HL7.FHIR.CL.CLEMBARAZOS\Paciente (Embarazo-CL) - Definitions

Resumen Clínico de Pacientes Embarazadas Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile-BiomedicaUv/IPS-Embarazo/ and changes regularly. See the Directory of published versions

Resource Profile: PacienteEmbCL - Detailed Descriptions

Draft as of 2024-12-18

Definitions for the Paciente-embarazo-cl-ips resource profile.

Differential Elements Table
Key Elements Table
Snapshot Elements Table

Guidance on how to interpret the contents of this table can be found here

0. Patient
2. Patient.extension
Short	Edad del paciente
4. Patient.extension:Edad
Slice Name	Edad
Control	0..1
Type	Extension(Edad del paciente) (Extension Type: integer)
Must Support	true
6. Patient.identifier
Note	This is a business identifier, not a resource identifier (see discussion)
Control	1..?
Slicing	This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: value @ use
8. Patient.identifier.use
Control	1..?
10. Patient.identifier:RUN
Slice Name	RUN
Note	This is a business identifier, not a resource identifier (see discussion)
Control	0..1
Must Support	true
12. Patient.identifier:RUN.use
Short	Uso del identificador, en este caso es Oficial.
Pattern Value	`official`
14. Patient.identifier:RUN.type
16. Patient.identifier:RUN.type.extension:paisEmisionDocumento
Slice Name	paisEmisionDocumento
18. Patient.identifier:RUN.system
Definition	URI que identifica el sistema del cual se emite el RUN.
Short	Sistema donde está codificado el RUN
Control	1..?
Must Support	true
20. Patient.identifier:RUN.value
Definition	Número de RUN, el cual es el Identificador nacional oficial en Chile.
Short	Número de RUN del paciente
Control	1..?
Must Support	true
22. Patient.identifier:OtrosIdentificadores
Slice Name	OtrosIdentificadores
Note	This is a business identifier, not a resource identifier (see discussion)
Control	0..1
Must Support	true
24. Patient.identifier:OtrosIdentificadores.use
Short	Uso del identificador, en este caso es Secundario.
Pattern Value	`secondary`
26. Patient.identifier:OtrosIdentificadores.type
28. Patient.identifier:OtrosIdentificadores.type.extension:paisEmisionDocumento
Slice Name	paisEmisionDocumento
30. Patient.identifier:OtrosIdentificadores.system
Definition	URI que identifica el sistema del cual se emite el otro identificador.
Short	Sistema donde está codificado el otro identificador
Control	1..?
Must Support	true
32. Patient.identifier:OtrosIdentificadores.value
Definition	Identificador alternativo, como pasaporte u otro documento oficial.
Short	Número del identificador del paciente
Control	1..?
Must Support	true
34. Patient.name
36. Patient.name.text
Definition	En caso de no poderse describir adecuadamente el nombre se puede escribir en este campo de texto como lo interpreta el registrador
38. Patient.name:NombreOficial
Slice Name	NombreOficial
Control	1..?
40. Patient.name:NombreOficial.family
Control	1..?
42. Patient.name:NombreOficial.given
Control	1..?

