Maestro de pacientes, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/IG_mpi/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Administrador del Indice Maestro Paciente - JSON Representation

Page standards status: Draft

Maturity Level: 1

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{
  "resourceType" : "CapabilityStatement",
  "id" : "MPI-IHE-PIXm-PDQm-Manager",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement MPI-IHE-PIXm-PDQm-Manager</b></p><a name=\"MPI-IHE-PIXm-PDQm-Manager\"> </a><a name=\"hcMPI-IHE-PIXm-PDQm-Manager\"> </a><a name=\"MPI-IHE-PIXm-PDQm-Manager-es-CL\"> </a><h2 id=\"title\">Administrador del Indice Maestro Paciente</h2><ul><li>Implementation Guide Version: 0.3.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code>, <code>xml</code>, <code>application/fhir+json</code>, <code>application/fhir+xml</code></li><li>Supported Patch Formats: </li><li>Published on: 2024-08-07 09:44:00-0300 </li><li>Published by: Unidad de Interoperabilidad - MINSAL </li></ul><blockquote class=\"impl-note\"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h3 id=\"shouldIGs\">SHOULD Support the Following Implementation Guides</h3><ul><li><a href=\"https://build.fhir.org/ig/HL7Chile/clcore_ig/index.html\">https://hl7chile.cl/fhir/ig/clcore/ImplementationGuide/hl7.fhir.cl.clcore</a></li><li><a href=\"https://profiles.ihe.net/ITI/PIXm/3.0.4/ImplementationGuide-ihe.iti.pixm.html\">https://profiles.ihe.net/ITI/PIXm/ImplementationGuide/ihe.iti.pixm</a></li><li><a href=\"https://profiles.ihe.net/ITI/PDQm/3.0.0/ImplementationGuide-ihe.iti.pdqm.html\">https://profiles.ihe.net/ITI/PDQm/ImplementationGuide/ihe.iti.pdqm</a></li></ul><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>server</code></h3></div><div class=\"panel-body\"><div><p>El servidor como administrador PIXm ofrece la capacidad de consultar la &quot;Referencia Cruzada de Identidad del Paciente&quot; que coincida con los parámetros de la consulta del Indice Maestro Paciente. Además de ser proveedor demografico del paciente (PDQm) ofrece la capacidad de descubrir identidades de pacientes mediante demografía e identificadores.</p>\n</div><div class=\"lead\"><em>Summary of System-wide Interactions</em></div></div></div><h3 id=\"resourcesCap1\">Capabilities by Resource/Profile</h3><h4 id=\"resourcesSummary1\">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class=\"bg-info\">R</span></b>ead, <b><span class=\"bg-info\">S</span></b>earch, <b><span class=\"bg-info\">U</span></b>pdate, and <b><span class=\"bg-info\">C</span></b>reate, are always shown, while <b><span class=\"bg-info\">VR</span></b>ead, <b><span class=\"bg-info\">P</span></b>atch, <b><span class=\"bg-info\">D</span></b>elete, <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">I</span></b>nstance, or <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class=\"table-responsive\"><table class=\"table table-condensed table-hover\"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class=\"text-center\"><b title=\"GET a resource (read interaction)\">R</b></th><th class=\"text-center\"><b title=\"GET all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th class=\"text-center\"><b title=\"DELETE a resource (delete interaction)\">D</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#Patient1-1\">Patient</a></td><td>Supported Profiles<br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALPaciente.html\">MINSAL Paciente</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td>_id, active, given, given:exact, identifier, family, family:exact, segundoApellido, segundoApellido:exact</td><td/><td><code>Coverage:beneficiary</code>, <code>Group:member</code>, <code>Observation:subject</code>, <code>RelatedPerson:patient</code></td><td><code>$ihe-pix</code>, <code>$match</code></td></tr><tr><td><a href=\"#Coverage1-2\">Coverage</a></td><td>Supported Profiles<br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALCobertura.html\">MINSAL Cobertura de Salud del paciente</a></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td></td><td/><td/><td/></tr><tr><td><a href=\"#Group1-3\">Group</a></td><td>Supported Profiles<br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALAgrupacionPorMarcas.html\">MINSAL Agrupacion por marcas</a></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td></td><td/><td/><td/></tr><tr><td><a href=\"#Observation1-4\">Observation</a></td><td>Supported Profiles<br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALNivelEducacional.html\">MINSAL Nivel Educacional</a><br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALOcupacion.html\">MINSAL Ocupación</a><br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALSituacionDiscapacidad.html\">MINSAL Situacion Discapacidad</a></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td></td><td/><td/><td/></tr><tr><td><a href=\"#RelatedPerson1-5\">RelatedPerson</a></td><td>Supported Profiles<br/>\u00a0\u00a0<a href=\"StructureDefinition-MINSALAcompanante.html\">MINSAL Acompañante</a></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td></td><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Patient1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Patient</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>update</code>, <code>delete</code>, <code>read</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-MINSALPaciente.html\">MINSAL Paciente</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>Id logico del Paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">active</a></td><td><code>token</code></td><td><div><p>Si el registro del paciente está activo.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">given</a></td><td><code>string</code></td><td><div><p>Nombre(s) del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">given:exact</a></td><td><code>string</code></td><td><div><p>Nombre(s) del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">identifier</a></td><td><code>token</code></td><td><div><p>Un identificador del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">family</a></td><td><code>string</code></td><td><div><p>Primer apellido del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/patient.html#search\">family:exact</a></td><td><code>string</code></td><td><div><p>Primer apellido del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-mpi-paciente-segundoApellido.html\">segundoApellido</a></td><td><code>string</code></td><td><div><p>Segundo apellido del paciente</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-mpi-paciente-segundoApellido.html\">segundoApellido:exact</a></td><td><code>string</code></td><td><div><p>Segundo apellido del paciente</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">\u00a0</div></div><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-MPI.PIXm.pix.html\">$ihe-pix</a></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-MPI.PDQm.match.html\">$match</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Coverage1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Coverage</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-MINSALCobertura.html\">MINSAL