Resumen Clínico de Paciente de Chile (IPS-CL)
0.3.0-ballot - STU2 Ballot 1
Resumen Clínico de Paciente de Chile (IPS-CL)
0.3.0-ballot - STU2 Ballot 1
Resumen Clínico de Paciente de Chile (IPS-CL), published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Chile/IPS-CL/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Composition-cl-ips | Version: 0.3.0-ballot | |||
| Standards status: Draft | Maturity Level: 1 | Computable Name: DocumentoClIps | ||
Copyright/Legal: HL7 International |
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Documento clínico utilizado para representar el conjunto de datos del Resumen Internacional de Pacientes (IPS). Un documento de Resumen Internacional de Paciente (IPS) es un extracto de historia clínica electrónica que contiene información sanitaria esencial sobre un sujeto de atención. El conjunto de datos IPS es mínimo y no exhaustivo; independiente de la especialidad y la afección; pero sigue siendo clínicamente relevante. Tal como se especifica en las normas EN 17269 e ISO 27269, está diseñado para apoyar el caso de uso de la «atención transfronteriza no planificada», pero no se limita a él. Pretende ser internacional, es decir, ofrecer soluciones genéricas para su aplicación global más allá de una región o país concretos.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from DocumentoCl
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile | |
  text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana |
| identifier |
0..1 | Identifier | Identificador independiente de la versión para la Composición | |
  type |
1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Required Pattern: At least the following | |
   coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
 subject |
1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición | |
| reference |
S | 1..1 | string | Referencia literal, interna o url absoluta |
| date |
1..1 | dateTime | Hora de edición de la composición | |
| author |
1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS | |
| title |
1..1 | string | International Patient Summary Genérico para uso en Chile | |
| attester |
0..* | BackboneElement | Atestigua la exactitud de la composición | |
| time |
0..1 | dateTime | Hora y fecha que atestigua el composición | |
| party |
0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición | |
| custodian |
0..1 | Reference(CL Organización) | Organización que mantiente la composición | |
| relatesTo |
||||
 target[x] |
1..1 | Objetivo de la relación | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(Composition | Documento (IPS-CL)) | |||
 Slices for event |
0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code | |
  event:careProvisioningEvent |
S | 0..1 | BackboneElement | La asistencia descrita en el documento |
 code |
S | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Required Pattern: At least the following |
 coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
 period |
S | 0..1 | Period | The period covered by the documentation |
| Slices for section |
3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code | |
 section:All Slices |
Content/Rules for all slices | |||
  code |
1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text | |
| text |
1..1 | Narrative | Texto que describe el contenido de la sección | |
| emptyReason |
0..0 | |||
 section |
0..0 | |||
| section:sectionMedicamentos |
S | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS |
 title |
S | 1..1 | string | Sección de Resumen de Medicamentos |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
 Slices for entry |
1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() | |
| entry:listMedicamentos |
0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:prescripciones |
0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionAlergias |
S | 1..1 | BackboneElement | Sección de Alergias e Intolerancias |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| Slices for entry |
1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:alergias |
S | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionProblemas |
S | 1..1 | BackboneElement | Problemas de Salud |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| Slices for entry |
1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:problema |
S | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionProcedimientos |
S | 0..1 | BackboneElement | Historial de Procedimientos |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| Slices for entry |
1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() | |
| entry:procedimiento |
S | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionImmunizaciones |
S | 0..1 | BackboneElement | Sección de Inmunizaciones |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| Slices for entry |
1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() | |
| entry:immunizacion |
S | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionDispMedicos |
S | 0..1 | BackboneElement | Sección de Dispositivos Médicos |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
| Slices for entry |
1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() | |
| entry:deviceStatement |
S | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionResultados |
S | 0..1 | BackboneElement | Sección de Resultados |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| Slices for entry |
1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() | |
| entry:resultados-obs-lab-pato |
S | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección |
| entry:resultados-obs-radio |
S | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección |
| entry:resultado-reporte |
S | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionSignosVitales |
0..1 | BackboneElement | Sección de Signos Vitales | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() | |
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección | |
| section:sectionHistoricoHx |
0..1 | BackboneElement | Histórico de enfermedades | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| Slices for entry |
1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() | |
| entry:pastProblem |
1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionStatusFuncional |
0..1 | BackboneElement | Status Funcional | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() | |
| entry:discapacidad |
0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:evalFuncional |
0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección | |
| section:sectionPlanCuidado |
0..1 | BackboneElement | Plan de Cuidado | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| Slices for entry |
0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() | |