Guidance on how to interpret the contents of this table can be found here

0. Patient
Definition	Demographics and other administrative information about an individual or animal receiving care or other health-related services.
Short	Information about an individual or animal receiving health care services
Control	0..*
Is Modifier	false
Summary	false
Alternate Names	SubjectOfCare Client Resident
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Patient.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short	A set of rules under which this content was created
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control	0..1
Type	uri
Is Modifier	true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension
Definition	An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short	Edad del pacienteAdditional content defined by implementations
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	false
Summary	false
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
Slicing	This element introduces a set of slices on `Patient.extension`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ url
6. Patient.extension:IdentidadDeGenero
Slice Name	IdentidadDeGenero
Definition	Identidad De Genero
Short	Identidad De Genero
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(Identidad De Genero) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Patient.extension:SexoBiologico
Slice Name	SexoBiologico
Definition	Sexo Biologico del paciente
Short	Sexo Biologico del paciente
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(Sexo Biologico del paciente) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
10. Patient.extension:nacionalidad
Slice Name	nacionalidad
Definition	Esta extensión incluye códigos de paises
Short	Codigo de Paises
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(Codigo de Paises) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
12. Patient.extension:Edad
Slice Name	Edad
Definition	Proporciona la edad de la paciente
Short	Edad del paciente
Control	0..1
Type	Extension(Edad del paciente) (Extension Type: integer)
Is Modifier	false
Must Support	true
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Patient.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summary	false
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Patient.identifier
Definition	Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero An identifier for this patient.
Short	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresadoAn identifier for this patient
Comments	En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y ev valor del identificador
Note	This is a business identifier, not a resource identifier (see discussion)
Control	10..*
Type	Identifier
Is Modifier	false
Must Support	true
Summary	true
Requirements	Patients are almost always assigned specific numerical identifiers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing	This element introduces a set of slices on `Patient.identifier`. The slices areUnordered and Closed, and can be differentiated using the following discriminators: value @ use
18. Patient.identifier.use
Definition	De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador The purpose of this identifier.
Short	usual \| official \| temp \| secondary \| old (If known)
Comments	Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control	10..1
Binding	The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1`) Identifies the purpose for this identifier, if known .
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Patient.identifier.type
Definition	Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir numero del registro clínico abierto en el establecimiento A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short	Tipo de documento de Id (Extensible)Description of identifier
Comments	De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador Chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el numero de registro clínico generado en el recinto de salud This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control	0..1
Binding	Unless not suitable, these codes SHALL be taken from Tipos de Documentoshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos`) Value Set de Tipos de Documentos y CI Nacionales A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type	CodeableConcept
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Patient.identifier.type.extension:paisEmisionDocumento
Slice Name	paisEmisionDocumento
Definition	Esta extensión incluye códigos de paises
Short	Codigo de Paises
Control	0..1
Type	Extension(Codigo de Paises) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
24. Patient.identifier.type.coding
Definition	A reference to a code defined by a terminology system.
Short	Code defined by a terminology system
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control	0..*
Type	Coding
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Patient.identifier.type.coding.system
Definition	Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento The identification of the code system that defines the meaning of the symbol in the code.
Short	Sistema de identificación de tipos de documentosIdentity of the terminology system
Comments	En la URL del sistema se describe el set de códigos. Por ejemplo si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control	0..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Patient.identifier.type.coding.code
Definition	Código de Tipo de Documento A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short	Código de Tipo de DocumentoSymbol in syntax defined by the system
Control	0..1
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Patient.identifier.type.coding.display
Definition	Glosa del Código Documento A representation of the meaning of the code in the system, following the rules of the system.
Short	Glosa del Código DocumentoRepresentation defined by the system
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Patient.identifier:RUN
Slice Name	RUN
Definition	Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero An identifier for this patient.
Short	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresadoAn identifier for this patient
Comments	En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y ev valor del identificador
Note	This is a business identifier, not a resource identifier (see discussion)
Control	0..1*
