Atención clínica de SDOH, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SIMSADIs/GI-SDOH/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
• Examples
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Resource Profile: Evaluación de Observación de SDOHCC

Perfil para observaciones de Determinantes Sociales de la Salud (SDOH) que implican evaluación (por ejemplo, por parte de un proveedor, pagador, etc.) en lugar de ser derivadas únicamente de encuestas de detección (como ocurre con la Respuesta de Detección de Observación de SDOHCC).

Usage:

• Refer to this Resource Profile: Condición SDOHCC, Metas/Objetivos SDOHCC, Procedimiento SDOHCC and Solicitud de servicio de SDOHCC
• Examples for this Resource Profile: Observation/Ejemplo-EvObsIngestaAlimentos and Observation/Ejemplo-EvObsTransporte

Formal Views of Profile Content

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

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

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservacionCL	Observación de evaluación de SDOH.
Slices for category		1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:SDOH	S	0..*	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	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred)
subject		1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación
effective[x]		0..1	dateTime, Period, Timing, instant	Tiempo/Tiempo-periodo de relevancia clínica para la observación
performer		0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observación de evaluación de SDOH. 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 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 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
identifier	SΣ	0..*	Identifier	Identificación para la observación ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:SDOH	S	0..*	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	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Actual Resultado ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	Componentes de los resultados 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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SocialHistory	preferred	Pattern: social-history http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observación de evaluación de SDOH. 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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Slices for category	S	1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:SDOH	S	0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred)
subject	SΣ	1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
value[x]	SΣC	0..1		Actual Resultado
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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
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
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
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	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SocialHistory	preferred	Pattern: social-history http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Organización (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreOrganizacionCl)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservacionCL	Observación de evaluación de SDOH.
Slices for category		1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:SDOH	S	0..*	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	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred)
subject		1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación
effective[x]		0..1	dateTime, Period, Timing, instant	Tiempo/Tiempo-periodo de relevancia clínica para la observación
performer		0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observación de evaluación de SDOH. 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 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 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
identifier	SΣ	0..*	Identifier	Identificación para la observación ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:SDOH	S	0..*	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	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Actual Resultado ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
component	SΣ	0..*	BackboneElement	Componentes de los resultados 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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SocialHistory	preferred	Pattern: social-history http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observación de evaluación de SDOH. 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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
Slices for category	S	1..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:SDOH	S	0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: ValueSet SDOHCC LOINC-SNOMEDCT (preferred)
subject	SΣ	1..1	Reference(Group | CL Paciente)	Sobre Quien o Que se esta realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
value[x]	SΣC	0..1		Actual Resultado
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 result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
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
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
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	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SocialHistory	preferred	Pattern: social-history http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	preferred	SDOHCCValueSetLOINCSNOMEDCTCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetLOINCSNOMEDCT-CL from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• CL Paciente (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl)
• CL Prestador (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl)
• CL RolClinico (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl)
• CL Organización (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreOrganizacionCl)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category

Other representations of profile: CSV, Excel, Schematron