| entry:carePlan |
0..* | Reference(CarePlan) | Recurso referenciado en esta sección | |
| section:sectionHistoriaSocial |
0..1 | BackboneElement | Historia Social | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() | |
| entry:fumador |
0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección | |
| entry:alcohol |
0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección | |
| section:sectionEmbarazoHx |
0..1 | BackboneElement | Historial de Embarazos | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() | |
| entry:statusEmbarazo |
0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:resultadoEmbarazo |
0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionFlagAlerts |
0..1 | BackboneElement | Flag - Alertas | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:alertsFlag |
0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionDirectivasAvanzadas |
0..1 | BackboneElement | Sección de Consentimientos | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:advanceDirectivesConsent |
0..* | Reference(Consent) | Recurso referenciado en esta sección | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| identifier |
SΣ | 0..1 | Identifier | Identificador independiente de la versión para la Composición ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar ele-1: All FHIR elements must have a @value or children |
| type |
S | 1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Binding: Tipos de Documentos Clínicos (preferred) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| subject |
SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición ele-1: All FHIR elements must have a @value or children |
| reference |
SΣC | 1..1 | string | Referencia literal, interna o url absoluta ele-1: All FHIR elements must have a @value or children |
| encounter |
SΣ | 0..1 | Reference(CL Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. ele-1: All FHIR elements must have a @value or children |
| date |
SΣ | 1..1 | dateTime | Hora de edición de la composición ele-1: All FHIR elements must have a @value or children |
| author |
SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS ele-1: All FHIR elements must have a @value or children |
| title |
SΣ | 1..1 | string | International Patient Summary Genérico para uso en Chile ele-1: All FHIR elements must have a @value or children |
| attester |
S | 0..* | BackboneElement | Atestigua la exactitud de la composición ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| mode |
S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR ele-1: All FHIR elements must have a @value or children |
| time |
S | 0..1 | dateTime | Hora y fecha que atestigua el composición ele-1: All FHIR elements must have a @value or children |
| party |
S | 0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición ele-1: All FHIR elements must have a @value or children |
| custodian |
SΣ | 0..1 | Reference(CL Organización) | Organización que mantiente la composición ele-1: All FHIR elements must have a @value or children |
| Slices for event |
Σ | 0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code ele-1: All FHIR elements must have a @value or children |
| event:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| event:careProvisioningEvent |
SΣ | 0..1 | BackboneElement | La asistencia descrita en el documento ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
SΣ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
| period |
SΣ | 0..1 | Period | The period covered by the documentation ele-1: All FHIR elements must have a @value or children |
| Slices for section |
SC | 3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children |
| text |
SC | 1..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| entry |
SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionMedicamentos |
SC | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Sección de Resumen de Medicamentos ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:listMedicamentos |
SC | 0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:prescripciones |
SC | 0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionAlergias |
SC | 1..1 | BackboneElement | Sección de Alergias e Intolerancias cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:alergias |
SC | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionProblemas |
SC | 1..1 | BackboneElement | Problemas de Salud cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:problema |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionProcedimientos |
SC | 0..1 | BackboneElement | Historial de Procedimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:procedimiento |
SC | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionImmunizaciones |
SC | 0..1 | BackboneElement | Sección de Inmunizaciones cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:immunizacion |
SC | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionDispMedicos |
SC | 0..1 | BackboneElement | Sección de Dispositivos Médicos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:deviceStatement |
SC | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionResultados |
SC | 0..1 | BackboneElement | Sección de Resultados cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:resultados-obs-lab-pato |
SC | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultados-obs-radio |
SC | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultado-reporte |
SC | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionSignosVitales |
SC | 0..1 | BackboneElement | Sección de Signos Vitales cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:vitalSign |
SC | 0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionHistoricoHx |
SC | 0..1 | BackboneElement | Histórico de enfermedades cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:pastProblem |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionStatusFuncional |
SC | 0..1 | BackboneElement | Status Funcional cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:discapacidad |
SC | 0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:evalFuncional |
SC | 0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionPlanCuidado |
SC | 0..1 | BackboneElement | Plan de Cuidado cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:carePlan |
SC | 0..* | Reference(CarePlan) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionHistoriaSocial |
SC | 0..1 | BackboneElement | Historia Social cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:fumador |
SC | 0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:alcohol |
SC | 0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionEmbarazoHx |
SC | 0..1 | BackboneElement | Historial de Embarazos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:statusEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultadoEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionFlagAlerts |
SC | 0..1 | BackboneElement | Flag - Alertas cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:alertsFlag |
SC | 0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionDirectivasAvanzadas |
SC | 0..1 | BackboneElement | Sección de Consentimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:advanceDirectivesConsent |
SC | 0..* | Reference(Consent) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | Pattern: LOINC Code 60591-5https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinico | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.event:careProvisioningEvent.code | example | Pattern: PCPRhttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionMedicamentos.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionAlergias.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionProblemas.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionProcedimientos.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionImmunizaciones.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionDispMedicos.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionResultados.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionSignosVitales.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionHistoricoHx.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionStatusFuncional.code | example | Pattern: LOINC Code 47420-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionPlanCuidado.code | example | Pattern: LOINC Code 18776-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionHistoriaSocial.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionEmbarazoHx.code | example | Pattern: LOINC Code 10162-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionFlagAlerts.code | example | Pattern: LOINC Code 104605-1http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionDirectivasAvanzadas.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | 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: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..1 | Identifier | Identificador independiente de la versión para la Composición | ||||
| status |
?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar | ||||
| type |
S | 1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Binding: Tipos de Documentos Clínicos (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
SΣ | 0..1 | Reference(CL Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. | ||||
| date |
SΣ | 1..1 | dateTime | Hora de edición de la composición | ||||
| author |
SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS | ||||
| title |
SΣ | 1..1 | string | International Patient Summary Genérico para uso en Chile | ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester |
S | 0..* | BackboneElement | Atestigua la exactitud de la composición | ||||
| 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 | ||||
| mode |
S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR | ||||
| time |
S | 0..1 | dateTime | Hora y fecha que atestigua el composición | ||||
| party |
S | 0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición | ||||
| custodian |
SΣ | 0..1 | Reference(CL Organización) | Organización que mantiente la composición | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Objetivo de la relación | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition | Documento (IPS-CL)) | |||||||
| Slices for event |
Σ | 0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code | ||||
| event:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| event:careProvisioningEvent |
SΣ | 0..1 | BackboneElement | La asistencia descrita en el documento | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
SΣ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| 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 | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 1..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección | ||||
| section:sectionMedicamentos |
SC | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Sección de Resumen de Medicamentos | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() | ||||
| entry:listMedicamentos |
SC | 0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:prescripciones |
SC | 0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionAlergias |
SC | 1..1 | BackboneElement | Sección de Alergias e Intolerancias cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:alergias |
SC | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionProblemas |
SC | 1..1 | BackboneElement | Problemas de Salud cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:problema |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionProcedimientos |
SC | 0..1 | BackboneElement | Historial de Procedimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedimiento |
SC | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionImmunizaciones |
SC | 0..1 | BackboneElement | Sección de Inmunizaciones cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizacion |
SC | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionDispMedicos |
SC | 0..1 | BackboneElement | Sección de Dispositivos Médicos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() | ||||
| entry:deviceStatement |
SC | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionResultados |
SC | 0..1 | BackboneElement | Sección de Resultados cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() | ||||
| entry:resultados-obs-lab-pato |
SC | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultados-obs-radio |
SC | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultado-reporte |
SC | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionSignosVitales |
SC | 0..1 | BackboneElement | Sección de Signos Vitales cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() | ||||
| entry:vitalSign |
SC | 0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionHistoricoHx |
SC | 0..1 | BackboneElement | Histórico de enfermedades cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() | ||||
| entry:pastProblem |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionStatusFuncional |
SC | 0..1 | BackboneElement | Status Funcional cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() | ||||
| entry:discapacidad |
SC | 0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:evalFuncional |
SC | 0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionPlanCuidado |
SC | 0..1 | BackboneElement | Plan de Cuidado cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() | ||||
| entry:carePlan |
