Objetivo

Respuesta de Detección de Observación de SDOHCC (RDO) está diseñado para representar pares de pregunta-respuesta de instrumentos de evaluación de los determinantes sociales de la salud (SDOH). Un RDO que identifica un riesgo o una necesidad social puede ser referenciado como evidencia para una Condición SDOHCC, además una RDO puede ser abordado por una Meta/Objetivo SDOHCC, ser el resultado de este, o bien 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 RDO y otros perfiles en esta IG.

Esta IG se centra en un flujo de trabajo donde los instrumentos de evaluación completados se capturan utilizando QuestionnaireResponse. Para facilitar las consultas y búsquedas, los apres individuales de pregunta-respuesta de un QuestionnaireResponse pueden convertirse en Observations. La decisión sobre qué respuestas de un QuestionnaireResponse convertir en Observation generalmente estará determinada por la necesidad de uso. Para obtener más información sobre esto consulte Representación de datos de instrumentos de evaluación en formato FHIR

En el futuro, para los instrumentos de evalaución estandarizados, sería ideal que un administrador del Questionnaire proporcione una instancia de StructureMap para garantizar la coherencia en las observaciones y condiciones (es decir, preocupaciones de salud no confirmadas) generadas a partir del instrumento de evalaución. Para obtener más información sobre este tema, consulte Uso de StructureMap para generar observaciones o condiciones a partir de QuestionnaireResponse.

Uso

Observation.code y Observation.value tienen vinculaciones obligatorias a LOINCCodes (required). Además, Observation.code y Observation.value cuentan con vinculaciones adicionales a value sets específicos de dominios SDOH (por ejemplo, Inseguridad alimentaria, Vivienda inadecuada, etc.), que se determinan según el valor seleccionado para Observation.category. Cuando Observation.category es un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo, food-insecurity), Observation.code y Observation.value DEBEN seleccionarse del value set específico del dominio correspondiente que se encuentra en los enlaces adicionales (por ejemplo, Evaluaciones y preguntas de detección de inseguridad alimentaria para Observation.code y Respuestas de evaluaciones de detección de inseguridad alimentaria para Observation.value). Si se selecciona más de un valor del ValueSet SDOHCC para Categoría SDOH (por ejemplo, food-insecurity y financial-insecurity) para Observation.category, entonces Observation.code y Observation.value DEBEN seleccionarse de al menos uno de los value set específicos del dominio correspondientes encontrados en los enlaces adicionales por ejemplo, Evaluaciones y preguntas de detección de inseguridad alimentaria para Observation.code y Respuestas de evaluaciones de detección de inseguridad alimentaria para Observation.value).

En ocasiones, las preguntas se reutilizan en diferentes isntrumentos de evaluación y se representan con el mismo código LOINC, pero el conjunto de respuestas permitidas puede variar según el instrumento de evaluación. Por lo tanto, el conjunto de respuestas permitidas (para Observation.value) de una pregunta (Observation.code) está determinado por el instrumento de evaluación.

NOTA: Gravity proporciona hojas de cálculo descargables de isntrumentos de evaluación que vinculan las preguntas validadas por Gravity con los instrumentos de evaluación de los que fueron seleccionadas y sus conjuntos de respuestas permitidas. Para acceder a las hojas de cálculo y obtener más información, consulte Social Risk Terminology Value Sets en el sitio de Confluence Gravity y, específicamente, el documento Assessment Instruments Spreadsheet Guidance.

Algunos dominios de SDOH pueden no estar representados todavía en el ValueSet SDOHCC para Categoría SDOH. En este caso, se puede usar Goal.category: sdoh-category-unspecified para que la instancia de Goal pueda seguir siendo categorizada como relación con SDOH. Si se desea, también se puede usar category.text para especificar más detalladamente el dominio. Para Goal.category: sdoh-category-unspecified, no habrá value set específicos de dominio, y los enlaces adicionales para Goal.description designarán la vinculación predeterminada con ValueSet SDOHCC LOINC-SNOMEDCT (preferido).

