Releases of the PS-CA Implementation Guide may be found on a table on the Home Page of this Project.


Observation Social History (PS-CA)

This profile represents the constraints applied to the Observation resource by the PS-CA project to represent a more generic social history profile used to represent health related lifestyle factors or lifestyle observations in a patient summary. Currently, there is no equivalent IPS UV profile, however there are ISO CEN IPS 17269 requirements for a more generic social history section that were used to inform this profile. This profile is considered a draft version, and is informed and created as per the requirements of the first jurisdiction (i.e. Alberta) to pilot its use in patient summary within jurisdictional context. The constraints have been compared against other Social History FHIR profiles in Canada and internationally (US Core, Cyprus Core, Malaysia Core) and share many constraints in common with those profiles but represent the minimum requirements as they are known in Canada today. This profile is expected to be refined further as more jurisdictional requirements are defined and as more is known about use in the international patient summary space.

Note: This profile is being used for conformance requirements on generic social history (instances that aren't intended for tobacco or alcohol use profiles). If instance asserts conformance of instance to generic social history profile, observation.code SHALL NOT be 74013-4 or 72166-2 LOINC codes. This is done to prevent the instance matching multiple slices on Composition.section.

Additional information on this profile (including the JSON & XML structure and detailed element descriptions) can be found at package/structuredefinition-profile-observation-socialhistory-ca-ps.json

Profile

idΣ0..1string
metaΣ0..1Meta
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifierΣ0..*Identifier
basedOnΣ I0..*Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)
partOfΣ I0..*Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)
statusS Σ ?!1..1codeBinding
social-historyS1..1CodeableConceptBindingPattern
codeS Σ1..1CodeableConceptPSCA
id0..1string
extensionI0..*Extension
referenceS Σ I1..1string
typeΣ0..1uriBinding
identifierΣ0..1Identifier
displayΣ0..1string
focusΣ I0..*Reference(Resource)
encounterΣ I0..1Reference(Encounter)
effectiveDateTimedateTime
effectivePeriodPeriod
effectiveTimingTiming
effectiveInstantinstant
issuedΣ0..1instant
performerΣ I0..*Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson)
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
id0..1string
extensionI0..*Extension
authorStringstring
authorReferenceReference(Practitioner | Patient | RelatedPerson | Organization)
timeΣ0..1dateTime
textS Σ1..1markdown
bodySite0..1CodeableConcept
method0..1CodeableConcept
specimenI0..1Reference(Specimen)
deviceI0..1Reference(Device | DeviceMetric)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
lowI0..1SimpleQuantity
highI0..1SimpleQuantity
type0..1CodeableConceptBinding
appliesTo0..*CodeableConcept
ageI0..1Range
text0..1string
hasMemberΣ I0..*Reference(Observation | QuestionnaireResponse | MolecularSequence)
derivedFromΣ I0..*Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
codeΣ1..1CodeableConcept
valueQuantityQuantity
valueCodeableConceptCodeableConcept
valueStringstring
valueBooleanboolean
valueIntegerinteger
valueRangeRange
valueRatioRatio
valueSampledDataSampledData
valueTimetime
valueDateTimedateTime
valuePeriodPeriod
dataAbsentReasonI0..1CodeableConceptBinding
interpretation0..*CodeableConceptBinding
referenceRange0..*see (referenceRange)

Key Differences between the IPS-UV and PS-CA

This is a draft profile that PS-CA has developed for a piloting jurisdiction. It will be surfaced for IPS inclusion following a successful pilot period.