Type	Identifier
Is Modifier	false
Must Support	true
Summary	true
Requirements	Patients are almost always assigned specific numerical identifiers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
34. Patient.identifier:RUN.use
Definition	De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador The purpose of this identifier.
Short	Uso del identificador, en este caso es Oficial.usual \| official \| temp \| secondary \| old (If known)
Comments	Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control	0..1
Binding	The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1`) Identifies the purpose for this identifier, if known .
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value	`official`
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Patient.identifier:RUN.type
Definition	Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir numero del registro clínico abierto en el establecimiento A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short	Tipo de documento de Id (Extensible)Description of identifier
Comments	De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador Chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el numero de registro clínico generado en el recinto de salud This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control	0..1
Binding	Unless not suitable, these codes SHALL be taken from Tipos de Documentoshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos`) Value Set de Tipos de Documentos y CI Nacionales A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type	CodeableConcept
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Patient.identifier:RUN.type.extension:paisEmisionDocumento
Slice Name	paisEmisionDocumento
Definition	Esta extensión incluye códigos de paises
Short	Codigo de Paises
Control	0..1
Type	Extension(Codigo de Paises) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
40. Patient.identifier:RUN.type.coding
Definition	A reference to a code defined by a terminology system.
Short	Code defined by a terminology system
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control	0..*
Type	Coding
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Patient.identifier:RUN.type.coding.system
Definition	Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento The identification of the code system that defines the meaning of the symbol in the code.
Short	Sistema de identificación de tipos de documentosIdentity of the terminology system
Comments	En la URL del sistema se describe el set de códigos. Por ejemplo si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control	0..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Patient.identifier:RUN.type.coding.code
Definition	Código de Tipo de Documento A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short	Código de Tipo de DocumentoSymbol in syntax defined by the system
Control	0..1
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. Patient.identifier:RUN.type.coding.display
Definition	Glosa del Código Documento A representation of the meaning of the code in the system, following the rules of the system.
Short	Glosa del Código DocumentoRepresentation defined by the system
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. Patient.identifier:RUN.system
Definition	URI que identifica el sistema del cual se emite el RUN. Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short	Sistema donde está codificado el RUNThe namespace for the identifier value
Comments	Identifier.system is always case sensitive.
Control	10..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example	<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Patient.identifier:RUN.value
Definition	Número de RUN, el cual es el Identificador nacional oficial en Chile. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short	Número de RUN del pacienteThe value that is unique
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Example	<br/><b>General</b>:123456
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Patient.identifier:OtrosIdentificadores
Slice Name	OtrosIdentificadores
Definition	Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero An identifier for this patient.
Short	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresadoAn identifier for this patient
Comments	En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y ev valor del identificador
Note	This is a business identifier, not a resource identifier (see discussion)
Control	0..1*
Type	Identifier
Is Modifier	false
Must Support	true
Summary	true
Requirements	Patients are almost always assigned specific numerical identifiers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. Patient.identifier:OtrosIdentificadores.use
Definition	De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador The purpose of this identifier.
Short	Uso del identificador, en este caso es Secundario.usual \| official \| temp \| secondary \| old (If known)
Comments	Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.
Control	0..1
Binding	The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1`) Identifies the purpose for this identifier, if known .
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.
Pattern Value	`secondary`
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Patient.identifier:OtrosIdentificadores.type
Definition	Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir numero del registro clínico abierto en el establecimiento A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.
Short	Tipo de documento de Id (Extensible)Description of identifier
Comments	De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador Chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el numero de registro clínico generado en el recinto de salud This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.
Control	0..1
Binding	Unless not suitable, these codes SHALL be taken from Tipos de Documentoshttp://hl7.org/fhir/ValueSet/identifier-type (extensible to `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos`) Value Set de Tipos de Documentos y CI Nacionales A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Type	CodeableConcept
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows users to make use of identifiers when the identifier system is not known.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
58. Patient.identifier:OtrosIdentificadores.type.extension:paisEmisionDocumento
