Núcleo de Interoperabilidad de Datos (NID) - MINSAL, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.4 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/NID/ and changes regularly. See the Directory of published versions

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Resource Profile: MINSAL Nivel Educacional

Nivel Educacional como dato estadistico para el ingreso de un paciente en el sistema.

Usage:

• Examples for this Resource Profile: Observation/EjemploNivelEducacional

Formal Views of Profile Content

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

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

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservacionCL	Measurements and simple assertions
category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: social-history
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
subject		0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
Slices for component		2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code
component:UltimoCursoAprobado	S	1..1	BackboneElement	Último curso aprobado
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
value[x]		1..1	integer	Actual Resultado del componente
component:UltimoNivelAprobado	S	1..1	BackboneElement	Último nivel aprobado
code		1..1	CodeableConcept	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
Slices for value[x]		1..1	CodeableConcept	Valor del componenete Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept	S	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.component:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG

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
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
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación ele-1: All FHIR elements must have a @value or children
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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: social-history
system	SΣ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required) ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
subject	SΣ	0..1	Reference(MINSAL 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]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Actual Resultado 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
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
Slices for component	SΣ	2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code 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:UltimoCursoAprobado	SΣ	1..1	BackboneElement	Último curso aprobado ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
value[x]	SΣ	1..1	integer	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:UltimoNivelAprobado	SΣ	1..1	BackboneElement	Último nivel aprobado ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
Slices for value[x]	SΣ	1..1	CodeableConcept	Valor del componenete Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required) ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system 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	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
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:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoCursoAprobado.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG
Observation.component:UltimoNivelAprobado.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()
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()

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
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(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(MINSAL 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]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	0..1		Actual Resultado
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 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
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(Specimen)	Muestra tomada para la observación
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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(CL Observación | QuestionnaireResponse | MolecularSequence)	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	2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code
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:UltimoCursoAprobado	SΣ	1..1	BackboneElement	Último curso aprobado
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: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	integer	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:UltimoNivelAprobado	SΣ	1..1	BackboneElement	Último nivel aprobado
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	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	SΣ	1..1	CodeableConcept	Valor del componenete Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
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:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoCursoAprobado.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:UltimoCursoAprobado.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG
Observation.component:UltimoNivelAprobado.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:UltimoNivelAprobado.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()
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: 9 elements(2 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• MINSAL Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPaciente)

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation		0..*	ObservacionCL	Measurements and simple assertions
category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: social-history
system	S	0..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
subject		0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se está realizando la observación
Slices for component		2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code
component:UltimoCursoAprobado	S	1..1	BackboneElement	Último curso aprobado
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
value[x]		1..1	integer	Actual Resultado del componente
component:UltimoNivelAprobado	S	1..1	BackboneElement	Último nivel aprobado
code		1..1	CodeableConcept	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
Slices for value[x]		1..1	CodeableConcept	Valor del componenete Slice: Unordered, Open by type:$this
value[x]:valueCodeableConcept	S	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.component:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG

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
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
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación ele-1: All FHIR elements must have a @value or children
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
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: social-history
system	SΣ	0..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Representation defined by the system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required) ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
subject	SΣ	0..1	Reference(MINSAL 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]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación ele-1: All FHIR elements must have a @value or children
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación ele-1: All FHIR elements must have a @value or children
value[x]	SΣC	0..1		Actual Resultado 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
note	S	0..*	Annotation	Comentarios sobre la observación ele-1: All FHIR elements must have a @value or children
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación ele-1: All FHIR elements must have a @value or children
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación ele-1: All FHIR elements must have a @value or children
Slices for component	SΣ	2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code 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:UltimoCursoAprobado	SΣ	1..1	BackboneElement	Último curso aprobado ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
value[x]	SΣ	1..1	integer	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:UltimoNivelAprobado	SΣ	1..1	BackboneElement	Último nivel aprobado ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	SΣ	1..1	CodeableConcept	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
Slices for value[x]	SΣ	1..1	CodeableConcept	Valor del componenete Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
value[x]:valueCodeableConcept	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required) ele-1: All FHIR elements must have a @value or children
coding	SΣ	1..1	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	Symbol in syntax defined by the system 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	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
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:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoCursoAprobado.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG
Observation.component:UltimoNivelAprobado.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()
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()

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
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(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Nivel Educacional
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(MINSAL 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]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	0..1		Actual Resultado
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 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
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(Specimen)	Muestra tomada para la observación
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation 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(CL Observación | QuestionnaireResponse | MolecularSequence)	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	2..2	BackboneElement	Información sobre el último nivel y curso aprobado Slice: Ordered, Closed by value:code
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:UltimoCursoAprobado	SΣ	1..1	BackboneElement	Último curso aprobado
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: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Último curso aprobado
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	integer	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:UltimoNivelAprobado	SΣ	1..1	BackboneElement	Último nivel aprobado
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	Código de identificación del último nivel aprobado Binding: Nivel Educacional Descripción (required) 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: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSNivelEducacionalDesc
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Último nivel aprobado
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	SΣ	1..1	CodeableConcept	Valor del componenete Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Último nivel aprobado (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
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	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
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:UltimoCursoAprobado.code	required	Pattern: 01("Último curso aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoCursoAprobado.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:UltimoCursoAprobado.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:UltimoNivelAprobado.code	required	Pattern: 02("Último nivel aprobado") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSNivelEducacionalDesc from this IG
Observation.component:UltimoNivelAprobado.value[x]:valueCodeableConcept	required	VSUNivelAprob (a valid code from Último nivel aprobado) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSUNivelAprob from this IG
Observation.component:UltimoNivelAprobado.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:UltimoNivelAprobado.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()
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: 9 elements(2 nested mandatory elements)
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• MINSAL Paciente (https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPaciente)

Slices

This structure defines the following Slices:

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