SC | 0..* | Reference(CarePlan) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionHistoriaSocial |
SC | 0..1 | BackboneElement | Historia Social cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() | ||||
| entry:fumador |
SC | 0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección | ||||
| entry:alcohol |
SC | 0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionEmbarazoHx |
SC | 0..1 | BackboneElement | Historial de Embarazos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() | ||||
| entry:statusEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultadoEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionFlagAlerts |
SC | 0..1 | BackboneElement | Flag - Alertas cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:alertsFlag |
SC | 0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionDirectivasAvanzadas |
SC | 0..1 | BackboneElement | Sección de Consentimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:advanceDirectivesConsent |
SC | 0..* | Reference(Consent) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | ||||
| Composition.type | preferred | Pattern: LOINC Code 60591-5https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinico | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.event:careProvisioningEvent.code | example | Pattern: PCPRhttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionAlergias.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionProblemas.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionResultados.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.code | example | Pattern: LOINC Code 47420-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.code | example | Pattern: LOINC Code 18776-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.code | example | Pattern: LOINC Code 10162-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.code | example | Pattern: LOINC Code 104605-1http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | 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 DocumentoCl
Summary
Mandatory: 15 elements(22 nested mandatory elements)
Must-Support: 27 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Differential View
This structure is derived from DocumentoCl
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile | |
| text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana |
| identifier |
0..1 | Identifier | Identificador independiente de la versión para la Composición | |
| type |
1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| subject |
1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición | |
| reference |
S | 1..1 | string | Referencia literal, interna o url absoluta |
| date |
1..1 | dateTime | Hora de edición de la composición | |
| author |
1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS | |
| title |
1..1 | string | International Patient Summary Genérico para uso en Chile | |
| attester |
0..* | BackboneElement | Atestigua la exactitud de la composición | |
| time |
0..1 | dateTime | Hora y fecha que atestigua el composición | |
| party |
0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición | |
| custodian |
0..1 | Reference(CL Organización) | Organización que mantiente la composición | |
| relatesTo |
||||
| target[x] |
1..1 | Objetivo de la relación | ||
| targetIdentifier |
Identifier | |||
| targetReference |
Reference(Composition | Documento (IPS-CL)) | |||
| Slices for event |
0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code | |
| event:careProvisioningEvent |
S | 0..1 | BackboneElement | La asistencia descrita en el documento |
| code |
S | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
| period |
S | 0..1 | Period | The period covered by the documentation |
| Slices for section |
3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code | |
| section:All Slices |
Content/Rules for all slices | |||
| code |
1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text | |
| text |
1..1 | Narrative | Texto que describe el contenido de la sección | |
| emptyReason |
0..0 | |||
| section |
0..0 | |||
| section:sectionMedicamentos |
S | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS |
| title |
S | 1..1 | string | Sección de Resumen de Medicamentos |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| Slices for entry |
1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() | |
| entry:listMedicamentos |
0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:prescripciones |
0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionAlergias |
S | 1..1 | BackboneElement | Sección de Alergias e Intolerancias |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| Slices for entry |
1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:alergias |
S | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionProblemas |
S | 1..1 | BackboneElement | Problemas de Salud |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| Slices for entry |
1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:problema |
S | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionProcedimientos |
S | 0..1 | BackboneElement | Historial de Procedimientos |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| Slices for entry |
1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() | |
| entry:procedimiento |
S | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionImmunizaciones |
S | 0..1 | BackboneElement | Sección de Inmunizaciones |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| Slices for entry |
1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() | |
| entry:immunizacion |
S | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionDispMedicos |
S | 0..1 | BackboneElement | Sección de Dispositivos Médicos |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
| Slices for entry |
1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() | |
| entry:deviceStatement |
S | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionResultados |
S | 0..1 | BackboneElement | Sección de Resultados |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| Slices for entry |
1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() | |
| entry:resultados-obs-lab-pato |
S | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección |
| entry:resultados-obs-radio |
S | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección |
| entry:resultado-reporte |
S | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección |
| section:sectionSignosVitales |
0..1 | BackboneElement | Sección de Signos Vitales | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() | |
| entry:vitalSign |
0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección | |
| section:sectionHistoricoHx |
