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 SDOH Procedure Profile

Official URL: http://test.shinny.org/us/ny/hrsn/StructureDefinition/shinny-sdoh-procedure | Version: 1.7.1
Active as of 2025-12-09 | Computable Name: SHINNYProcedureProfile

- SHINNY HRSN: When applicable, needed for Referrals. Include in Task bundles.
- Profiled off of the SDOHCC Procedure: Profile for interventions that address Social Determinants of Health.

Usages:

- Examples for this Profile: Procedure/ProcedureExample, Procedure/ProcedureExampleConditionResolved, Procedure/ScreeningProcedureExample, Procedure/TaskInProgressProcedureExample and Procedure/TaskProcedureExample

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
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | An SDOH service request for this procedure
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH | S Σ | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code | S Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
Additional Bindings | Purpose | Usage
Digital Access Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-access
Digital Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-literacy
Less Than High School Education Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = educational-attainment
Elder Abuse Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = elder-abuse
Unemployment Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = employment-status
Financial Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = financial-insecurity
Food Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = food-insecurity
Health Insurance Coverage Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = health-insurance-coverage-status
Homelessness Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = homelessness
Housing Instability Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = housing-instability
Inadequate Housing Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = inadequate-housing
Intimate Partner Violence Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = intimate-partner-violence
Material Hardship Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = material-hardship
Medical Cost Burden Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = medical-cost-burden
Health Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = personal-health-literacy
Social Connection Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = social-connection
Stress Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = stress
Transportation Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = transportation-insecurity
Utility Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = utility-insecurity
Veteran Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCProcedure#`Procedure.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | The justification that the procedure was performed
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Procedure.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Procedure.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status` From the FHIR Standard
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-category` From the FHIR Standard
Procedure.category.coding:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Procedure.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Procedure | 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() |

This structure is derived from SDOHCCProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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 |  | 1..1 | CodeableConcept | Classification of the procedure
coding |  | 1..* | Coding | Code defined by a terminology system
Slices for coding |  |  |  | Content/Rules for all slices
coding:SDOH |  | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter created as part of
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Procedure.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
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
Slices for basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | An SDOH service request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH | S Σ | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text | Σ | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
Additional Bindings | Purpose | Usage
Digital Access Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-access
Digital Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-literacy
Less Than High School Education Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = educational-attainment
Elder Abuse Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = elder-abuse
Unemployment Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = employment-status
Financial Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = financial-insecurity
Food Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = food-insecurity
Health Insurance Coverage Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = health-insurance-coverage-status
Homelessness Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = homelessness
Housing Instability Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = housing-instability
Inadequate Housing Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = inadequate-housing
Intimate Partner Violence Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = intimate-partner-violence
Material Hardship Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = material-hardship
Medical Cost Burden Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = medical-cost-burden
Health Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = personal-health-literacy
Social Connection Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = social-connection
Stress Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = stress
Transportation Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = transportation-insecurity
Utility Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = utility-insecurity
Veteran Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCProcedure#`Procedure.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
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
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
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
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(Device) | Device that was changed
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Procedure.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Procedure.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status` From the FHIR Standard
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) `http://hl7.org/fhir/ValueSet/procedure-not-performed-reason` From the FHIR Standard
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-category` From the FHIR Standard
Procedure.category.coding:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Procedure.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
Procedure.performer.function | example | ProcedurePerformerRoleCodes `http://hl7.org/fhir/ValueSet/performer-role` From the FHIR Standard
Procedure.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard
Procedure.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-outcome` From the FHIR Standard
Procedure.complication | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` From the FHIR Standard
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-followup` From the FHIR Standard
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes `http://hl7.org/fhir/ValueSet/device-action` From the FHIR Standard
Procedure.usedCode | example | FHIRDeviceTypes `http://hl7.org/fhir/ValueSet/device-kind` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Procedure | 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() |

This structure is derived from SDOHCCProcedure

Summary

Mandatory: 6 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
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
Slices for basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | An SDOH service request for this procedure
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH | S Σ | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
code | S Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
Additional Bindings | Purpose | Usage
Digital Access Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-access
Digital Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-literacy
Less Than High School Education Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = educational-attainment
Elder Abuse Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = elder-abuse
Unemployment Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = employment-status
Financial Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = financial-insecurity
Food Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = food-insecurity
Health Insurance Coverage Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = health-insurance-coverage-status
Homelessness Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = homelessness
Housing Instability Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = housing-instability
Inadequate Housing Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = inadequate-housing
Intimate Partner Violence Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = intimate-partner-violence
Material Hardship Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = material-hardship
Medical Cost Burden Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = medical-cost-burden
Health Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = personal-health-literacy
Social Connection Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = social-connection
Stress Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = stress
Transportation Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = transportation-insecurity
Utility Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = utility-insecurity
Veteran Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCProcedure#`Procedure.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | The justification that the procedure was performed
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Procedure.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Procedure.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status` From the FHIR Standard
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-category` From the FHIR Standard
Procedure.category.coding:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Procedure.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Procedure | 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() |

