<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="profile-DwObservationSocialHistory" />
  <meta>
    <lastUpdated value="2024-04-25T16:50:10.5223053+00:00" />
  </meta>
  <url value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwObservationSocialHistory" />
  <version value="2.0.0" />
  <name value="DwObservationSocialHistory" />
  <status value="active" />
  <date value="2026-05-29" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.id">
      <path value="Observation.id" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.lastUpdated">
      <path value="Observation.meta.lastUpdated" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.source">
      <path value="Observation.meta.source" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.security">
      <path value="Observation.meta.security" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.text">
      <path value="Observation.text" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category">
      <path value="Observation.category" />
      <comment value="Lifestyle, social history and personal traits category in EMRs will map to social-history category in FHIR." />
      <mustSupport value="true" />
    </element>
    <element id="Observation.category.coding">
      <path value="Observation.category.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="preferred" />
        <valueSet value="http://hl7.org/fhir/ValueSet/observation-category" />
      </binding>
    </element>
    <element id="Observation.category.coding.system">
      <path value="Observation.category.coding.system" />
      <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" />
      <fixedCode value="social-history" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <comment value="This provides the EMR text of the social history type ex. gambling, personal trait, exercise, social history etc" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <mustSupport value="false" />
    </element>
    <element id="Observation.code.text">
      <path value="Observation.code.text" />
      <comment value="CHR - Lifestyle - Diet&#xD;&#xA;Lifestyle - Physical Activity&#xD;&#xA;Lifestyle - Sexual Activity" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.encounter">
      <path value="Observation.encounter" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.effective[x]">
      <path value="Observation.effective[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.performer">
      <path value="Observation.performer" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwOrganization" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwCareTeam" />
        <targetProfile value="https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient" />
      </type>
    </element>
    <element id="Observation.value[x]">
      <path value="Observation.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.note">
      <path value="Observation.note" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.bodySite">
      <path value="Observation.bodySite" />
      <max value="0" />
    </element>
    <element id="Observation.specimen">
      <path value="Observation.specimen" />
      <max value="0" />
    </element>
    <element id="Observation.device">
      <path value="Observation.device" />
      <max value="0" />
    </element>
    <element id="Observation.referenceRange">
      <path value="Observation.referenceRange" />
      <max value="0" />
    </element>
    <element id="Observation.hasMember">
      <path value="Observation.hasMember" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.derivedFrom">
      <path value="Observation.derivedFrom" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>