0..1 | BackboneElement | Histórico de enfermedades | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| Slices for entry |
1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() | |
| entry:pastProblem |
1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionStatusFuncional |
0..1 | BackboneElement | Status Funcional | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| Slices for entry |
0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() | |
| entry:discapacidad |
0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:evalFuncional |
0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección | |
| section:sectionPlanCuidado |
0..1 | BackboneElement | Plan de Cuidado | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| Slices for entry |
0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() | |
| entry:carePlan |
0..* | Reference(CarePlan) | Recurso referenciado en esta sección | |
| section:sectionHistoriaSocial |
0..1 | BackboneElement | Historia Social | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() | |
| entry:fumador |
0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección | |
| entry:alcohol |
0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección | |
| section:sectionEmbarazoHx |
0..1 | BackboneElement | Historial de Embarazos | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
| Slices for entry |
0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() | |
| entry:statusEmbarazo |
0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección | |
| entry:resultadoEmbarazo |
0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionFlagAlerts |
0..1 | BackboneElement | Flag - Alertas | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |
| Slices for entry |
0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:alertsFlag |
0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección | |
| section:sectionDirectivasAvanzadas |
0..1 | BackboneElement | Sección de Consentimientos | |
| title |
1..1 | string | Label for section (e.g. for ToC) | |
| code |
0..1 | CodeableConcept | Código que define el tipo de sección Required Pattern: At least the following | |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
| Slices for entry |
0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() | |
| entry:advanceDirectivesConsent |
0..* | Reference(Consent) | Recurso referenciado en esta sección | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| identifier |
SΣ | 0..1 | Identifier | Identificador independiente de la versión para la Composición ele-1: All FHIR elements must have a @value or children |
| status |
?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar ele-1: All FHIR elements must have a @value or children |
| type |
S | 1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Binding: Tipos de Documentos Clínicos (preferred) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
| subject |
SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición ele-1: All FHIR elements must have a @value or children |
| reference |
SΣC | 1..1 | string | Referencia literal, interna o url absoluta ele-1: All FHIR elements must have a @value or children |
| encounter |
SΣ | 0..1 | Reference(CL Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. ele-1: All FHIR elements must have a @value or children |
| date |
SΣ | 1..1 | dateTime | Hora de edición de la composición ele-1: All FHIR elements must have a @value or children |
| author |
SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS ele-1: All FHIR elements must have a @value or children |
| title |
SΣ | 1..1 | string | International Patient Summary Genérico para uso en Chile ele-1: All FHIR elements must have a @value or children |
| attester |
S | 0..* | BackboneElement | Atestigua la exactitud de la composición ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| mode |
S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR ele-1: All FHIR elements must have a @value or children |
| time |
S | 0..1 | dateTime | Hora y fecha que atestigua el composición ele-1: All FHIR elements must have a @value or children |
| party |
S | 0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición ele-1: All FHIR elements must have a @value or children |
| custodian |
SΣ | 0..1 | Reference(CL Organización) | Organización que mantiente la composición ele-1: All FHIR elements must have a @value or children |
| Slices for event |
Σ | 0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code ele-1: All FHIR elements must have a @value or children |
| event:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| event:careProvisioningEvent |
SΣ | 0..1 | BackboneElement | La asistencia descrita en el documento ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
SΣ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |
| period |
SΣ | 0..1 | Period | The period covered by the documentation ele-1: All FHIR elements must have a @value or children |
| Slices for section |
SC | 3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| section:All Slices |
Content/Rules for all slices | |||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| code |
S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children |
| text |
SC | 1..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| entry |
SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionMedicamentos |
SC | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Sección de Resumen de Medicamentos ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:listMedicamentos |
SC | 0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:prescripciones |
SC | 0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionAlergias |
SC | 1..1 | BackboneElement | Sección de Alergias e Intolerancias cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:alergias |
SC | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionProblemas |
SC | 1..1 | BackboneElement | Problemas de Salud cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:problema |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionProcedimientos |
SC | 0..1 | BackboneElement | Historial de Procedimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:procedimiento |
SC | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionImmunizaciones |
SC | 0..1 | BackboneElement | Sección de Inmunizaciones cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:immunizacion |
SC | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionDispMedicos |
SC | 0..1 | BackboneElement | Sección de Dispositivos Médicos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:deviceStatement |
SC | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionResultados |
SC | 0..1 | BackboneElement | Sección de Resultados cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
