{
  "resourceType": "StructureDefinition",
  "id": "pr-observation-social-history",
  "meta": {
    "source": "https://www.icanbwell.com/fhir_profile_definitions",
    "security": [
      {
        "system": "https://www.icanbwell.com/owner",
        "code": "bwell"
      },
      {
        "system": "https://www.icanbwell.com/access",
        "code": "bwell"
      }
    ]
  },
  "text": {
    "status": "additional",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A social-history observation. Includes employment history, smoking status, alcohol consumption</div>"
  },
  "url": "https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-observation-social-history",
  "version": "1.03",
  "name": "ObservationSocialHistory",
  "title": "Profile: Observation (Social History)",
  "status": "active",
  "experimental": false,
  "date": "2022-06-02",
  "publisher": "b.Well Connected Health",
  "description": "A social-history observation. Includes employment history, smoking status, alcohol consumption",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ],
      "text": "United States of America"
    }
  ],
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation",
        "path": "Observation"
      },
      {
        "id": "Observation.id",
        "path": "Observation.id"
      },
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "label": "meta",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Meta"
          }
        ]
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "sliceName": "meta-source",
        "label": "meta",
        "short": "uri of the data source",
        "definition": "Typically the data owner's URL followed by a source/file description",
        "requirements": "mandatory for all resources in bWell's FHIR Server",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "example of meta.source",
            "valueUri": "https://www.icanbwell.com/provider-directory"
          }
        ]
      },
      {
        "id": "Observation.meta.security",
        "path": "Observation.meta.security",
        "sliceName": "meta-security",
        "label": "meta",
        "short": "security tags representing the data's owner, vendor, and accessibility",
        "definition": "data owner: \n \n data vendor: \n \n data access: ",
        "requirements": "/owner & /access are mandatory for all resources in bWell's FHIR Server",
        "min": 1,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "example": [
          {
            "label": "example of data owner security tag",
            "valueCoding": {
              "system": "https://www.icanbwell.com/owner",
              "code": "bwell"
            }
          },
          {
            "label": "example of data access security tag",
            "valueCoding": {
              "system": "https://www.icanbwell.com/access",
              "code": "bwell"
            }
          },
          {
            "label": "example of data vendor security tag",
            "valueCoding": {
              "system": "https://www.icanbwell.com/vendor",
              "code": "bwell"
            }
          }
        ]
      },
      {
        "id": "de-extension-any",
        "path": "Observation.extension",
        "label": "extension-any",
        "slicing": {
          "description": "slice by types",
          "rules": "open"
        },
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "de-extension-any.id",
        "path": "Observation.extension.id",
        "label": "extension-any",
        "short": "defined case-by-case, but is frequently the extension url",
        "min": 1
      },
      {
        "id": "de-extension-any.extension",
        "path": "Observation.extension.extension",
        "label": "extension-any",
        "min": 0,
        "max": "*"
      },
      {
        "id": "de-extension-any.url",
        "path": "Observation.extension.url",
        "label": "extension-any",
        "min": 1,
        "max": "1"
      },
      {
        "id": "de-extension-any.value[x]",
        "path": "Observation.extension.value[x]",
        "label": "extension-any",
        "min": 0,
        "max": "1"
      },
      {
        "id": "extension-employer-organization",
        "path": "Observation.extension",
        "sliceName": "employer-organization",
        "label": "employer-organization",
        "short": "If the observation is describing an employment history, this is a reference to the employer organization",
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "extension-employer-organization.id",
        "path": "Observation.extension.id",
        "label": "employer-organization",
        "short": "employer",
        "min": 1,
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "extension-employer-organization.url",
        "path": "Observation.extension.url",
        "label": "employer-organization",
        "short": "fixed value: http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/us/odh/StructureDefinition/odh-Employer-extension"
      },
      {
        "id": "extension-employer-organization.valueReference",
        "path": "Observation.extension.valueReference",
        "label": "employer-organization",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-partner-organization"
            ]
          }
        ]
      },
      {
        "id": "de-identifier",
        "path": "Observation.identifier",
        "label": "identifier",
        "slicing": {
          "description": "slice by types",
          "rules": "open"
        },
        "short": "a value to identify the resource by",
        "type": [
          {
            "code": "Identifier"
          }
        ]
      },
      {
        "id": "identifier.id",
        "path": "Observation.identifier.id",
        "label": "identifier",
        "short": "set case-by-case",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "identifier.use",
        "path": "Observation.identifier.use",
        "label": "identifier",
        "short": "usual | official | temp | secondary | old (If known)",