Cuando se utiliza Observation.category para etiquetar observaciones por dominio SDOH (por ejemplo, Inseguridad alimentaria, Inestabilidad de la vivienda), Observation.interpretation: POS (Positivo) se puede utilizar para marcar observaciones que podrían representar una necesidad social relacionada con la salud (HRSN) en el dominio o dominios SDOH especificados. Para obtener más información sobre el uso de Observation.category y Observation.interpretation y su interacción cuando se utiliza una RDO, consulte la guía adicional sobre los elementos de respuesta de detección de observaciones de SDOHCC.

La observación también puede indicar relaciones con otros artefactos. Por ejemplo:

• Si un par de pregunta-respuesta no se responde directamente en un instrumento de evaluación (por ejemplo, cuando una puntuación o valor se basa en otros pares de pregunta-respuesta), RDO puede hacer referencia a uno o más RDOs adicionales a través de Observation.derivedFrom.

• Si se necesita el contexto del instrumento de evaluación, las observaciones generadas a partir de un QuestionnaireResponse pueden hacer referencia al QuestionnaireResponse mediante Observation.derivedFrom.

• Además de representar instancias de pares de preguntas y respuestas, Respuesta de Detección de Observación de SDOHCC puede ser utilizado como un Observation Grouping (agrupación de observaciones) que, a través de Observation.member, hace referencia a las instancias de RDO que resultan de un instrumento de evaluación completado. Por esta razón, además de los códigos que representan preguntas, los value set vinculados a Observation.code incluyen códigos que representan instrumentos de evalaución (códigos de panel LOINC). Para una Observation Grouping, Observation.code DEBE ser un código de panel de LOINC, y Observation.member DEBE referenciar las instancias de RDO generadas a partir de ese panel de LOINC (instrumento de evaluación). La agrupación de observaciones es más útil cuando se necesita un contexto adicional del instrumento de evaluación y no se ha creado un QuestionnaireResponse.

• 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	Observaciones del cuestionario de evaluación de SDOH.
status		1..1	code	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required)
Slices for category		2..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:Survey	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: survey
category:SDOH	S	0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: LOINCCodes (required): Códigos que identifican nombres de observaciones simples.
subject		1..1	Reference(CL Paciente)	Sobre Quien o Que se esta realizando la observación
effective[x]		1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
performer		0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual Resultado Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM.
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC.
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
bodySite		0..0
specimen		0..0
Slices for hasMember		0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve()
hasMember:SupportedHasMember	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación.
Slices for derivedFrom	S	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve()
derivedFrom:SupportedDerivedFrom	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=".
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observaciones del cuestionario 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	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	2..*	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:Survey	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: survey
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: LOINCCodes (required): Códigos que identifican nombres de observaciones simples. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(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	1..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
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
Slices for value[x]	SΣC	0..1		Actual Resultado Slice: Unordered, Open by type:$this 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
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM. ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC. ele-1: All FHIR elements must have a @value or children
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
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
Slices for hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
hasMember:SupportedHasMember	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación. ele-1: All FHIR elements must have a @value or children
Slices for derivedFrom	SΣ	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
derivedFrom:SupportedDerivedFrom	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=". 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	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
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:Survey	preferred	Pattern: survey 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	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
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.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	Observaciones del cuestionario 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	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required)
Slices for category	S	2..*	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:Survey	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: survey
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:SDOH	S	0..*	CodeableConcept	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: LOINCCodes (required): Códigos que identifican nombres de observaciones simples.
subject	SΣ	1..1	Reference(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	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
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
Slices for value[x]	SΣC	0..1		Actual Resultado Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM.
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC.
dataAbsentReason	SC	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
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
Slices for hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve()
hasMember:SupportedHasMember	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación.
Slices for derivedFrom	SΣ	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve()
derivedFrom:SupportedDerivedFrom	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=".
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	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
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:Survey	preferred	Pattern: survey 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	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
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.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()

