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

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Resource Profile: Observación Resultado: Imagenológico

Resultados obtenidos para un examen imagenológico

Usage:

• Use this Resource Profile: Bundle Resumen Clínico
• Refer to this Resource Profile: Documento, Reporte Diagnóstico and Observación Resultado: Imagenológico
• Examples for this Resource Profile: Observation/ResultadoRadiologyCLEjemplo

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions 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 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-obs-1: hasMember y el component son mutuamente exclusivo
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
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..*	Identifier	Identificación para la observación ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(Estudio de Imagenología)	Referencia al estudio ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación 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/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	0..1		Resultado Actual Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual Resultado ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Muestra)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Utilizados como guía para la interpretación ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text
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
hasMember	SΣ	0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
Slices for component	SΣ	0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value ele-1: All FHIR elements must have a @value or children
component: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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionTextual	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	string	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionCodigo	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	CodeableConceptIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionNumericaCuantitativa	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	QuantityIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionRangoNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	RangeIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionRadioNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	RatioIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionMuestraDatos	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	SampledData	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:radiologia	preferred	Pattern: imaging http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionTextual.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionCodigo.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions ips-obs-1: hasMember y el component son mutuamente exclusivo
partOf		0..*	Reference(Estudio de Imagenología)	Referencia al estudio
status		1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
subject		1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación
effective[x]	C	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
performer		1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado Actual Slice: Unordered, Open by type:$this
value[x]:valueString	S	0..1	string	Actual Resultado
interpretation		0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde
specimen		0..1	Reference(Muestra)	Muestra tomada para la observación
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device
referenceRange		0..*	BackboneElement	Utilizados como guía para la interpretación
hasMember		0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación
Slices for component		0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value
component:observacionTextual		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]		0..1	string	Actual Resultado del componente
component:observacionCodigo		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
value[x]		0..1	CodeableConceptIPS	Actual Resultado del componente
component:observacionMedicionNumericaCuantitativa		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	QuantityIPS	Actual Resultado del componente
component:observacionMedicionRangoNumerico		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	RangeIPS	Actual Resultado del componente
component:observacionMedicionRadioNumerico		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	RatioIPS	Actual Resultado del componente
component:observacionMedicionMuestraDatos		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	SampledData	Actual Resultado del componente
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-obs-1: hasMember y el component son mutuamente exclusivo
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(Estudio de Imagenología)	Referencia al estudio
status	?!SΣ	1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required)
Slices for category	S	1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación 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/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
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
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
subject	SΣ	1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣC	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación
Slices for value[x]	SΣC	0..1		Resultado Actual Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual Resultado
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Muestra)	Muestra tomada para la observación
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Utilizados como guía para la interpretación obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value
component: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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionTextual	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	SΣ	0..1	string	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionCodigo	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
value[x]	SΣ	0..1	CodeableConceptIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionNumericaCuantitativa	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	QuantityIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionRangoNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	RangeIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionRadioNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	RatioIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionMuestraDatos	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	SampledData	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:radiologia	preferred	Pattern: imaging http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionTextual.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionTextual.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionCodigo.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionCodigo.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• Estudio de Imagenología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/ImagingStudy-cl-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Specimen-cl-ips)
• Dispositivo (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Dispositivo-cl-ips)
• Observación Resultado: Imagenológico (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Quantity (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Quantity-uv-ips)
• Range (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Range-uv-ips)
• Ratio (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Ratio-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component (Closed)

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions 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 obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-obs-1: hasMember y el component son mutuamente exclusivo
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
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..*	Identifier	Identificación para la observación ele-1: All FHIR elements must have a @value or children
partOf	Σ	0..*	Reference(Estudio de Imagenología)	Referencia al estudio ele-1: All FHIR elements must have a @value or children
status	?!SΣ	1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required) ele-1: All FHIR elements must have a @value or children
Slices for category	S	1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación 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/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación ele-1: All FHIR elements must have a @value or children
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación ele-1: All FHIR elements must have a @value or children
effective[x]	SΣC	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
effectiveDateTime			dateTime
effectivePeriod			Period
performer	SΣ	1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
Slices for value[x]	SΣC	0..1		Resultado Actual Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual Resultado ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Muestra)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device ele-1: All FHIR elements must have a @value or children
referenceRange	C	0..*	BackboneElement	Utilizados como guía para la interpretación ele-1: All FHIR elements must have a @value or children obs-3: Must have at least a low or a high or text
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
hasMember	SΣ	0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
Slices for component	SΣ	0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value ele-1: All FHIR elements must have a @value or children
component: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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1		Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionTextual	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	string	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionCodigo	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	CodeableConceptIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionNumericaCuantitativa	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	QuantityIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionRangoNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	RangeIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionRadioNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	RatioIPS	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
component:observacionMedicionMuestraDatos	SΣ	0..*	BackboneElement	Componentes de los resultados 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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible) ele-1: All FHIR elements must have a @value or children
value[x]	SΣ	0..1	SampledData	Actual Resultado del componente ele-1: All FHIR elements must have a @value or children
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:radiologia	preferred	Pattern: imaging http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionTextual.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionCodigo.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions ips-obs-1: hasMember y el component son mutuamente exclusivo
partOf		0..*	Reference(Estudio de Imagenología)	Referencia al estudio
status		1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required)
Slices for category		1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
subject		1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación
effective[x]	C	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
Slices for extension				Content/Rules for all slices
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
performer		1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación
Slices for value[x]		0..1	Quantity, CodeableConcept, string, boolean, integer, Range, Ratio, SampledData, time, dateTime, Period	Resultado Actual Slice: Unordered, Open by type:$this
value[x]:valueString	S	0..1	string	Actual Resultado
interpretation		0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde
specimen		0..1	Reference(Muestra)	Muestra tomada para la observación
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device
referenceRange		0..*	BackboneElement	Utilizados como guía para la interpretación
hasMember		0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación
Slices for component		0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value
component:observacionTextual		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]		0..1	string	Actual Resultado del componente
component:observacionCodigo		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
value[x]		0..1	CodeableConceptIPS	Actual Resultado del componente
component:observacionMedicionNumericaCuantitativa		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	QuantityIPS	Actual Resultado del componente
component:observacionMedicionRangoNumerico		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	RangeIPS	Actual Resultado del componente
component:observacionMedicionRadioNumerico		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	RatioIPS	Actual Resultado del componente
component:observacionMedicionMuestraDatos		0..*	BackboneElement	Componentes de los resultados
code		1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]		0..1	SampledData	Actual Resultado del componente
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips

Constraints

Id	Grade	Path(s)	Details	Requirements
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present ips-obs-1: hasMember y el component son mutuamente exclusivo
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
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..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(Estudio de Imagenología)	Referencia al estudio
status	?!SΣ	1..1	code	final | amended | corrected Binding: Results Status Codes - IPS (required)
Slices for category	S	1..*	CodeableConceptIPS	Clasificación del tipo de observación Slice: Unordered, Open by pattern:$this Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
category:radiologia	S	1..1	CodeableConcept	Categoría de tipo: Radiología Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación 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/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: imaging
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
code	SΣ	1..1	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
subject	SΣ	1..1	Reference(Paciente)	Sobre Quien o Que se está realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣC	1..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ips-obs-2: La fecha y hora deben ser al menos hasta el día.
effective[x]All Types				Content/Rules for all Types
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
data-absent-reason	S	0..1	code	Motivo por el cual no se encuentra el dato URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required)
effectiveDateTime			dateTime
effectivePeriod			Period
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	1..*	Reference(Prestador Individual | Función o Rol de Prestador Individual | Organización | CareTeam | Paciente | RelatedPerson)	Quien es responsable por la observación
Slices for value[x]	SΣC	0..1		Resultado Actual Slice: Unordered, Open by type:$this
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
value[x]:valueString	SΣC	0..1	string	Actual Resultado
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConceptIPS	Concepto que referencia a una terminología o un texto acorde Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Muestra)	Muestra tomada para la observación
device		0..1	Reference(Dispositivo | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Utilizados como guía para la interpretación obs-3: Must have at least a low or a high or text
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
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(Observación Resultado: Imagenológico)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	0..*	BackboneElement	Componentes de los resultados Slice: Unordered, Closed by type:value
component: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	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identificación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionTextual	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Textual Observation - IPS (extensible)
value[x]	SΣ	0..1	string	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionCodigo	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Observation - IPS (extensible)
value[x]	SΣ	0..1	CodeableConceptIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionNumericaCuantitativa	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	QuantityIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionRangoNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	RangeIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionRadioNumerico	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	RatioIPS	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:observacionMedicionMuestraDatos	SΣ	0..*	BackboneElement	Componentes de los resultados
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	CodeableConceptIPS	Concepto - referencia a una terminología o simplemente a un texto Binding: Results Radiology Measurement Observation - IPS (extensible)
value[x]	SΣ	0..1	SampledData	Actual Resultado del componente
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificación para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	ResultsStatusUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-status-uv-ips
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.category:radiologia	preferred	Pattern: imaging http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionTextual.code	extensible	ResultsRadiologyTextualObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-txtobs-uv-ips
Observation.component:observacionTextual.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionTextual.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionCodigo.code	extensible	ResultsRadiologyObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-observations-uv-ips
Observation.component:observacionCodigo.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionCodigo.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionNumericaCuantitativa.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionNumericaCuantitativa.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRangoNumerico.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionRangoNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionRadioNumerico.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionRadioNumerico.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.code	extensible	ResultsRadiologyMeasurementObservationUvIps http://hl7.org/fhir/uv/ips/ValueSet/results-radiology-numobs-uv-ips
Observation.component:observacionMedicionMuestraDatos.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:observacionMedicionMuestraDatos.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
ips-obs-1	error	Observation	hasMember y el component son mutuamente exclusivo : hasMember.empty() or component.empty()
ips-obs-2	error	Observation.effective[x]	La fecha y hora deben ser al menos hasta el día. : $this.ofType(dateTime).empty() or ($this as dateTime).toString().length() >= 8
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 5 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

• Estudio de Imagenología (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/ImagingStudy-cl-ips)
• Codeable Concept (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/CodeableConcept-uv-ips)
• Paciente (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Paciente-cl-ips)
• Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Prestador-cl-ips)
• Función o Rol de Prestador Individual (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/RolPrestador-cl-ips)
• Organización (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Organizacion-cl-ips)
• Muestra (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Specimen-cl-ips)
• Dispositivo (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Dispositivo-cl-ips)
• Observación Resultado: Imagenológico (https://hl7chile.cl/fhir/ig/clips/StructureDefinition/Observation-resultado-radiology-cl-ips)
• Quantity (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Quantity-uv-ips)
• Range (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Range-uv-ips)
• Ratio (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/Ratio-uv-ips)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/data-absent-reason

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.category
• The element 1 is sliced based on the value of Observation.value[x]
• The element 1 is sliced based on the value of Observation.component (Closed)

Maturity: 1