S | 1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:resultados-obs-lab-pato |
SC | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultados-obs-radio |
SC | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultado-reporte |
SC | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionSignosVitales |
SC | 0..1 | BackboneElement | Sección de Signos Vitales cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:vitalSign |
SC | 0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionHistoricoHx |
SC | 0..1 | BackboneElement | Histórico de enfermedades cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:pastProblem |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionStatusFuncional |
SC | 0..1 | BackboneElement | Status Funcional cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:discapacidad |
SC | 0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:evalFuncional |
SC | 0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionPlanCuidado |
SC | 0..1 | BackboneElement | Plan de Cuidado cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:carePlan |
SC | 0..* | Reference(CarePlan) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionHistoriaSocial |
SC | 0..1 | BackboneElement | Historia Social cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:fumador |
SC | 0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:alcohol |
SC | 0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionEmbarazoHx |
SC | 0..1 | BackboneElement | Historial de Embarazos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:statusEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| entry:resultadoEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionFlagAlerts |
SC | 0..1 | BackboneElement | Flag - Alertas cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:alertsFlag |
SC | 0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| section:sectionDirectivasAvanzadas |
SC | 0..1 | BackboneElement | Sección de Consentimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| title |
1..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children |
| Slices for entry |
SC | 0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children |
| entry:advanceDirectivesConsent |
SC | 0..* | Reference(Consent) | Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | Pattern: LOINC Code 60591-5https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinico | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.event:careProvisioningEvent.code | example | Pattern: PCPRhttp://terminology.hl7.org/ValueSet/v3-ActCode | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionMedicamentos.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionAlergias.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionProblemas.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionProcedimientos.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionImmunizaciones.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionDispMedicos.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionResultados.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionSignosVitales.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionHistoricoHx.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionStatusFuncional.code | example | Pattern: LOINC Code 47420-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionPlanCuidado.code | example | Pattern: LOINC Code 18776-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionHistoriaSocial.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionEmbarazoHx.code | example | Pattern: LOINC Code 10162-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionFlagAlerts.code | example | Pattern: LOINC Code 104605-1http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | |
| Composition.section:sectionDirectivasAvanzadas.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Composition |
0..* | DocumentoCl | Composición de un Resumen Clínico de Paciente Para Chile | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | 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: CommonLanguages (preferred): A human language.
| |||||
| text |
S | 0..1 | Narrative | Resumen de texto del recurso, para interpretación humana | ||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
SΣ | 0..1 | Identifier | Identificador independiente de la versión para la Composición | ||||
| status |
?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar | ||||
| type |
S | 1..1 | CodeableConceptIPS | Tipo de Documento ("Resumen de Paciente") Binding: Tipos de Documentos Clínicos (preferred) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| category |
Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject |
SΣ | 1..1 | Reference(Paciente (IPS-CL)) | Quién y/o qué trata la composición | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Referencia literal, interna o url absoluta | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
SΣ | 0..1 | Reference(CL Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. | ||||
| date |
SΣ | 1..1 | dateTime | Hora de edición de la composición | ||||
| author |
SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Organización) | Quién y/o qué fue el autor del IPS | ||||
| title |
SΣ | 1..1 | string | International Patient Summary Genérico para uso en Chile | ||||
| confidentiality |
Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
| attester |
S | 0..* | BackboneElement | Atestigua la exactitud de la composición | ||||
| 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 | ||||
| mode |
S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR | ||||
| time |
S | 0..1 | dateTime | Hora y fecha que atestigua el composición | ||||
| party |
S | 0..1 | Reference(CL Paciente | RelatedPerson | CL Prestador | CL RolClinico | CL Organización) | Quien atestigua la composición | ||||
| custodian |
SΣ | 0..1 | Reference(CL Organización) | Organización que mantiente la composición | ||||
| relatesTo |
0..* | BackboneElement | Relationships to other compositions/documents | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
| target[x] |
1..1 | Objetivo de la relación | ||||||
| targetIdentifier |
Identifier | |||||||
| targetReference |
Reference(Composition | Documento (IPS-CL)) | |||||||
| Slices for event |
Σ | 0..* | BackboneElement | El(los) servicio(s) clínico(s) que están siendo documentados Slice: Unordered, Open by pattern:code | ||||
| event:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
| period |
Σ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| event:careProvisioningEvent |
SΣ | 0..1 | BackboneElement | La asistencia descrita en el documento | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
