDOH		0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (required): Value set para describir el problema real experimentado por el paciente.
subject	SΣ	1..1	Reference(CL Paciente | Group)	Paciente sobre al que corresponde la condición.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha y hora o período estimados.
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(CL Prestador | CL RolClinico)	Who recorded the condition
asserter	SΣC	0..1	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico)	Persona o dispositivo que afirma esta condición.
evidence	SC	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | Condición SDOHCC | Evaluación de Observación de SDOHCC | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

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

Constraints

Id	Grade	Path(s)	Details	Requirements
SDOH-Con-1	error	Condition	Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Condition	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from DiagnosticoCl

Summary

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

Structures

This structure refers to these other structures:

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

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter

Slices

This structure defines the following Slices:

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