Slice Name	paisEmisionDocumento
Definition	Esta extensión incluye códigos de paises
Short	Codigo de Paises
Control	0..1
Type	Extension(Codigo de Paises) (Extension Type: CodeableConcept)
Is Modifier	false
Must Support	true
Summary	false
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
60. Patient.identifier:OtrosIdentificadores.type.coding
Definition	A reference to a code defined by a terminology system.
Short	Code defined by a terminology system
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control	0..*
Type	Coding
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Patient.identifier:OtrosIdentificadores.type.coding.system
Definition	Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento The identification of the code system that defines the meaning of the symbol in the code.
Short	Sistema de identificación de tipos de documentosIdentity of the terminology system
Comments	En la URL del sistema se describe el set de códigos. Por ejemplo si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Control	0..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
64. Patient.identifier:OtrosIdentificadores.type.coding.code
Definition	Código de Tipo de Documento A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Short	Código de Tipo de DocumentoSymbol in syntax defined by the system
Control	0..1
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Patient.identifier:OtrosIdentificadores.type.coding.display
Definition	Glosa del Código Documento A representation of the meaning of the code in the system, following the rules of the system.
Short	Glosa del Código DocumentoRepresentation defined by the system
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Patient.identifier:OtrosIdentificadores.system
Definition	URI que identifica el sistema del cual se emite el otro identificador. Establishes the namespace for the value - that is, a URL that describes a set values that are unique.
Short	Sistema donde está codificado el otro identificadorThe namespace for the identifier value
Comments	Identifier.system is always case sensitive.
Control	10..1
Type	uri
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.
Example	<br/><b>General</b>:http://www.acme.com/identifiers/patient
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
70. Patient.identifier:OtrosIdentificadores.value
Definition	Identificador alternativo, como pasaporte u otro documento oficial. The portion of the identifier typically relevant to the user and which is unique within the context of the system.
Short	Número del identificador del pacienteThe value that is unique
Comments	If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Example	<br/><b>General</b>:123456
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Patient.active
Definition	Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules. It is often used to filter patient lists to exclude inactive patients Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.
Short	Whether this patient's record is in active use
Comments	If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.
Control	0..1
Type	boolean
Is Modifier	true because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Requirements	Need to be able to mark a patient record as not to be used because it was created in error.
Meaning if Missing	This resource is generally assumed to be active if no value is provided for the active element
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Patient.name
Definition	Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido A name associated with the individual.
Short	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o ApellidoA name associated with the patient
Comments	A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control	10..*
Type	HumanName
Is Modifier	false
Must Support	true
Summary	true
Requirements	Debe siempre existir un nombre sobre el cual se pueda requerir información del paciente Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ips-pat-1: Patient.name.given, Patient.name.family o Patient.name.text DEBEN estar presentes (`family.exists() or given.exists() or text.exists()`)
Slicing	This element introduces a set of slices on `Patient.name`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ use
76. Patient.name.use
Definition	Identifies the purpose for this name.
Short	usual \| official \| temp \| nickname \| anonymous \| old \| maiden
Comments	Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control	0..1
Binding	The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use\|4.0.1`) The use of a human name.
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Requirements	Allows the appropriate name for a particular context of use to be selected from among a set of names.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
78. Patient.name.text
Definition	En caso de no poderse describir adecuadamente el nombre se puede escribir en este campo de texto como lo interpreta el registrador Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short	Text representation of the full name
Comments	Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	A renderable, unencoded form.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Patient.name.family
Definition	The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short	Family name (often called 'Surname')
Comments	Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	surname
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Patient.name.given
Definition	Given name.
Short	Given names (not always 'first'). Includes middle names
Comments	If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control	0..*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	first name, middle name
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Patient.name:NombreOficial
Slice Name	NombreOficial
Definition	Determinación del nombre registrado oficialmente del Paciente A name associated with the individual.
Short	Determinación del nombre registrado oficialmente del PacienteA name associated with the patient
Comments	A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control	10..1*
Type	HumanName
Is Modifier	false
Must Support	true
Summary	true
Requirements	Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
86. Patient.name:NombreOficial.use
Definition	este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official" Identifies the purpose for this name.
