NID - Núcleo de Interoperabílidad de Datos
0.4.9 - draft Chile flag

NID - Núcleo de Interoperabílidad de Datos, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.9 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

Resource Profile: MINSALPaciente - Detailed Descriptions

Page standards status: Draft Maturity Level: 1

Definitions for the MINSALPaciente resource profile.

See the documentation on how to interpret the contents of this table

0. Patient
Definition

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

ShortInformation about an individual or animal receiving health care services
Control0..*
Is Modifierfalse
Complies with ProfileThis profile complies with the profile
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
mpi-pat-enlaceEstado: Si el elemento Patient.link está presente, entonces **DEBE** estar presente el Patient.active (link.exists() implies active.exists())
2. Patient.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..01
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Patient.extension
Definition

An Extension


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortExtensionAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control20..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

    6. Patient.extension:IdentidadDeGenero
    Slice NameIdentidadDeGenero
    Definition

    Identidad De Género

    ShortIdentidad De Género
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Identidad De Género) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    8. Patient.extension:SexoBiologico
    Slice NameSexoBiologico
    Definition

    Sexo Biologico del paciente

    ShortSexo Biologico del paciente
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Sexo Biologico del paciente) (Extension Type: CodeableConcept)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    10. Patient.extension:sexoRegistral
    Slice NamesexoRegistral
    Definition

    Sexo Registral del paciente

    ShortSexo Registral del paciente
    Control1..1
    This element is affected by the following invariants: ele-1
    TypeExtension(Sexo Registral del paciente) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    12. Patient.extension:nacionalidad
    Slice Namenacionalidad
    Definition

    Nacionalidad del Paciente

    ShortNacionalidad del Paciente
    Control1..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Nacionalidad del Paciente) (Complex Extension)
    Is Modifierfalse
    Must Supporttrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    14. Patient.extension:paisNacimiento
    Slice NamepaisNacimiento
    Definition

    País donde nació el paciente

    ShortPaís de Nacimiento
    Control0..1
    This element is affected by the following invariants: ele-1
    TypeExtension(País de Nacimiento) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    16. Patient.extension:pueblosIndigenas
    Slice NamepueblosIndigenas
    Definition

    Descendientes de agrupaciones humanas que pertenecían al país

    ShortPueblos Indígenas
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Pueblos Indígenas) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    18. Patient.extension:religionesCultos
    Slice NamereligionesCultos
    Definition

    Religiones y cultos a los que la persona se vincula espiritualmente

    ShortReligiones y Cultos
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Religiones y Cultos) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    20. Patient.extension:pueblosTribales
    Slice NamepueblosTribales
    Definition

    Pueblos tribales a los que la persona pertenece o con los que se identifica

    ShortPueblos Tribales o Afrodescendientes
    Control0..*
    This element is affected by the following invariants: ele-1
    TypeExtension(Pueblos Tribales o Afrodescendientes) (Extension Type: code)
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    22. Patient.modifierExtension
    Definition

    An Extension


    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensionExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..0*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Summaryfalse
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    24. Patient.identifier
    Definition

    Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero


    An identifier for this patient.

    ShortIdentificador de pacienteAn identifier for this patient
    Comments

    En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control10..*
    TypeIdentifier
    Is Modifierfalse
    Must Supporttrue
    Summarytrue
    Requirements

    Patients are almost always assigned specific numerical identifiers.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ type.coding.code
    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

      26. Patient.identifier.use
      Definition

      De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


      The purpose of this identifier.

      Shortusual | official | temp | secondary | old (If known)
      Comments

      Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

      Control0..1
      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
      (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

      Identifies the purpose for this identifier, if known .

      Typecode
      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      28. Patient.identifier.type
      Definition

      Tipo de documento


      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

      ShortTipo de documentoDescription of identifier
      Comments

      Tipo de documento


      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

      Control10..1
      BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
      (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

      A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Allows users to make use of identifiers when the identifier system is not known.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      30. Patient.identifier.type.extension:PaisEmisor
      Slice NamePaisEmisor
      Definition

      País que ha emitido el documento de identificación del paciente

      ShortPaís de Emisión del Documento de Identificación
      Control0..1
      TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      32. Patient.identifier.type.coding
      Definition

      A reference to a code defined by a terminology system.

