Name Flags Card. Type Description & Constraints doco
. . Observation 0 .. * Observation This is an abstract profile
SDOH assessment observation
. . . status S 1 .. 1 code registered | preliminary | final | amended +
. . . Slices for category 1 .. * CodeableConcept Classification of type of observation
Slice: Unordered, Open by value:$this
. . . . category:SocialHistory S 1..1 CodeableConcept Classification of type of observation
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:SDOHDomain S 0 .. * CodeableConcept e.g., food-insecurity | transportation-insecurity
Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
. . . code S 1 .. 1 CodeableConcept Type of observation (code / type)
Binding: SDOHCC ValueSet LOINC SNOMEDCT (preferred)
. . . subject S 1..1 Reference(Group | US Core Patient Profile) Who and/or what the observation is about
. . . performer S 0 .. * Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile | US Core Organization Profile | US Core CareTeam Profile) Who is responsible for the observation
. . . value[x] S 0 .. 1 Quantity , CodeableConcept , string , boolean , integer , Range , Ratio , SampledData , time , dateTime , Period Actual result

doco Documentation for this format
<status value="active" /> <date value="2025-05-20T20:17:06.3613088+00:00" /> <publisher value="Ontario Health" /> <description value="This profile constrains the Observation resource for use related to Social Determinants of Health observations that involve assessments conducted along the client journey." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="US" /> </coding> </jurisdiction> <purpose value="This resource will capture information pertaining to the client's employment status." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="workflow" /> <uri value="http://hl7.org/fhir/workflow" /> <name value="Workflow Pattern" /> </mapping> <mapping> <identity value="sct-concept" /> <uri value="http://snomed.info/conceptdomain" /> <name value="SNOMED CT Concept Domain Binding" /> </mapping> <mapping> <identity value="v2" /> <uri value="http://hl7.org/v2" /> <name value="HL7 v2 Mapping" /> </mapping> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <mapping> <identity value="w5" /> <uri value="http://hl7.org/fhir/fivews" /> <name value="FiveWs Pattern Mapping" /> </mapping> <mapping> <identity value="sct-attr" /> <uri value="http://snomed.org/attributebinding" /> <name value="SNOMED CT Attribute Binding" /> </mapping> <mapping> <identity value="MHA-PDS-Mapping" /> <name value="MHA PDS Mapping" /> </mapping> <kind value="resource" /> <abstract value="false" /> <type value="Observation" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" /> <derivation value="constraint" /> <differential> <element id="Observation"> <path value="Observation" /> <short value="SDOH assessment observation" /> <definition value="For SDOH observations derived from assessment of the client." /> <comment value="For representation of SDOH observations that involve assessments conducted along the client journey." /> </element> <element id="Observation.meta"> <path value="Observation.meta" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.meta.profile"> <path value="Observation.meta.profile" /> <min value="1" /> <max value="1" /> <fixedCanonical value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-profile-observation-employment-status" /> <mustSupport value="true" /> </element> <element id="Observation.status"> <path value="Observation.status" /> <mustSupport value="true" /> </element> <element id="Observation.category"> <path value="Observation.category" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> </binding> </element> <element id="Observation.category.coding"> <path value="Observation.category.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.category.coding.system"> <path value="Observation.category.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/observation-category" /> <mustSupport value="true" /> </element> <element id="Observation.category.coding.code"> <path value="Observation.category.coding.code" /> <min value="1" /> <fixedCode value="social-history" /> <mustSupport value="true" /> </element> <element id="Observation.category.coding.display"> <path value="Observation.category.coding.display" /> <min value="1" /> <fixedString value="Social History" /> <mustSupport value="true" /> </element> <element id="Observation.code"> <path value="Observation.code" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/sdohObservationCode" /> </binding> </element> <element id="Observation.code.coding"> <path value="Observation.code.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.system"> <path value="Observation.code.coding.system" /> <min value="1" /> <fixedUri value="http://loinc.org" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.code"> <path value="Observation.code.coding.code" /> <min value="1" /> <fixedCode value="89564-9" /> <mustSupport value="true" /> </element> <element id="Observation.code.coding.display"> <path value="Observation.code.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.subject"> <path value="Observation.subject" /> <min value="1" /> <type> <code value="Reference" /> <targetProfile value="http://ontariohealth.ca/fhir/StructureDefinition/ca-on-mha-profile-patient" /> </type> <mustSupport value="true" /> </element> <element id="Observation.subject.reference"> <path value="Observation.subject.reference" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.effective[x]"> <path value="Observation.effective[x]" /> <min value="1" /> <type> <code value="dateTime" /> </type> <constraint> <key value="sdoh-employment-status-inv-1" /> <severity value="error" /> <human value="Effective Date must be a full date (YYYY-MM-DD)" /> <expression value="$this.toString().matches('^[0-9]{4}-(0[1-9]|1[0-2])-(0[1-9]|[12][0-9]|3[01])$')" /> </constraint> <mustSupport value="true" /> </element> <element id="Observation.value[x]"> <path value="Observation.value[x]" /> <type> <code value="CodeableConcept" /> </type> <mustSupport value="true" /> </element> <element id="Observation.value[x].coding"> <path value="Observation.value[x].coding" /> <max value="1" /> <mustSupport value="true" /> <binding> <strength value="required" /> <description value="Identifies the employment status that best describes the client's current situation" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/employment-status|2.0.0" /> </binding> </element> <element id="Observation.value[x].coding.system"> <path value="Observation.value[x].coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.value[x].coding.code"> <path value="Observation.value[x].coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.value[x].coding.display"> <path value="Observation.value[x].coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.value[x].text"> <path value="Observation.value[x].text" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason"> <path value="Observation.dataAbsentReason" /> <mustSupport value="true" /> <binding> <strength value="required" /> <valueSet value="http://ontariohealth.ca/fhir/ValueSet/mha-sdoh-data-absent-reason" /> </binding> </element> <element id="Observation.dataAbsentReason.coding"> <path value="Observation.dataAbsentReason.coding" /> <min value="1" /> <max value="1" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason.coding.system"> <path value="Observation.dataAbsentReason.coding.system" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason.coding.code"> <path value="Observation.dataAbsentReason.coding.code" /> <min value="1" /> <mustSupport value="true" /> </element> <element id="Observation.dataAbsentReason.coding.display"> <path value="Observation.dataAbsentReason.coding.display" /> <min value="1" /> <mustSupport value="true" /> </element> </differential> </StructureDefinition>