Short	uso del nombre del pacienteusual \| official \| temp \| nickname \| anonymous \| old \| maiden
Comments	Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official" Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control	10..1
Binding	The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use\|4.0.1`) The use of a human name.
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value	`official`
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Patient.name:NombreOficial.text
Definition	Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short	Text representation of the full name
Comments	Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	A renderable, unencoded form.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
90. Patient.name:NombreOficial.family
Definition	Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short	1er ApellidoFamily name (often called 'Surname')
Comments	Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control	10..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	surname
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
92. Patient.name:NombreOficial.family.extension:segundoApellido
Slice Name	segundoApellido
Definition	Segundo Apellido
Short	Segundo Apellido
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(Segundo Apellido) (Extension Type: string)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
94. Patient.name:NombreOficial.given
Definition	Todos los nombres de los pacientes no necesariamente solo el Primer Nombre Given name.
Short	Primer nombre y nombres del PacienteGiven names (not always 'first'). Includes middle names
Comments	If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control	10..*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	first name, middle name
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
96. Patient.name:NombreSocial
Slice Name	NombreSocial
Definition	Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica slo en el uso del nombre A name associated with the individual.
Short	nombre recurrente que usa el pacienteA name associated with the patient
Comments	A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.
Control	0..1*
Type	HumanName
Is Modifier	false
Must Support	true
Summary	true
Requirements	Need to be able to track the patient by multiple names. Examples are your official name and a partner name.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Patient.name:NombreSocial.use
Definition	Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual Identifies the purpose for this name.
Short	uso que se le da al nombreusual \| official \| temp \| nickname \| anonymous \| old \| maiden
Comments	Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual" Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control	10..1
Binding	The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use\|4.0.1`) The use of a human name.
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value	`usual`
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. Patient.name:NombreSocial.text
Definition	Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.
Short	Text representation of the full name
Comments	Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.
Control	0..01
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	A renderable, unencoded form.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
102. Patient.name:NombreSocial.family
Definition	The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short	Family name (often called 'Surname')
Comments	Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control	0..01
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	surname
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
104. Patient.name:NombreSocial.given
Definition	Nombre Social del Paciente Given name.
Short	Nombre SocialGiven names (not always 'first'). Includes middle names
Comments	If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control	10..*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	first name, middle name
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
106. Patient.name:NombreSocial.prefix
Definition	Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.
Short	Parts that come before the name
Control	0..0*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
108. Patient.name:NombreSocial.suffix
Definition	Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.
Short	Parts that come after the name
Control	0..0*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
110. Patient.name:NombreSocial.period
Definition	Indicates the period of time when this name was valid for the named person.
Short	Time period when name was/is in use
Control	0..01
Type	Period
Is Modifier	false
Summary	true
Requirements	Allows names to be placed in historical context.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Patient.telecom
Definition	Detalles del contacto de un paciente comunmente el o los mas usados (Ej: Teléfono fijo, móvil, email, etc.) A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.
Short	Detalles de contacto del PacienteA contact detail for the individual
Comments	A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).
Control	0..*
Type	ContactPoint
Is Modifier	false
Must Support	true
Summary	true
Requirements	People have (primary) ways to contact them in some way such as phone, email.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
114. Patient.telecom.system
Definition	Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto. Telecommunications form for contact point - what communications system is required to make use of the contact.
Short	phone \| fax \| email \| pager \| url \| sms \| other
Control	0..1 This element is affected by the following invariants: cpt-2
Binding	The codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-system`) Tipo de contacto para HL7 FHIR Telecommunications form for contact point.
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
116. Patient.telecom.value
Definition	Valor del contacto como por ejemplo el numero de telefono fijo o de móvil o el email del Paciente The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).
Short	Dato del contato del paciente descritoThe actual contact point details
Comments	Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to support legacy numbers that are not in a tightly controlled format.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