Differential View

This structure is derived from SDOHCCProcedure

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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 |  | 1..1 | CodeableConcept | Classification of the procedure
coding |  | 1..* | Coding | Code defined by a terminology system
Slices for coding |  |  |  | Content/Rules for all slices
coding:SDOH |  | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity
encounter | S | 1..1 | Reference(Encounter) | Encounter created as part of
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Procedure.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
--- | --- | --- | --- | ---
Procedure |  | 0..* | SDOHCCProcedure | An action that addresses an SDOH condition, observation, or goal.
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:pertainsToGoal | S | 0..* | (Complex) | Pertains to SDOH goal URL: http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/resource-pertainsToGoal"
value[x] | S | 1..1 | Reference(SDOHCC Goal) | Value of extension
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | External Identifiers for this procedure
instantiatesCanonical | Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition
Slices for basedOn | S Σ | 0..* | Reference(CarePlan | ServiceRequest) | A request for this procedure Slice: Unordered, Open by profile:resolve()
basedOn:SupportedBasedOn | S Σ | 0..* | Reference(SDOHCC ServiceRequest) | An SDOH service request for this procedure
partOf | Σ | 0..* | Reference(Procedure | Observation | MedicationAdministration) | Part of referenced event
status | ?!S Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required)
statusReason | Σ | 0..1 | CodeableConcept | Reason for current status Binding: ProcedureNotPerformedReason(SNOMED-CT) (example): A code that identifies the reason a procedure was not performed.
category | Σ | 1..1 | CodeableConcept | Classification of the procedure Binding: ProcedureCategoryCodes(SNOMEDCT) (example): A code that classifies a procedure for searching, sorting and display purposes.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | S Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:$this
coding:SDOH | S Σ | 1..1 | Coding | e.g., food-insecurity | transportation-insecurity Binding: SDOHCC ValueSet SDOH Category (required): Codes for high-level SDOH categories.
text | Σ | 0..1 | string | Plain text representation of the concept
code | S Σ | 1..1 | CodeableConcept | Procedure codes from SNOMED CT, CPT, HCPCS II, ICD-10PC, or CDT Binding: US Core Procedure Codes (required): Codes describing the type of Procedure
Additional Bindings | Purpose | Usage
Digital Access Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-access
Digital Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = digital-literacy
Less Than High School Education Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = educational-attainment
Elder Abuse Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = elder-abuse
Unemployment Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = employment-status
Financial Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = financial-insecurity
Food Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = food-insecurity
Health Insurance Coverage Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = health-insurance-coverage-status
Homelessness Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = homelessness
Housing Instability Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = housing-instability
Inadequate Housing Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = inadequate-housing
Intimate Partner Violence Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = intimate-partner-violence
Material Hardship Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = material-hardship
Medical Cost Burden Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = medical-cost-burden
Health Literacy Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = personal-health-literacy
Social Connection Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = social-connection
Stress Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = stress
Transportation Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = transportation-insecurity
Utility Insecurity Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = utility-insecurity
Veteran Status Procedures | Extensible | SDOHCCProcedure#`Procedure.category` = veteran-status
US Core Procedure Codes | Required | SDOHCCProcedure#`Procedure.category` = sdoh-category-unspecified
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | Who the procedure was performed on
encounter | S Σ | 1..1 | Reference(Encounter) | Encounter created as part of
performed[x] | S Σ | 1..1 |  | When the procedure was performed
performedDateTime |  |  | dateTime |
performedPeriod |  |  | Period |
recorder | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Who recorded the procedure
asserter | Σ | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole) | Person who asserts this procedure
performer | Σ | 0..* | BackboneElement | The people who performed the procedure
