1.7.1 - release

SHINNYHRSN - Local Development build (v1.7.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: SHINNY SDOHCC Condition Profile

Official URL: http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNY-SDOHCC-Condition | Version: 1.7.1
Active as of 2025-12-09 | Computable Name: SHINNYSDOHCCCondition

- SHINNY HRSN: Needed for Assessments. Include in Assessment bundles.
- Profiled off of the SDOHCC Condition: Profile for Social Determinants of Health (SDOH) conditions.

Usages:

- Refer to this Profile: SHINNY Encounter Profile
- Examples for this Profile: Condition/ConditionFoodInsecurityExample and Condition/ConditionFoodInsecurityExampleResolved

You can also check for usages in the FHIR IG Statistics

### 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
Slices for extension |  |  |  | Content/Rules for all slices
extension:asserterDevice | S C | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category | S C | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH | S C | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Usage
Digital Access Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-access
Digital Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-literacy
Less Than High School Education Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = educational-attainment
Elder Abuse Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = elder-abuse
Unemployment Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = employment-status
Financial Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = financial-insecurity
Food Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = food-insecurity
Health Insurance Coverage Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = health-insurance-coverage-status
Homelessness Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = homelessness
Housing Instability Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = housing-instability
Inadequate Housing Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = inadequate-housing
Intimate Partner Violence Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = intimate-partner-violence
Material Hardship Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = material-hardship
Medical Cost Burden Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = medical-cost-burden
Health Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = personal-health-literacy
Social Connection Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = social-connection
Stress Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = stress
Transportation Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = transportation-insecurity
Utility Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = utility-insecurity
Veteran Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = veteran-status
US Core Condition Code | Required | SDOHCCCondition#`Condition.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated dateTime or Period
onsetDateTime |  |  | dateTime |
onsetPeriod |  |  | Period |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
asserter | S Σ C | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
evidence | S C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail | S Σ C | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response) | Supporting information found elsewhere
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical` From the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status` From the FHIR Standard
Condition.category | extensible | USCoreConditionCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category`
Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Condition.code | required | USCoreConditionCode `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1 |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | 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() |
us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |

This structure is derived from SDOHCCCondition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses
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
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
category |  | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern
Slices for category |  |  |  | Content/Rules for all slices
category:SDOH |  | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter created as part of
asserter |  | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:asserterDevice | S C | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x] |  | 0..1 | Reference(Device) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category | S C | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH | S C | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Usage
Digital Access Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-access
Digital Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-literacy
Less Than High School Education Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = educational-attainment
Elder Abuse Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = elder-abuse
Unemployment Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = employment-status
Financial Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = financial-insecurity
Food Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = food-insecurity
Health Insurance Coverage Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = health-insurance-coverage-status
Homelessness Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = homelessness
Housing Instability Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = housing-instability
Inadequate Housing Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = inadequate-housing
Intimate Partner Violence Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = intimate-partner-violence
Material Hardship Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = material-hardship
Medical Cost Burden Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = medical-cost-burden
Health Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = personal-health-literacy
Social Connection Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = social-connection
Stress Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = stress
Transportation Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = transportation-insecurity
Utility Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = utility-insecurity
Veteran Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = veteran-status
US Core Condition Code | Required | SDOHCCCondition#`Condition.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated dateTime or Period
onsetDateTime |  |  | dateTime |
onsetPeriod |  |  | Period |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition
asserter | S Σ C | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
evidence | S C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail | S Σ C | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical` From the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status` From the FHIR Standard
Condition.category | extensible | USCoreConditionCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category`
Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` From the FHIR Standard
Condition.code | required | USCoreConditionCode `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` From the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` From the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1 |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | 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() |
us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |

This structure is derived from SDOHCCCondition

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
Slices for extension |  |  |  | Content/Rules for all slices
extension:asserterDevice | S C | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category | S C | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH | S C | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Usage
Digital Access Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-access
Digital Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-literacy
Less Than High School Education Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = educational-attainment
Elder Abuse Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = elder-abuse
Unemployment Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = employment-status
Financial Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = financial-insecurity
Food Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = food-insecurity
Health Insurance Coverage Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = health-insurance-coverage-status
Homelessness Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = homelessness
Housing Instability Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = housing-instability
Inadequate Housing Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = inadequate-housing
Intimate Partner Violence Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = intimate-partner-violence
Material Hardship Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = material-hardship
Medical Cost Burden Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = medical-cost-burden
Health Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = personal-health-literacy
Social Connection Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = social-connection
Stress Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = stress
Transportation Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = transportation-insecurity
Utility Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = utility-insecurity
Veteran Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = veteran-status
US Core Condition Code | Required | SDOHCCCondition#`Condition.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated dateTime or Period
onsetDateTime |  |  | dateTime |
onsetPeriod |  |  | Period |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
asserter | S Σ C | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
evidence | S C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
Slices for detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail | S Σ C | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response) | Supporting information found elsewhere
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical` From the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status` From the FHIR Standard
Condition.category | extensible | USCoreConditionCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category`
Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Condition.code | required | USCoreConditionCode `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1 |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | 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() |
us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |

Differential View

This structure is derived from SDOHCCCondition

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition |  | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses
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
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
category |  | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern
Slices for category |  |  |  | Content/Rules for all slices
category:SDOH |  | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter created as part of
asserter |  | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Condition | C | 0..* | SDOHCCCondition | Detailed information about SDOH conditions, problems or diagnoses Constraints: con-3, con-4, con-5, us-core-1, SDOH-Con-1
id | S Σ | 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 Σ | 1..1 | SHINNYMeta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: SHINNYLanguageVS (preferred)
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:asserterDevice | S C | 0..1 | (Complex) | Optional Extensions Element URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter"
value[x] |  | 0..1 | Reference(Device) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Ids for this condition
clinicalStatus | ?!S Σ C | 0..1 | CodeableConcept | active | recurrence | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required)
verificationStatus | ?!S Σ C | 0..1 | CodeableConcept | unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
Slices for category | S C | 2..* | CodeableConcept | problem-list-item | encounter-diagnosis | health-concern Slice: Unordered, Open by value:$this Binding: US Core Condition Category Codes (extensible)
category:SDOH | S C | 1..* | CodeableConcept | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
severity |  | 0..1 | CodeableConcept | Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code | S Σ | 1..1 | CodeableConcept | Identification of the condition, problem or diagnosis Binding: US Core Condition Code (required): Valueset to describe the actual problem experienced by the patient
Additional Bindings | Purpose | Usage
Digital Access Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-access
Digital Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = digital-literacy
Less Than High School Education Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = educational-attainment
Elder Abuse Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = elder-abuse
Unemployment Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = employment-status
Financial Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = financial-insecurity
Food Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = food-insecurity
Health Insurance Coverage Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = health-insurance-coverage-status
Homelessness Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = homelessness
Housing Instability Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = housing-instability
Inadequate Housing Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = inadequate-housing
Intimate Partner Violence Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = intimate-partner-violence
Material Hardship Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = material-hardship
Medical Cost Burden Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = medical-cost-burden
Health Literacy Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = personal-health-literacy
Social Connection Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = social-connection
Stress Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = stress
Transportation Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = transportation-insecurity
Utility Insecurity Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = utility-insecurity
Veteran Status Diagnoses | Extensible | SDOHCCCondition#`Condition.category` = veteran-status
US Core Condition Code | Required | SDOHCCCondition#`Condition.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who has the condition?
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
onset[x] | S Σ | 0..1 |  | Estimated dateTime or Period
onsetDateTime |  |  | dateTime |
onsetPeriod |  |  | Period |
abatement[x] | S C | 0..1 |  | When in resolution/remission
abatementDateTime |  |  | dateTime |
abatementPeriod |  |  | Period |
recordedDate | Σ | 0..1 | dateTime | Date record was first recorded
recorder | Σ | 0..1 | Reference(Practitioner | PractitionerRole) | Who recorded the condition
asserter | S Σ C | 1..1 | Reference(RelatedPerson | US Core Patient Profile | US Core Practitioner Profile | US Core PractitionerRole Profile) | Person or device that asserts this condition
evidence | S C | 0..* | BackboneElement | Supporting evidence Constraints: con-2
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | Σ C | 0..* | CodeableConcept | Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
Slices for detail | Σ C | 0..* | Reference(Resource) | Supporting information found elsewhere Slice: Unordered, Open by profile:resolve()
detail:SupportedDetail | S Σ C | 0..* | Reference(SDOHCC Observation Screening Response | SDOHCC Condition | SDOHCC Observation Assessment | SDC Questionnaire Response) | Supporting information found elsewhere
note |  | 0..* | Annotation | Additional information about the Condition
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Condition.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Condition.clinicalStatus | required | ConditionClinicalStatusCodes `http://hl7.org/fhir/ValueSet/condition-clinical` From the FHIR Standard
Condition.verificationStatus | required | ConditionVerificationStatus `http://hl7.org/fhir/ValueSet/condition-ver-status` From the FHIR Standard
Condition.category | extensible | USCoreConditionCategoryCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category`
Condition.category:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Condition.severity | preferred | Condition/DiagnosisSeverity `http://hl7.org/fhir/ValueSet/condition-severity` From the FHIR Standard
Condition.code | required | USCoreConditionCode `http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code`
Condition.stage.summary | example | ConditionStage `http://hl7.org/fhir/ValueSet/condition-stage` From the FHIR Standard
Condition.stage.type | example | ConditionStageType `http://hl7.org/fhir/ValueSet/condition-stage-type` From the FHIR Standard
Condition.evidence.code | example | ManifestationAndSymptomCodes `http://hl7.org/fhir/ValueSet/manifestation-or-symptom` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
SDOH-Con-1 | error | Condition | Can only have a max of one asserter. : extension('http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-ExtensionConditionAsserter').count()+asserter.count()<=1 |
con-2 | error | Condition.evidence | evidence SHALL have code or details : code.exists() or detail.exists() |
con-3 | best practice | Condition | Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty() |
con-4 | error | Condition | If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists() |
con-5 | error | Condition | Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty() |
dom-2 | error | Condition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Condition | 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 | Condition | 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 | Condition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Condition | 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() |
us-core-1 | best practice | Condition | A code in Condition.category SHOULD be from US Core Condition Category Codes value set. : where(category.memberOf('http://hl7.org/fhir/us/core/ValueSet/us-core-condition-category')).exists() |

This structure is derived from SDOHCCCondition

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- SHINNYMeta (http://test.shinny.org/us/ny/hrsn/StructureDefinition/SHINNYMeta)

Other representations of profile: CSV, Excel, Schematron