118. Patient.telecom.use
Definition	Propósito para el contacto que se ha definido Identifies the purpose for the contact point.
Short	home \| work \| temp \| old \| mobilehome \| work \| temp \| old \| mobile - purpose of this contact point
Comments	Applications can assume that a contact is current unless it explicitly says that it is temporary or old.
Control	0..1
Binding	The codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/contact-point-use`)
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
120. Patient.gender
Definition	Sexo Registrado Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.
Short	Sexo Registrado. (male \| female \| other \| unknown (requerido))male \| female \| other \| unknown
Comments	The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.
Control	0..1
Binding	The codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/administrative-gender\|4.0.1`) The gender of a person used for administrative purposes.
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Needed for identification of the individual, in combination with (at least) name and birth date.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
122. Patient.birthDate
Definition	Fecha de nacimiento del Paciente. The date of birth for the individual.
Short	Fecha de nacimiento del Paciente.The date of birth for the individual
Comments	At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).
Control	10..1
Type	date
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Age of the individual drives many clinical processes.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
LOINC Code	21112-8
124. Patient.deceased[x]
Definition	Indicates if the individual is deceased or not.
Short	Indicates if the individual is deceased or not
Comments	If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.
Control	0..1
Type	Choice of: boolean, dateTime
[x] Note	SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier	true because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Requirements	The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
126. Patient.address
Definition	An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world. An address for the individual.
Short	Tipo de dato para agragar la dirección de un pacienteAn address for the individual
Comments	Variable dirección Patient may have multiple addresses with different uses or applicable periods.
Control	0..* This element is affected by the following invariants: ele-1
Type	Address(CL Address)
Is Modifier	false
Must Support	true
Requirements	May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
128. Patient.contact
Definition	Contacto, tutor legal o representante del Paciente A contact party (e.g. guardian, partner, friend) for the patient.
Short	Contacto, tutor legal o representante del PacienteA contact party (e.g. guardian, partner, friend) for the patient
Comments	Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.
Control	0..*
Type	BackboneElement
Is Modifier	false
Must Support	true
Summary	false
Requirements	Need to track people you can contact about the patient.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) pat-1: SHALL at least contain a contact's details or a reference to an organization (`name.exists() or telecom.exists() or address.exists() or organization.exists()`) pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
130. Patient.contact.extension:IdContacto
Slice Name	IdContacto
Definition	Extensión para declarar identificación del contacto y la procedencia de esta
Short	Identificación del Contacto
Control	0..* This element is affected by the following invariants: ele-1
Type	Extension(Identificación del Contacto de un Paciente) (Complex Extension)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
132. Patient.contact.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
134. Patient.contact.relationship
Definition	The nature of the relationship between the patient and the contact person.
Short	Relación legal o de paretezco entre el contacto y el pacienteThe kind of relationship
Control	0..*
Binding	The codes SHALL be taken from Unless not suitable, these codes SHALL be taken from PatientContactRelationshiphttp://hl7.org/fhir/ValueSet/patient-contactrelationship (required to `http://hl7.org/fhir/ValueSet/patient-contactrelationship`) VS FHIR para relación del contacto con el Paciente The nature of the relationship between a patient and a contact person for that patient.
Type	CodeableConcept
Is Modifier	false
Must Support	true
Summary	false
Requirements	Used to determine which contact person is the most relevant to approach, depending on circumstances.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
136. Patient.contact.relationship.coding
Definition	A reference to a code defined by a terminology system.
Short	Code defined by a terminology system
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Control	0..*
Type	Coding
Is Modifier	false
Must Support	true
Summary	true
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
138. Patient.contact.name
Definition	Nombre del contacto asociado al paciente A name associated with the contact person.
Short	Nombre del ContactoA name associated with the contact person
Control	0..1
Type	HumanName
Is Modifier	false
Must Support	true
Summary	false
Requirements	Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
140. Patient.contact.name.use
Definition	Nombre registrado oficialmente en el Registro Civil Identifies the purpose for this name.
Short	uso del nombre del pacienteusual \| official \| temp \| nickname \| anonymous \| old \| maiden
Comments	El use DEBE ser de valor de código "official" Applications can assume that a name is current unless it explicitly says that it is temporary or old.
Control	0..1
Binding	The codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/name-use\|4.0.1`) The use of a human name.
Type	code
Is Modifier	true because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Requirements	Allows the appropriate name for a particular context of use to be selected from among a set of names.
Pattern Value	`official`
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
142. Patient.contact.name.family
Definition	Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.
Short	1er ApellidoFamily name (often called 'Surname')