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
function | Σ | 0..1 | CodeableConcept | Type of performance Binding: ProcedurePerformerRoleCodes (example): A code that identifies the role of a performer of the procedure.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | The reference to the practitioner
onBehalfOf |  | 0..1 | Reference(Organization) | Organization the device or practitioner was acting for
location | Σ | 0..1 | Reference(Location) | Where the procedure happened
reasonCode | Σ | 0..* | CodeableConcept | Coded reason procedure performed Binding: ProcedureReasonCodes (example): A code that identifies the reason a procedure is required.
Slices for reasonReference | Σ | 0..* | Reference(Condition | Observation | Procedure | DiagnosticReport | DocumentReference) | The justification that the procedure was performed Slice: Unordered, Open by profile:resolve()
reasonReference:SupportedReasonReference | S Σ | 0..* | Reference(SDOHCC Condition | SDOHCC Observation Screening Response | SDOHCC Observation Assessment) | The justification that the procedure was performed
bodySite | Σ | 0..* | CodeableConcept | Target body sites Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
outcome | Σ | 0..1 | CodeableConcept | The result of procedure Binding: ProcedureOutcomeCodes(SNOMEDCT) (example): An outcome of a procedure - whether it was resolved or otherwise.
report |  | 0..* | Reference(DiagnosticReport | DocumentReference | Composition) | Any report resulting from the procedure
complication |  | 0..* | CodeableConcept | Complication following the procedure Binding: Condition/Problem/DiagnosisCodes (example): Codes describing complications that resulted from a procedure.
complicationDetail |  | 0..* | Reference(Condition) | A condition that is a result of the procedure
followUp |  | 0..* | CodeableConcept | Instructions for follow up Binding: ProcedureFollowUpCodes(SNOMEDCT) (example): Specific follow up required for a procedure e.g. removal of sutures.
note |  | 0..* | Annotation | Additional information about the procedure
focalDevice |  | 0..* | BackboneElement | Manipulated, implanted, or removed device
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
action |  | 0..1 | CodeableConcept | Kind of change to device Binding: ProcedureDeviceActionCodes (preferred): A kind of change that happened to the device during the procedure.
manipulated |  | 1..1 | Reference(Device) | Device that was changed
usedReference |  | 0..* | Reference(Device | Medication | Substance) | Items used during procedure
usedCode |  | 0..* | CodeableConcept | Coded items used during the procedure Binding: FHIRDeviceTypes (example): Codes describing items used during a procedure.
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Procedure.language | preferred | SHINNYLanguageVS `http://test.shinny.org/us/ny/hrsn/ValueSet/SHINNYLanguageVS` From this IG
Procedure.status | required | EventStatus `http://hl7.org/fhir/ValueSet/event-status` From the FHIR Standard
Procedure.statusReason | example | ProcedureNotPerformedReason(SNOMED-CT) `http://hl7.org/fhir/ValueSet/procedure-not-performed-reason` From the FHIR Standard
Procedure.category | example | ProcedureCategoryCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-category` From the FHIR Standard
Procedure.category.coding:SDOH | required | SDOHCCValueSetSDOHCategory `http://hl7.org/fhir/us/sdoh-clinicalcare/ValueSet/SDOHCC-ValueSetSDOHCategory`
Procedure.code | required | USCoreProcedureCodes `http://hl7.org/fhir/us/core/ValueSet/us-core-procedure-code`
Procedure.performer.function | example | ProcedurePerformerRoleCodes `http://hl7.org/fhir/ValueSet/performer-role` From the FHIR Standard
Procedure.reasonCode | example | ProcedureReasonCodes `http://hl7.org/fhir/ValueSet/procedure-reason` From the FHIR Standard
Procedure.bodySite | example | SNOMEDCTBodyStructures `http://hl7.org/fhir/ValueSet/body-site` From the FHIR Standard
Procedure.outcome | example | ProcedureOutcomeCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-outcome` From the FHIR Standard
Procedure.complication | example | Condition/Problem/DiagnosisCodes `http://hl7.org/fhir/ValueSet/condition-code` From the FHIR Standard
Procedure.followUp | example | ProcedureFollowUpCodes(SNOMEDCT) `http://hl7.org/fhir/ValueSet/procedure-followup` From the FHIR Standard
Procedure.focalDevice.action | preferred | ProcedureDeviceActionCodes `http://hl7.org/fhir/ValueSet/device-action` From the FHIR Standard
Procedure.usedCode | example | FHIRDeviceTypes `http://hl7.org/fhir/ValueSet/device-kind` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | Procedure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | Procedure | 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 | Procedure | 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 | Procedure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | Procedure | 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() |

This structure is derived from SDOHCCProcedure

Summary

Mandatory: 6 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