        "definition": "The purpose of this identifier.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ]
      },
      {
        "id": "identifier.type",
        "path": "Observation.identifier.type",
        "label": "identifier",
        "short": "Description of identifier",
        "definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
        "requirements": "Needs binding valueset",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "identifier.system",
        "path": "Observation.identifier.system",
        "label": "identifier",
        "short": "The system which created the identifier",
        "definition": "Values may be an oid, uri, url, or canonical",
        "comment": "for mapped data, this is frequently a canonical url",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "example": [
          {
            "label": "a client's unknown system",
            "valueUri": "https://www.health.org/person-identifier"
          }
        ]
      },
      {
        "id": "identifier.value",
        "path": "Observation.identifier.value",
        "label": "identifier",
        "short": "The unique value",
        "definition": "The raw identifier value that represents a resource",
        "requirements": "This should be the raw value, as it exists in the source data (ie without prefix)",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "string"
          }
        ]
      },
      {
        "id": "de-employee-id",
        "path": "Observation.identifier",
        "sliceName": "identifier-employee-id",
        "label": "employee-id",
        "code": [
          {
            "system": "https://www.icanbwell.com/product-feature-code",
            "code": "employment"
          }
        ],
        "short": "employer's's unique identifier for the individual",
        "requirements": "system = source URI",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "patternIdentifier": {
          "id": "employee-id",
          "type": {
            "coding": [
              {
                "id": "employee-id-type",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "EI"
              }
            ]
          }
        }
      },
      {
        "id": "de-member-number",
        "path": "Observation.identifier",
        "sliceName": "identifier-member-number",
        "label": "identifier-member-number",
        "code": [
          {
            "system": "https://www.icanbwell.com/product-feature-code"
          }
        ],
        "short": "insurance coverage's unique identifier for the individual",
        "requirements": "system = source URI",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "patternIdentifier": {
          "id": "member-number",
          "type": {
            "coding": [
              {
                "id": "member-number-type",
                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code": "MB"
              }
            ]
          }
        }
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "short": "fixed: final",
        "mustSupport": true
      },
      {
        "id": "Observation.category",
        "path": "Observation.category",
        "short": "fixed: social-history",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/observation-category",
              "code": "social-history"
            }
          ]
        },
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "short": "A code describing the specific observation",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "example": [
          {
            "label": "employment status",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://loinc.org",
                  "code": "74165-2",
                  "display": "History of employment status"
                }
              ]
            }
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "short": "Reference to Employee or Beneficiary record",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.icanbwell.com/4_0_0/StructureDefinition/pr-patient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.effectivePeriod",
        "path": "Observation.effective[x]",
        "short": "employment period (hire date / terminiation date)",
        "definition": "When the observation is describing a employment history, a Period type should be used to represent hire and termination dates. When the observation is a single assertion in time, a dateTime type should be used to represent the assertion date.",
        "type": [
          {
            "code": "Period"
          },
          {
            "code": "dateTime"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value",
        "path": "Observation.value",
        "short": "coded employment status",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "extensible",
          "valueSet": "https://www.hl7.org/fhir/us/bwell/bwell-vs-employment-status"
        }
      },
      {
        "id": "Observation.dataAbsentReason",
        "path": "Observation.dataAbsentReason"
      },
      {
        "id": "Observation.interpretation",
        "path": "Observation.interpretation",
        "max": "0"
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite"
      },
      {
        "id": "Observation.method",
        "path": "Observation.method"
      },
      {
        "id": "Observation.specimen",
        "path": "Observation.specimen"
      },
      {
        "id": "Observation.device",
        "path": "Observation.device"
      },
      {
        "id": "Observation.referenceRange",
        "path": "Observation.referenceRange",
        "max": "0"
      },
      {
        "id": "Observation.hasMember",
        "path": "Observation.hasMember"
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Observation.component.id",
        "path": "Observation.component.id",
        "min": 1
      },
      {
        "id": "Observation.component.code",
        "path": "Observation.component.code",
        "min": 1
      },
      {
        "id": "Observation.component.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1
      }
    ]
  }
}