Comments	Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	surname
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
144. Patient.contact.name.family.extension:segundoApellido
Slice Name	segundoApellido
Definition	Segundo Apellido
Short	Segundo Apellido
Control	0..1 This element is affected by the following invariants: ele-1
Type	Extension(Segundo Apellido) (Extension Type: string)
Is Modifier	false
Must Support	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
146. Patient.contact.name.given
Definition	Todos los nombres no necesariamente solo el Primero Given name.
Short	Primer nombre y nombres del Contacto o Representante LegalGiven names (not always 'first'). Includes middle names
Comments	If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.
Control	0..*
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Alternate Names	first name, middle name
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
148. Patient.communication
Definition	Lenguaje en el cual se puede comunicar con el paciente A language which may be used to communicate with the patient about his or her health.
Short	Lenguaje en el cual se puede comunicar con el pacienteA language which may be used to communicate with the patient about his or her health
Comments	If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.
Control	0..*
Type	BackboneElement
Is Modifier	false
Must Support	true
Summary	false
Requirements	If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
150. Patient.communication.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
152. Patient.communication.language
Definition	Código del lenguaje específico The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.
Short	Lenguaje específicoThe language which can be used to communicate with the patient about his or her health
Comments	The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.
Control	1..1
Binding	The codes SHALL be taken from The codes SHOULD be taken from Codigos Lenguajehttp://hl7.org/fhir/ValueSet/languages (required to `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje`) Value Set de HL7, # de elementos es muy grande para poder visualizarlo A human language.
Type	CodeableConcept
Is Modifier	false
Must Support	true
Summary	false
Requirements	Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
154. Patient.generalPractitioner
Definition	Proveedor de Salud designado como principal Patient's nominated care provider.
Short	Proveedor de Salud designado como principalPatient's nominated primary care provider
Comments	This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues. Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.
Control	0..*
Type	Reference(CL Organización, CL Prestador, CL RolClinico, Organization, Practitioner, PractitionerRole)
Is Modifier	false
Must Support	true
Must Support Types	No must-support rules about the choice of types/profiles
Summary	false
Alternate Names	careProvider
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
156. Patient.generalPractitioner.reference
Definition	URI de referencia a la Organización o a un Médico A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.
Short	URI de referencia a la Organización o a un MédicoLiteral reference, Relative, internal or absolute URL
Comments	Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.
Control	0..1 This element is affected by the following invariants: ref-1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
158. Patient.generalPractitioner.display
Definition	Texto alternativo a la referencia Plain text narrative that identifies the resource in addition to the resource reference.
Short	Texto alternativo a la referenciaText alternative for the resource
Comments	This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.
Control	0..1
Type	string
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Must Support	true
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
160. Patient.link
Definition	Link to another patient resource that concerns the same actual patient.
Short	Link to another patient resource that concerns the same actual person
Comments	There is no assumption that linked patient records have mutual links.
Control	0..*
Type	BackboneElement
Is Modifier	true because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
Summary	true
Requirements	There are multiple use cases: Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and Distribution of patient information across multiple servers.
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
162. Patient.link.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short	Extensions that cannot be ignored even if unrecognized
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control	0..*
Type	Extension
Is Modifier	true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary	true
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names	extensions, user content, modifiers
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
164. Patient.link.other
Definition	The other patient resource that the link refers to.
Short	The other patient or related person resource that the link refers to
Comments	Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.
Control	1..1
Type	Reference(Patient, RelatedPerson)
Is Modifier	false
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
166. Patient.link.type
Definition	The type of link between this patient resource and another patient resource.
Short	replaced-by \| replaces \| refer \| seealso
Control	1..1
Binding	The codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type\|4.0.1 (required to `http://hl7.org/fhir/ValueSet/link-type\|4.0.1`) The type of link between this patient resource and another patient resource.
Type	code
Is Modifier	false
Primitive Value	This primitive element may be present, or absent, or replaced by an extension
Summary	true
Invariants	ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be found here

0. Patient

Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

Short Information about an individual or animal receiving health care services

Control 0..*

Is Modifier false

Summary false

Alternate Names SubjectOfCare Client Resident

Invariants dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())

2. Patient.id

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Short Logical id of this artifact

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control 0..1