Cobertura de Salud del paciente</a></p></div></div><p/></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Group1-3\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Group</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-MINSALAgrupacionPorMarcas.html\">MINSAL Agrupacion por marcas</a></p></div></div><p/></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Observation1-4\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Observation</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/observation.html\">Observation</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-MINSALNivelEducacional.html\">MINSAL Nivel Educacional</a><br/><a href=\"StructureDefinition-MINSALOcupacion.html\">MINSAL Ocupación</a><br/><a href=\"StructureDefinition-MINSALSituacionDiscapacidad.html\">MINSAL Situacion Discapacidad</a></p></div></div><p/></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"RelatedPerson1-5\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>RelatedPerson</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-MINSALAcompanante.html\">MINSAL Acompañante</a></p></div></div><p/></div></div></div></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 1
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "draft"
    }
  ],
  "url" : "https://interoperabilidad.minsal.cl/fhir/ig/mpi/CapabilityStatement/MPI-IHE-PIXm-PDQm-Manager",
  "version" : "0.3.0",
  "name" : "MPI_IHE_PIXm_Consumidor",
  "title" : "Administrador del Indice Maestro Paciente",
  "status" : "draft",
  "experimental" : false,
  "date" : "2024-08-07T09:44:00-03:00",
  "publisher" : "Unidad de Interoperabilidad - MINSAL",
  "contact" : [
    {
      "name" : "Unidad de Interoperabilidad - MINSAL",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://interoperabilidad.minsal.cl"
        }
      ]
    }
  ],
  "description" : "El CapabilityStatement del administador del Indice Maestro Paciente debe cumplir con las siguientes especificiones normadas.\n\n* Uso de FHIR R4\n* Uso **PUEDE** devolver el recurso en JSON o XML\n* **DEBE** Soportar Perfil MINSAL Paciente\n* **DEBE** Soportar los perfiles MPI MINSAL que permiten completar con la información normativa requerida. \n* Los parametros de busquedas **DEBERIAN** ser:\n  * _id\n  * active\n  * family\n  * given\n  * identifier\n  * segundoApellido\n  * segundoApellido:exact\n* **DEBE** soportar los _revinclude que permitan traer la información adicional requerida.\n* **DEBE** soportar el uso de la operación [$ihe-pix](OperationDefinition-MPI.PIXm.pix.html) descrita en está guía.\n* **DEBE** soportar el uso de la operación [$match](OperationDefinition-MPI.PDQm.match.html) descrita en está guía. ",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "CL",
          "display" : "Chile"
        }
      ]
    }
  ],
  "kind" : "requirements",
  "fhirVersion" : "4.0.1",
  "format" : [
    "json",
    "xml",
    "application/fhir+json",
    "application/fhir+xml"
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  "implementationGuide" : [
    🔗 "https://hl7chile.cl/fhir/ig/clcore/ImplementationGuide/hl7.fhir.cl.clcore"🔗 ,
    "https://profiles.ihe.net/ITI/PIXm/ImplementationGuide/ihe.iti.pixm"🔗 ,
    "https://profiles.ihe.net/ITI/PDQm/ImplementationGuide/ihe.iti.pdqm"
  ],
  "_implementationGuide" : [
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
          "valueCode" : "SHOULD"
        }
      ]
    }
  ],
  "rest" : [
    {
      "mode" : "server",
      "documentation" : "El servidor como administrador PIXm ofrece la capacidad de consultar la \\\"Referencia Cruzada de Identidad del Paciente\\\" que coincida con los parámetros de la consulta del Indice Maestro Paciente. Además de ser proveedor demografico del paciente (PDQm) ofrece la capacidad de descubrir identidades de pacientes mediante demografía e identificadores.",
      "resource" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode" : "SHALL"
            }
          ],
          "type" : "Patient",
          "supportedProfile" : [
            🔗 "https://interoperabilidad.minsal.cl/fhir/ig/mpi/StructureDefinition/MINSALPaciente"
          ],
          "_supportedProfile" : [
            {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ]
            }
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "search-type"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "update"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "delete"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
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              ],
              "code" : "read"
            }
          ],
          "searchRevInclude" : [
            "Coverage:beneficiary",
            "Group:member",
            "Observation:subject",
            "RelatedPerson:patient"
          ],
          "_searchRevInclude" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
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            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
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              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ]
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ]
            }
          ],
          "searchParam" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "_id",
              "definition" : "http://hl7.org/fhir/SearchParameter/Resource-id",
              "type" : "token",
              "documentation" : "Id logico del Paciente"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "active",
              "definition" : "http://hl7.org/fhir/SearchParameter/Patient-active",
              "type" : "token",
              "documentation" : "Si el registro del paciente está activo."
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "given",
              "definition" : "http://hl7.org/fhir/SearchParameter/individual-given",
              "type" : "string",
              "documentation" : "Nombre(s) del paciente"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "given:exact",
              "definition" : "http://hl7.org/fhir/SearchParameter/individual-given",
              "type" : "string",
              "documentation" : "Nombre(s) del paciente"
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "identifier",
              "definition" : "http://hl7.org/fhir/SearchParameter/Patient-identifier",
              "type" : "token",
              "documentation" : "Un identificador del paciente"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "family",
              "definition" : "http://hl7.org/fhir/SearchParameter/individual-family",
              "type" : "string",
              "documentation" : "Primer apellido del paciente"
            },
            {
              "extension" : [
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                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
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