SHINNYObservationSexualOrientationProfile

1.5.3 - release

SHINNYHRSN - Local Development build (v1.5.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: SHINNYObservationSexualOrientationProfile

Official URL: http://shinny.org/us/ny/hrsn/StructureDefinition/shinny-observation-sexual-orientation				Version: 1.5.3
				Computable Name: SHINNYObservationSexualOrientationProfile

SHINNY HRSN: Needed for Patient profile.
Profiled off of the USCore Organization: This profile sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations associated with a patient.

Usage:

Examples for this Resource Profile: Observation/SexualOrientationExample

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
Observation	C	0..*	Observation	Measurements and simple assertions 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
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 ele-1: All FHIR elements must have a @value or children
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
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Sexual Orientation Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 76690-7
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
Slices for value[x]	ΣC	0..1		Actual result 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]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Sexual Orientation Binding: Sexual Orientation Including nulls and Data Absent Reason (extensible) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status` from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 76690-7 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept	extensible	SexualOrientationIncludingNullsAndDataAbsentReason `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11` from https://vsac.nlm.nih.gov

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()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
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
status	S	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required)
code	S	1..1	CodeableConcept	Sexual Orientation 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 76690-7
subject	S	1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about
effective[x]	S	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Sexual Orientation Binding: Sexual Orientation Including nulls and Data Absent Reason (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status` from the FHIR Standard
Observation.value[x]:valueCodeableConcept	extensible	SexualOrientationIncludingNullsAndDataAbsentReason `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11` from https://vsac.nlm.nih.gov

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions
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

SΣ

1..1

id

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Terminology Bindings

Path Conformance ValueSet / Code URI

Observation.language

preferred

CommonLanguages

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.status

required

ObservationStatus

http://hl7.org/fhir/ValueSet/observation-status

from the FHIR Standard

Observation.category

preferred

ObservationCategoryCodes

http://hl7.org/fhir/ValueSet/observation-category

from the FHIR Standard

Observation.code

example

Pattern: LOINC Code 76690-7

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.value[x]:valueCodeableConcept

extensible

SexualOrientationIncludingNullsAndDataAbsentReason

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11

from https://vsac.nlm.nih.gov

Observation.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Observation.bodySite

example

SNOMEDCTBodyStructures

http://hl7.org/fhir/ValueSet/body-site

from the FHIR Standard

Observation.method

example

ObservationMethods

http://hl7.org/fhir/ValueSet/observation-methods

from the FHIR Standard

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

http://hl7.org/fhir/ValueSet/referencerange-meaning

from the FHIR Standard

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

http://hl7.org/fhir/ValueSet/referencerange-appliesto

from the FHIR Standard

Observation.component.code

example

LOINCCodes (a valid code from LOINC)

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.component.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.component.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Constraints

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

This structure is derived from Observation

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	Observation	Measurements and simple assertions 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
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 ele-1: All FHIR elements must have a @value or children
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
status	?!SΣ	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required) ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Sexual Orientation Binding: LOINCCodes (example): Codes identifying names of simple observations. 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 76690-7
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about ele-1: All FHIR elements must have a @value or children
effective[x]	SΣ	0..1		Clinically relevant time/time-period for observation ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
Slices for value[x]	ΣC	0..1		Actual result 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]:valueCodeableConcept	SΣC	0..1	CodeableConcept	Sexual Orientation Binding: Sexual Orientation Including nulls and Data Absent Reason (extensible) ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status` from the FHIR Standard
Observation.code	example	Pattern: LOINC Code 76690-7 `http://hl7.org/fhir/ValueSet/observation-codes` from the FHIR Standard
Observation.value[x]:valueCodeableConcept	extensible	SexualOrientationIncludingNullsAndDataAbsentReason `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11` from https://vsac.nlm.nih.gov

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()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	Observation	Measurements and simple assertions
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
status	S	1..1	code	registered \| preliminary \| final \| amended + Binding: ObservationStatus (required)
code	S	1..1	CodeableConcept	Sexual Orientation 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://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 76690-7
subject	S	1..1	Reference(US Core Patient Profile)	Who and/or what the observation is about
effective[x]	S	0..1		Clinically relevant time/time-period for observation
effectiveDateTime			dateTime S
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Actual result Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept	S	0..1	CodeableConcept	Sexual Orientation Binding: Sexual Orientation Including nulls and Data Absent Reason (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ObservationStatus `http://hl7.org/fhir/ValueSet/observation-status` from the FHIR Standard
Observation.value[x]:valueCodeableConcept	extensible	SexualOrientationIncludingNullsAndDataAbsentReason `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11` from https://vsac.nlm.nih.gov

Snapshot View

Description & Constraints

Observation

C

0..*

Observation

Measurements and simple assertions
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

SΣ

1..1

id

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Terminology Bindings

Path Conformance ValueSet / Code URI

Observation.language

preferred

CommonLanguages

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Additional Bindings

Purpose

AllLanguages

Max Binding

Observation.status

required

ObservationStatus

http://hl7.org/fhir/ValueSet/observation-status

from the FHIR Standard

Observation.category

preferred

ObservationCategoryCodes

http://hl7.org/fhir/ValueSet/observation-category

from the FHIR Standard

Observation.code

example

Pattern: LOINC Code 76690-7

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.value[x]:valueCodeableConcept

extensible

SexualOrientationIncludingNullsAndDataAbsentReason

http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11

from https://vsac.nlm.nih.gov

Observation.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Observation.bodySite

example

SNOMEDCTBodyStructures

http://hl7.org/fhir/ValueSet/body-site

from the FHIR Standard

Observation.method

example

ObservationMethods

http://hl7.org/fhir/ValueSet/observation-methods

from the FHIR Standard

Observation.referenceRange.type

preferred

ObservationReferenceRangeMeaningCodes

http://hl7.org/fhir/ValueSet/referencerange-meaning

from the FHIR Standard

Observation.referenceRange.appliesTo

example

ObservationReferenceRangeAppliesToCodes

http://hl7.org/fhir/ValueSet/referencerange-appliesto

from the FHIR Standard

Observation.component.code

example

LOINCCodes (a valid code from LOINC)

http://hl7.org/fhir/ValueSet/observation-codes

from the FHIR Standard

Observation.component.dataAbsentReason

extensible

DataAbsentReason

http://hl7.org/fhir/ValueSet/data-absent-reason

from the FHIR Standard

Observation.component.interpretation

extensible

ObservationInterpretationCodes

http://hl7.org/fhir/ValueSet/observation-interpretation

from the FHIR Standard

Constraints

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

This structure is derived from Observation

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Observation.value[x]

Other representations of profile: CSV, Excel, Schematron

IG © 2024+ shinny. Package us.ny.hrsn#1.5.3 based on FHIR 4.0.1. Generated 2025-07-23
Links: Table of Contents | QA Report