SΣ | 1..1 | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: PCPR | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| period |
SΣ | 0..1 | Period | The period covered by the documentation | ||||
| detail |
Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
| Slices for section |
SC | 3..* | BackboneElement | Secciones que componen el IPS Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| section:All Slices |
Content/Rules for all slices | |||||||
| 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 | ||||
| title |
0..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 1..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: DocumentSectionCodes (example) | ||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 1..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| entry |
SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección | ||||
| section:sectionMedicamentos |
SC | 1..1 | BackboneElement | Sección de Resumen de Medicamentos IPS cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Sección de Resumen de Medicamentos | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(MedicationStatement | MedicationRequest | MedicationAdministration | MedicationDispense | DocumentReference) | Medicamentos relevantes para la salud del paciente Slice: Unordered, Open by profile:resolve() | ||||
| entry:listMedicamentos |
SC | 0..* | Reference(Declaración de medicación (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:prescripciones |
SC | 0..* | Reference(Solicitud de medicación (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionAlergias |
SC | 1..1 | BackboneElement | Sección de Alergias e Intolerancias cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(AllergyIntolerance | DocumentReference) | Alergias o intolerancias (afecciones) relevantes para ese paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:alergias |
SC | 1..* | Reference(Alergias e Intolerancias (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionProblemas |
SC | 1..1 | BackboneElement | Problemas de Salud cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Problemas o afecciones clínicas que se están controlando actualmente en el paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:problema |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionProcedimientos |
SC | 0..1 | BackboneElement | Historial de Procedimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Procedure | DocumentReference) | Procedimientos anteriores del paciente pertinentes para el ámbito de este documento. Slice: Unordered, Open by profile:resolve() | ||||
| entry:procedimiento |
SC | 1..* | Reference(Procedimientos (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionImmunizaciones |
SC | 0..1 | BackboneElement | Sección de Inmunizaciones cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11369-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Immunization | DocumentReference) | Estado de vacunación del paciente y antecedentes pertinentes. Slice: Unordered, Open by profile:resolve() | ||||
| entry:immunizacion |
SC | 1..* | Reference(Inmunización (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionDispMedicos |
SC | 0..1 | BackboneElement | Sección de Dispositivos Médicos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 46264-8 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(DeviceUseStatement | DocumentReference) | La historia de dispositivos médicos en uso Slice: Unordered, Open by profile:resolve() | ||||
| entry:deviceStatement |
SC | 1..* | Reference(Declaración de uso del dispositivo (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionResultados |
SC | 0..1 | BackboneElement | Sección de Resultados cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
S | 1..1 | string | Label for section (e.g. for ToC) | ||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Observation | DiagnosticReport | DocumentReference) | Resultados de observación relevantes recogidos en el paciente o producidos en muestras biológicas in vitro recogidas del paciente. Slice: Unordered, Open by type:resolve(), profile:resolve() | ||||
| entry:resultados-obs-lab-pato |
SC | 0..* | Reference(Observación Resultado: Laboratorio/Patología (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultados-obs-radio |
SC | 0..* | Reference(Observación Resultado: Imagenológico (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultado-reporte |
SC | 0..* | Reference(Reporte Diagnóstico (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionSignosVitales |
SC | 0..1 | BackboneElement | Sección de Signos Vitales cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 8716-3 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Signos vitales o hallazgos físicos de interés. Slice: Unordered, Open by profile:resolve() | ||||
| entry:vitalSign |
SC | 0..* | Reference(Vital Signs Profile) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionHistoricoHx |
SC | 0..1 | BackboneElement | Histórico de enfermedades cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11348-0 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 1..* | Reference(Condition | DocumentReference) | Condiciones sufridas por el paciente en el pasado Slice: Unordered, Open by profile:resolve() | ||||
| entry:pastProblem |
SC | 1..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionStatusFuncional |
SC | 0..1 | BackboneElement | Status Funcional cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47420-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Condition | ClinicalImpression | DocumentReference) | Entrada opcional utilizada para representar discapacidades y evaluaciones funcionales Slice: Unordered, Open by profile:resolve() | ||||
| entry:discapacidad |
SC | 0..* | Reference(Condición (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:evalFuncional |
SC | 0..* | Reference(ClinicalImpression) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionPlanCuidado |
SC | 0..1 | BackboneElement | Plan de Cuidado cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 18776-5 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(CarePlan | DocumentReference) | Resumen de plan de cuidados Slice: Unordered, Open by profile:resolve() | ||||
| entry:carePlan |
SC | 0..* | Reference(CarePlan) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionHistoriaSocial |
SC | 0..1 | BackboneElement | Historia Social cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 29762-2 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Aspectos relacionados con salud "factores de estilo de vida" u "observaciones asociadas a estilos de vida" (e.j. Hábitos de fumar; consumo de alcohol; dietas, hábitos de riesgo.) Slice: Unordered, Open by profile:resolve() | ||||
