Resumen Clínico del Paciente de Chile
0.4.0 - STU2 Chile flag

Resumen Clínico del Paciente de Chile, published by HL7 Chile. This guide is not an authorized publication; it is the continuous build for version 0.4.0 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

Resource Profile: Documento

Official URL: https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Composition-cl-ips Version: 0.4.0
Standards status: Draft Maturity Level: 1 Computable Name: DocumentoClIps

Copyright/Legal: HL7 International

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:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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 SΣ 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) 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 Código que define el tipo de sección
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) Recurso referenciado en esta sección
ele-1: All FHIR elements must have a @value or children
...... entry:prescripciones SC 0..* Reference(Solicitud de medicación) 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) 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) 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) 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) 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) 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) 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) Recurso referenciado en esta sección
ele-1: All FHIR elements must have a @value or children
...... entry:resultado-reporte SC 0..* Reference(Reporte Diagnóstico) 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) 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) 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 - HS: Uso de tabaco) Recurso referenciado en esta sección
ele-1: All FHIR elements must have a @value or children
...... entry:alcohol SC 0..1 Reference(Observación - HS: Uso de Alcohol) 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) Recurso referenciado en esta sección
ele-1: All FHIR elements must have a @value or children
...... entry:resultadoEmbarazo SC 0..* Reference(Observación - Embarazo: Resultados) 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) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status
from the FHIR Standard
Composition.typepreferredPattern: LOINC Code 60591-5
https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinico
Composition.attester.moderequiredCompositionAttestationMode
http://hl7.org/fhir/ValueSet/composition-attestation-mode
from the FHIR Standard
Composition.event:careProvisioningEvent.codeexamplePattern: PCPR
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionMedicamentos.codeexamplePattern: LOINC Code 10160-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionAlergias.codeexamplePattern: LOINC Code 48765-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProblemas.codeexamplePattern: LOINC Code 11450-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionProcedimientos.codeexamplePattern: LOINC Code 47519-4
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionImmunizaciones.codeexamplePattern: LOINC Code 11369-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionDispMedicos.codeexamplePattern: LOINC Code 46264-8
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionResultados.codeexamplePattern: LOINC Code 30954-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionSignosVitales.codeexamplePattern: LOINC Code 8716-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHistoricoHx.codeexamplePattern: LOINC Code 11348-0
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionStatusFuncional.codeexamplePattern: LOINC Code 47420-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionPlanCuidado.codeexamplePattern: LOINC Code 18776-5
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionHistoriaSocial.codeexamplePattern: LOINC Code 29762-2
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionEmbarazoHx.codeexamplePattern: LOINC Code 10162-6
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionFlagAlerts.codeexamplePattern: LOINC Code 104605-1
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard
Composition.section:sectionDirectivasAvanzadas.codeexamplePattern: LOINC Code 42348-3
http://hl7.org/fhir/ValueSet/doc-section-codes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.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:sectionDirectivasAvanzadasA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.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:sectionDirectivasAvanzadasA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf 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-4errorCompositionIf 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-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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