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservacionCL	Observaciones del cuestionario de evaluación de SDOH.
status		1..1	code	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required)
Slices for category		2..*	CodeableConcept	Clasificación del tipo de observación Slice: Unordered, Open by value:$this
category:SocialHistory	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
category:Survey	S	1..1	CodeableConcept	Clasificación del tipo de observación Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: survey
category:SDOH	S	0..*	CodeableConcept	Por ejemplo, inseguridad alimentaria | inseguridad en el transporte. Binding: ValueSet SDOHCC para Categoría SDOH (required): Códigos para categorías de SDOH de alto nivel.
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: LOINCCodes (required): Códigos que identifican nombres de observaciones simples.
subject		1..1	Reference(CL Paciente)	Sobre Quien o Que se esta realizando la observación
effective[x]		1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
performer		0..*	Reference(RelatedPerson | CL Paciente | CL Prestador | CL RolClinico | CL Organización | CareTeam)	Quien es responsable por la observación
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual Resultado Slice: Unordered, Open by type:$this
value[x]:valueQuantity		0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM.
value[x]:valueCodeableConcept		0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC.
dataAbsentReason	S	0..1	CodeableConcept	Why the result is missing
bodySite		0..0
specimen		0..0
Slices for hasMember		0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve()
hasMember:SupportedHasMember	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación.
Slices for derivedFrom	S	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve()
derivedFrom:SupportedDerivedFrom	S	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=".
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
Observation.category:SDOH	required	SDOHCCValueSetSDOHCategoryCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetSDOHCategoryCL from this IG
Observation.code	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Observaciones del cuestionario 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	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	2..*	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:Survey	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: survey
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: LOINCCodes (required): Códigos que identifican nombres de observaciones simples. ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(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	1..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
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
Slices for value[x]	SΣC	0..1		Actual Resultado Slice: Unordered, Open by type:$this 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
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM. ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC. ele-1: All FHIR elements must have a @value or children
dataAbsentReason	SC	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing. ele-1: All FHIR elements must have a @value or children
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
Slices for hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
hasMember:SupportedHasMember	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación. ele-1: All FHIR elements must have a @value or children
Slices for derivedFrom	SΣ	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve() ele-1: All FHIR elements must have a @value or children
derivedFrom:SupportedDerivedFrom	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=". 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	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
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:Survey	preferred	Pattern: survey 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	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
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.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	Observaciones del cuestionario 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	Final | Corregido | Ingresado por error | Desconocido Binding: Valueset SDOHCC Estado de observación (required)
Slices for category	S	2..*	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:Survey	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: survey
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:SDOH	S	0..*	CodeableConcept	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: LOINCCodes (required): Códigos que identifican nombres de observaciones simples.
subject	SΣ	1..1	Reference(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	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
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
Slices for value[x]	SΣC	0..1		Actual Resultado Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueQuantity	SΣC	0..1	Quantity	Actual Resultado Binding: UnitsOfMeasureCaseSensitive (required): Esté es el conjunto completo de códigos UCUM.
value[x]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Actual Resultado Binding: LOINCCodes (preferred): Esté value set incluye todos los códigos LOINC.
dataAbsentReason	SC	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
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
Slices for hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Referencia las observaciones hijas de una observación de agrupamiento. Slice: Unordered, Open by profile:$this.resolve()
hasMember:SupportedHasMember	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC)	Para un agrupamiento de observaciones, las observaciones generadas a partir de un instrumento de evaluación.
Slices for derivedFrom	SΣ	0..*	Reference(DocumentReference | QuestionnaireResponse | CL Observación)	Related measurements the observation is made from Slice: Unordered, Open by profile:$this.resolve()
derivedFrom:SupportedDerivedFrom	SΣ	0..*	Reference(Respuesta de Detección de Observación de SDOHCC | SDC Questionnaire Response)	Las reglas de asignación deben incluir al menos un espacio tanto antes como después del signo "=".
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	SDOHCCValueSetObservationStatusCL https://hl7chile.cl/fhir/ig/gravitycl/ValueSet/SDOHCC-ValueSetObservationStatus-CL from this IG
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:Survey	preferred	Pattern: survey 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	required	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.value[x]:valueQuantity	required	UnitsOfMeasureCaseSensitive (a valid code from UCUM) http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value[x]:valueCodeableConcept	preferred	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
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.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: 4 elements
Must-Support: 7 elements
Prohibited: 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)
• Respuesta de Detección de Observación de SDOHCC (https://hl7chile.cl/fhir/ig/gravitycl/StructureDefinition/SDOHCC-ObservationScreeningResponseCL)
• CL Observación (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreObservacionCL)
• SDC Questionnaire Response (http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaireresponse)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.hasMember
• The element 1 is sliced based on the value of Observation.derivedFrom