| entry:fumador |
SC | 0..1 | Reference(Observación - SH: Uso de tabaco (IPS CL)) | Recurso referenciado en esta sección | ||||
| entry:alcohol |
SC | 0..1 | Reference(Observación - SH: Uso de Alcohol (IPS CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionEmbarazoHx |
SC | 0..1 | BackboneElement | Historial de Embarazos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10162-6 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Observation | DocumentReference) | Estado actual del embarazo y, opcionalmente, información sobre el resultado de embarazos anteriores. Slice: Unordered, Open by profile:resolve() | ||||
| entry:statusEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Estado (IPS-CL)) | Recurso referenciado en esta sección | ||||
| entry:resultadoEmbarazo |
SC | 0..* | Reference(Observación - Embarazo: Resultados (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionFlagAlerts |
SC | 0..1 | BackboneElement | Flag - Alertas cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 104605-1 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Flag | DocumentReference) | Información sobre alertas relacionadas al paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:alertsFlag |
SC | 0..* | Reference(Flag - Alerta (IPS-CL)) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| section:sectionDirectivasAvanzadas |
SC | 0..1 | BackboneElement | Sección de Consentimientos cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
| 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 | ||||
| title |
1..1 | string | Label for section (e.g. for ToC) | |||||
| code |
S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 42348-3 | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| author |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
| focus |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
| text |
SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| mode |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
| orderedBy |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
| Slices for entry |
SC | 0..* | Reference(Consent | DocumentReference) | Descripción narrativa del documento de declaraciones de acceso del paciente. Slice: Unordered, Open by profile:resolve() | ||||
| entry:advanceDirectivesConsent |
SC | 0..* | Reference(Consent) | Recurso referenciado en esta sección | ||||
| emptyReason |
C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
| section |
C | 0..* | See section (Composition) | Nested Section | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | ||||
| Composition.type | preferred | Pattern: LOINC Code 60591-5https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinico | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.event:careProvisioningEvent.code | example | Pattern: PCPRhttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.code | example | Pattern: LOINC Code 10160-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionMedicamentos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.code | example | Pattern: LOINC Code 48765-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionAlergias.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionAlergias.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.code | example | Pattern: LOINC Code 11450-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionProblemas.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionProblemas.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.code | example | Pattern: LOINC Code 47519-4http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionProcedimientos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.code | example | Pattern: LOINC Code 11369-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionImmunizaciones.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.code | example | Pattern: LOINC Code 46264-8http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionDispMedicos.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.code | example | Pattern: LOINC Code 30954-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionResultados.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionResultados.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.code | example | Pattern: LOINC Code 8716-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionSignosVitales.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.code | example | Pattern: LOINC Code 11348-0http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionHistoricoHx.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.code | example | Pattern: LOINC Code 47420-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionStatusFuncional.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.code | example | Pattern: LOINC Code 18776-5http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionPlanCuidado.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.code | example | Pattern: LOINC Code 29762-2http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionHistoriaSocial.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.code | example | Pattern: LOINC Code 10162-6http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionEmbarazoHx.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.code | example | Pattern: LOINC Code 104605-1http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionFlagAlerts.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.code | example | Pattern: LOINC Code 42348-3http://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section:sectionDirectivasAvanzadas.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedicamentos, Composition.section:sectionAlergias, Composition.section:sectionProblemas, Composition.section:sectionProcedimientos, Composition.section:sectionImmunizaciones, Composition.section:sectionDispMedicos, Composition.section:sectionResultados, Composition.section:sectionSignosVitales, Composition.section:sectionHistoricoHx, Composition.section:sectionStatusFuncional, Composition.section:sectionPlanCuidado, Composition.section:sectionHistoriaSocial, Composition.section:sectionEmbarazoHx, Composition.section:sectionFlagAlerts, Composition.section:sectionDirectivasAvanzadas | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | 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 | Composition | 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 | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | 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 DocumentoCl
Summary
Mandatory: 15 elements(22 nested mandatory elements)
Must-Support: 27 elements
Prohibited: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron