SHINNYHRSN - Local Development build (v1.6.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: SHINNY SDOHCC Condition Profile

• SHINNY HRSN: Needed for Assessments. Include in Assessment bundles.
• Profiled off of the SDOHCC Condition: Profile for Social Determinants of Health (SDOH) conditions.

Usages:

• Refer to this Profile: SHINNY Encounter Profile
• Examples for this Profile: Condition/ConditionFoodInsecurityExample and Condition/ConditionFoodInsecurityExampleResolved

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id	SΣ	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	SΣ	1..1	SHINNYMeta	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: SHINNYLanguageVS (preferred)
Slices for extension				Content/Rules for all slices
extension:asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH	SC	1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Usage Digital Access Diagnoses Extensible SDOHCCCondition#Condition.category = digital-access Digital Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = digital-literacy Less Than High School Education Diagnoses Extensible SDOHCCCondition#Condition.category = educational-attainment Elder Abuse Diagnoses Extensible SDOHCCCondition#Condition.category = elder-abuse Unemployment Diagnoses Extensible SDOHCCCondition#Condition.category = employment-status Financial Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = financial-insecurity Food Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = food-insecurity Health Insurance Coverage Status Diagnoses Extensible SDOHCCCondition#Condition.category = health-insurance-coverage-status Homelessness Diagnoses Extensible SDOHCCCondition#Condition.category = homelessness Housing Instability Diagnoses Extensible SDOHCCCondition#Condition.category = housing-instability Inadequate Housing Diagnoses Extensible SDOHCCCondition#Condition.category = inadequate-housing Intimate Partner Violence Diagnoses Extensible SDOHCCCondition#Condition.category = intimate-partner-violence Material Hardship Diagnoses Extensible SDOHCCCondition#Condition.category = material-hardship Medical Cost Burden Diagnoses Extensible SDOHCCCondition#Condition.category = medical-cost-burden Health Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = personal-health-literacy Social Connection Diagnoses Extensible SDOHCCCondition#Condition.category = social-connection Stress Diagnoses Extensible SDOHCCCondition#Condition.category = stress Transportation Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = transportation-insecurity Utility Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = utility-insecurity Veteran Status Diagnoses Extensible SDOHCCCondition#Condition.category = veteran-status US Core Condition Code Required SDOHCCCondition#Condition.category = sdoh-category-unspecified
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	SΣ	1..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated dateTime or Period
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
asserter	SΣC	1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategory http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
Condition.code	required	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

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

This structure is derived from SDOHCCCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses
id	S	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	S	1..1	SHINNYMeta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: SHINNYLanguageVS (preferred)
category		2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern
Slices for category				Content/Rules for all slices
category:SDOH		1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity
encounter	S	1..1	Reference(Encounter)	Encounter created as part of
asserter		1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id	SΣ	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	SΣ	1..1	SHINNYMeta	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: SHINNYLanguageVS (preferred)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH	SC	1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Usage Digital Access Diagnoses Extensible SDOHCCCondition#Condition.category = digital-access Digital Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = digital-literacy Less Than High School Education Diagnoses Extensible SDOHCCCondition#Condition.category = educational-attainment Elder Abuse Diagnoses Extensible SDOHCCCondition#Condition.category = elder-abuse Unemployment Diagnoses Extensible SDOHCCCondition#Condition.category = employment-status Financial Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = financial-insecurity Food Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = food-insecurity Health Insurance Coverage Status Diagnoses Extensible SDOHCCCondition#Condition.category = health-insurance-coverage-status Homelessness Diagnoses Extensible SDOHCCCondition#Condition.category = homelessness Housing Instability Diagnoses Extensible SDOHCCCondition#Condition.category = housing-instability Inadequate Housing Diagnoses Extensible SDOHCCCondition#Condition.category = inadequate-housing Intimate Partner Violence Diagnoses Extensible SDOHCCCondition#Condition.category = intimate-partner-violence Material Hardship Diagnoses Extensible SDOHCCCondition#Condition.category = material-hardship Medical Cost Burden Diagnoses Extensible SDOHCCCondition#Condition.category = medical-cost-burden Health Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = personal-health-literacy Social Connection Diagnoses Extensible SDOHCCCondition#Condition.category = social-connection Stress Diagnoses Extensible SDOHCCCondition#Condition.category = stress Transportation Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = transportation-insecurity Utility Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = utility-insecurity Veteran Status Diagnoses Extensible SDOHCCCondition#Condition.category = veteran-status US Core Condition Code Required SDOHCCCondition#Condition.category = sdoh-category-unspecified
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	SΣ	1..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated dateTime or Period
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who recorded the condition
asserter	SΣC	1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategory http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

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

This structure is derived from SDOHCCCondition

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• SHINNYMeta (http://shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id	SΣ	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	SΣ	1..1	SHINNYMeta	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: SHINNYLanguageVS (preferred)
Slices for extension				Content/Rules for all slices
extension:asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH	SC	1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Usage Digital Access Diagnoses Extensible SDOHCCCondition#Condition.category = digital-access Digital Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = digital-literacy Less Than High School Education Diagnoses Extensible SDOHCCCondition#Condition.category = educational-attainment Elder Abuse Diagnoses Extensible SDOHCCCondition#Condition.category = elder-abuse Unemployment Diagnoses Extensible SDOHCCCondition#Condition.category = employment-status Financial Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = financial-insecurity Food Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = food-insecurity Health Insurance Coverage Status Diagnoses Extensible SDOHCCCondition#Condition.category = health-insurance-coverage-status Homelessness Diagnoses Extensible SDOHCCCondition#Condition.category = homelessness Housing Instability Diagnoses Extensible SDOHCCCondition#Condition.category = housing-instability Inadequate Housing Diagnoses Extensible SDOHCCCondition#Condition.category = inadequate-housing Intimate Partner Violence Diagnoses Extensible SDOHCCCondition#Condition.category = intimate-partner-violence Material Hardship Diagnoses Extensible SDOHCCCondition#Condition.category = material-hardship Medical Cost Burden Diagnoses Extensible SDOHCCCondition#Condition.category = medical-cost-burden Health Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = personal-health-literacy Social Connection Diagnoses Extensible SDOHCCCondition#Condition.category = social-connection Stress Diagnoses Extensible SDOHCCCondition#Condition.category = stress Transportation Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = transportation-insecurity Utility Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = utility-insecurity Veteran Status Diagnoses Extensible SDOHCCCondition#Condition.category = veteran-status US Core Condition Code Required SDOHCCCondition#Condition.category = sdoh-category-unspecified
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	SΣ	1..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated dateTime or Period
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
asserter	SΣC	1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence Constraints: con-2
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response)	Supporting information found elsewhere
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategory http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
Condition.code	required	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

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

Differential View

This structure is derived from SDOHCCCondition

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition		0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses
id	S	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	S	1..1	SHINNYMeta	Metadata about the resource
language		0..1	code	Language of the resource content Binding: SHINNYLanguageVS (preferred)
category		2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern
Slices for category				Content/Rules for all slices
category:SDOH		1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity
encounter	S	1..1	Reference(Encounter)	Encounter created as part of
asserter		1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Condition	C	0..*	SDOHCCCondition	Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id	SΣ	1..1	id	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
meta	SΣ	1..1	SHINNYMeta	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: SHINNYLanguageVS (preferred)
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:asserterDevice	SC	0..1	(Complex)	Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x]		0..1	Reference(Device)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus	?!SΣC	0..1	CodeableConcept	unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category	SC	2..*	CodeableConcept	problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH	SC	1..*	CodeableConcept	e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	1..1	CodeableConcept	Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient Additional Bindings Purpose Usage Digital Access Diagnoses Extensible SDOHCCCondition#Condition.category = digital-access Digital Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = digital-literacy Less Than High School Education Diagnoses Extensible SDOHCCCondition#Condition.category = educational-attainment Elder Abuse Diagnoses Extensible SDOHCCCondition#Condition.category = elder-abuse Unemployment Diagnoses Extensible SDOHCCCondition#Condition.category = employment-status Financial Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = financial-insecurity Food Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = food-insecurity Health Insurance Coverage Status Diagnoses Extensible SDOHCCCondition#Condition.category = health-insurance-coverage-status Homelessness Diagnoses Extensible SDOHCCCondition#Condition.category = homelessness Housing Instability Diagnoses Extensible SDOHCCCondition#Condition.category = housing-instability Inadequate Housing Diagnoses Extensible SDOHCCCondition#Condition.category = inadequate-housing Intimate Partner Violence Diagnoses Extensible SDOHCCCondition#Condition.category = intimate-partner-violence Material Hardship Diagnoses Extensible SDOHCCCondition#Condition.category = material-hardship Medical Cost Burden Diagnoses Extensible SDOHCCCondition#Condition.category = medical-cost-burden Health Literacy Diagnoses Extensible SDOHCCCondition#Condition.category = personal-health-literacy Social Connection Diagnoses Extensible SDOHCCCondition#Condition.category = social-connection Stress Diagnoses Extensible SDOHCCCondition#Condition.category = stress Transportation Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = transportation-insecurity Utility Insecurity Diagnoses Extensible SDOHCCCondition#Condition.category = utility-insecurity Veteran Status Diagnoses Extensible SDOHCCCondition#Condition.category = veteran-status US Core Condition Code Required SDOHCCCondition#Condition.category = sdoh-category-unspecified
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who has the condition?
encounter	SΣ	1..1	Reference(Encounter)	Encounter created as part of
onset[x]	SΣ	0..1		Estimated dateTime or Period
onsetDateTime			dateTime
onsetPeriod			Period
abatement[x]	SC	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementPeriod			Period
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole)	Who recorded the condition
asserter	SΣC	1..1	Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile)	Person or device that asserts this condition
evidence	SC	0..*	BackboneElement	Supporting evidence Constraints: con-2
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail	SΣC	0..*	Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	SHINNYLanguageVS http://shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS From this IG
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical From the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status From the FHIR Standard
Condition.category	extensible	USCoreConditionCategoryCodes http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category
Condition.category:SDOH	required	SDOHCCValueSetSDOHCategory http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory
Condition.severity	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity From the FHIR Standard
Condition.code	required	USCoreConditionCode http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage From the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type From the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom From the FHIR Standard

Constraints

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

This structure is derived from SDOHCCCondition

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• SHINNYMeta (http://shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Other representations of profile: CSV, Excel, Schematron