      ShortCode defined by a terminology system
      Comments

      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

      Control0..*
      TypeCoding
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Patient.identifier.type.coding.system
      Definition

      The identification of the code system that defines the meaning of the symbol in the code.

      ShortIdentity of the terminology system
      Comments

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

      Control0..1
      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Need to be unambiguous about the source of the definition of the symbol.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Patient.identifier.type.coding.code
      Definition

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      ShortSymbol in syntax defined by the system
      Control0..1
      Typecode
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Summarytrue
      Requirements

      Need to refer to a particular code in the system.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Patient.identifier:RUN
      Slice NameRUN
      Definition

      An identifier for this patient.

      ShortRUN del pacienteAn identifier for this patient
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1*
      TypeIdentifier(DEIS Identificador Paciente con digito The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well)
      Is Modifierfalse
      Must Supporttrue
      Summarytrue
      Requirements

      Patients are almost always assigned specific numerical identifiers.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Patient.identifier:RUN.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control10..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

        42. Patient.identifier:RUN.extension:digitoVerificador
        Slice NamedigitoVerificador
        Definition

        allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

        ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
        Control1..1
        TypeExtension(ID Check digit) (Extension Type: string)
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        44. Patient.identifier:RUN.use
        Definition

        De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


        The purpose of this identifier.

        Shortusual | official | temp | secondary | old (If known)
        Comments

        Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


        Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

        Control0..1
        BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
        (required to http://hl7.org/fhir/ValueSet/identifier-use)
        Typecode
        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        46. Patient.identifier:RUN.type
        Definition

        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

        ShortDescription of identifier
        Comments

        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

        Control10..1
        BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
        (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Requirements

        Allows users to make use of identifiers when the identifier system is not known.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        48. Patient.identifier:RUN.type.extension
        Definition

        An Extension


        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        ShortExtensionAdditional content defined by implementations
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control10..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

          50. Patient.identifier:RUN.type.extension:PaisEmisor
          Slice NamePaisEmisor
          Definition

          País que ha emitido el documento de identificación del paciente

          ShortPaís de Emisión del Documento de Identificación
          Control1..1
          TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          52. Patient.identifier:RUN.type.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control10..1*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Allows for alternative encodings within a code system, and translations to other code systems.

          Pattern Value{
            "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
            "code" : "1"
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Patient.identifier:RUN.type.coding.system
          Definition

          The identification of the code system that defines the meaning of the symbol in the code.

          ShortIdentity of the terminology system
          Comments

          The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to be unambiguous about the source of the definition of the symbol.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Patient.identifier:RUN.type.coding.code
          Definition

          A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

          ShortSymbol in syntax defined by the system
          Control10..1
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          Need to refer to a particular code in the system.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          58. Patient.identifier:RUN.system
          Definition

          Sistema de identificación del paciente


          Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

          ShortSistema de identificación del pacienteThe namespace for the identifier value
          Comments

          Identifier.system is always case sensitive.

          Control10..1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Requirements

          There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

          Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.1
          EjemploGeneral: http://www.acme.com/identifiers/patient
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Patient.identifier:RUN.value
          Definition

          Valor numérico, máximo 9 dígitos


          The portion of the identifier typically relevant to the user and which is unique within the context of the system.

          ShortNúmero de RUNThe value that is unique
          Comments

          If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

          Control10..1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          EjemploGeneral: 123456
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Patient.identifier:RUNMaterno
          Slice NameRUNMaterno
          Definition

          An identifier for this patient.

          ShortRUN Materno / Progenitor(a) del pacienteAn identifier for this patient
          NoteThis is a business identifier, not a resource identifier (see discussion)
          Control0..1*
          TypeIdentifier(DEIS Identificador Paciente con digito)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Requirements

          Patients are almost always assigned specific numerical identifiers.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          64. Patient.identifier:RUNMaterno.extension
          Definition

          An Extension


          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortExtensionAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control10..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

            66. Patient.identifier:RUNMaterno.extension:digitoVerificador
            Slice NamedigitoVerificador
            Definition

            allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

            ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
            Control1..1
            TypeExtension(ID Check digit) (Extension Type: string)
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            68. Patient.identifier:RUNMaterno.use
            Definition

            De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


            The purpose of this identifier.

            Shortusual | official | temp | secondary | old (If known)
            Comments

            Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


            Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

            Control0..1
            BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
            (required to http://hl7.org/fhir/ValueSet/identifier-use)
            Typecode
            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Summarytrue
            Requirements

            Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            70. Patient.identifier:RUNMaterno.type
            Definition

            A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

            ShortDescription of identifier
            Comments

            This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

            Control10..1
            BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
            (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Requirements

            Allows users to make use of identifiers when the identifier system is not known.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            72. Patient.identifier:RUNMaterno.type.extension
            Definition

            An Extension


            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortExtensionAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control10..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

              74. Patient.identifier:RUNMaterno.type.extension:PaisEmisor
              Slice NamePaisEmisor
              Definition

              País que ha emitido el documento de identificación del paciente

              ShortPaís de Emisión del Documento de Identificación
              Control1..1
              TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              76. Patient.identifier:RUNMaterno.type.coding
              Definition

              A reference to a code defined by a terminology system.

              ShortCode defined by a terminology system
              Comments

              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

              Control10..1*
              TypeCoding
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Allows for alternative encodings within a code system, and translations to other code systems.

              Pattern Value{
                "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                "code" : "2"
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              78. Patient.identifier:RUNMaterno.type.coding.system
              Definition

              The identification of the code system that defines the meaning of the symbol in the code.

              ShortIdentity of the terminology system
              Comments

              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Need to be unambiguous about the source of the definition of the symbol.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              80. Patient.identifier:RUNMaterno.type.coding.code
              Definition

              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

              ShortSymbol in syntax defined by the system
              Control10..1
              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              Need to refer to a particular code in the system.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. Patient.identifier:RUNMaterno.system
              Definition

              Sistema de identificación del paciente


              Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

              ShortSistema de identificación del pacienteThe namespace for the identifier value
              Comments

              Identifier.system is always case sensitive.

              Control10..1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Requirements

              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

              Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.3
              EjemploGeneral: http://www.acme.com/identifiers/patient
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. Patient.identifier:RUNMaterno.value
              Definition

              Valor numérico, máximo 9 dígitos


              The portion of the identifier typically relevant to the user and which is unique within the context of the system.

              ShortNúmero de RUN Materno / Progenitor(a)The value that is unique
              Comments

              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

              Control10..1
              Typestring
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              EjemploGeneral: 123456
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              86. Patient.identifier:Pasaporte
              Slice NamePasaporte
              Definition

              An identifier for this patient.

              ShortNúmero de pasaporte del pacienteAn identifier for this patient
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..1*
              TypeIdentifier(DEIS Identificador Paciente)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Patients are almost always assigned specific numerical identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              88. Patient.identifier:Pasaporte.use
              Definition

              De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


              The purpose of this identifier.

              Shortusual | official | temp | secondary | old (If known)
              Comments

              Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


              Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

              Control0..1
              BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
              (required to http://hl7.org/fhir/ValueSet/identifier-use)
              Typecode
              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Requirements

              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              90. Patient.identifier:Pasaporte.type
              Definition

              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

              ShortDescription of identifier
              Comments

              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

              Control10..1
              BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
              (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Requirements

              Allows users to make use of identifiers when the identifier system is not known.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Patient.identifier:Pasaporte.type.extension
              Definition

              An Extension


              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortExtensionAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control10..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                94. Patient.identifier:Pasaporte.type.extension:PaisEmisor
                Slice NamePaisEmisor
                Definition

                País que ha emitido el documento de identificación del paciente

                ShortPaís de Emisión del Documento de Identificación
                Control1..1
                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                Is Modifierfalse
                Must Supporttrue
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                96. Patient.identifier:Pasaporte.type.coding
                Definition

                A reference to a code defined by a terminology system.

                ShortCode defined by a terminology system
                Comments

                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                Control10..1*
                TypeCoding
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows for alternative encodings within a code system, and translations to other code systems.

                Pattern Value{
                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                  "code" : "3"
                }
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                98. Patient.identifier:Pasaporte.type.coding.system
                Definition

                The identification of the code system that defines the meaning of the symbol in the code.

                ShortIdentity of the terminology system
                Comments

                The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to be unambiguous about the source of the definition of the symbol.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                100. Patient.identifier:Pasaporte.type.coding.code
                Definition

                A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                ShortSymbol in syntax defined by the system
                Control10..1
                Typecode
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                Need to refer to a particular code in the system.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                102. Patient.identifier:Pasaporte.system
                Definition

                Sistema de identificación del paciente


                Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                ShortSistema de identificación del pacienteThe namespace for the identifier value
                Comments

                Identifier.system is always case sensitive.

                Control10..1
                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Requirements

                There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.5
                EjemploGeneral: http://www.acme.com/identifiers/patient
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                104. Patient.identifier:Pasaporte.value
                Definition

                Valor alfanumérico


                The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                ShortNúmero de pasaporteThe value that is unique
                Comments

                If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                Control10..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                EjemploGeneral: 123456
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                106. Patient.identifier:Pasaporte.period
                Definition

                Time period during which identifier is/was valid for use.

                ShortTime period when id is/was valid for use
                Control0..1
                TypePeriod
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                108. Patient.identifier:Pasaporte.period.end
                Definition

                Formato de referencia "DD-MM-AAAA"


                The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

                ShortFecha de caducidad del pasaporteEnd time with inclusive boundary, if not ongoing
                Comments

                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                Control10..1
                This element is affected by the following invariants: per-1
                TypedateTime
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Must Supporttrue
                Summarytrue
                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                110. Patient.identifier:DocumentoPaisOrigen
                Slice NameDocumentoPaisOrigen
                Definition

                An identifier for this patient.

                ShortDocumento identificador de país de origenAn identifier for this patient
                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1*
                TypeIdentifier(DEIS Identificador Paciente)
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Patients are almost always assigned specific numerical identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                112. Patient.identifier:DocumentoPaisOrigen.use
                Definition

                De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


                The purpose of this identifier.

                Shortusual | official | temp | secondary | old (If known)
                Comments

                Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


                Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                Control0..1
                BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                (required to http://hl7.org/fhir/ValueSet/identifier-use)
                Typecode
                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Requirements

                Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                114. Patient.identifier:DocumentoPaisOrigen.type
                Definition

                A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                ShortDescription of identifier
                Comments

                This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                Control10..1
                BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                TypeCodeableConcept
                Is Modifierfalse
                Must Supporttrue
                Summarytrue
                Requirements

                Allows users to make use of identifiers when the identifier system is not known.

                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                116. Patient.identifier:DocumentoPaisOrigen.type.extension
                Definition

                An Extension


                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                ShortExtensionAdditional content defined by implementations
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control10..*
                TypeExtension
                Is Modifierfalse
                Summaryfalse
                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                  118. Patient.identifier:DocumentoPaisOrigen.type.extension:PaisEmisor
                  Slice NamePaisEmisor
                  Definition

                  País que ha emitido el documento de identificación del paciente

                  ShortPaís de Emisión del Documento de Identificación
                  Control1..1
                  TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                  Is Modifierfalse
                  Must Supporttrue
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  120. Patient.identifier:DocumentoPaisOrigen.type.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                  Control10..1*
                  TypeCoding
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Allows for alternative encodings within a code system, and translations to other code systems.

                  Pattern Value{
                    "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                    "code" : "4"
                  }
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  122. Patient.identifier:DocumentoPaisOrigen.type.coding.system
                  Definition

                  The identification of the code system that defines the meaning of the symbol in the code.

                  ShortIdentity of the terminology system
                  Comments

                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to be unambiguous about the source of the definition of the symbol.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  124. Patient.identifier:DocumentoPaisOrigen.type.coding.code
                  Definition

                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                  ShortSymbol in syntax defined by the system
                  Control10..1
                  Typecode
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Need to refer to a particular code in the system.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  126. Patient.identifier:DocumentoPaisOrigen.system
                  Definition

                  Sistema de identificación del paciente


                  Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                  ShortSistema de identificación del pacienteThe namespace for the identifier value
                  Comments

                  Identifier.system is always case sensitive.

                  Control10..1
                  Typeuri
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                  Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.6
                  EjemploGeneral: http://www.acme.com/identifiers/patient
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  128. Patient.identifier:DocumentoPaisOrigen.value
                  Definition

                  Valor alfanumérico


                  The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                  ShortNúmero de documento de país de origenThe value that is unique
                  Comments

                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                  Control10..1
                  Typestring
                  Is Modifierfalse
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Must Supporttrue
                  Summarytrue
                  EjemploGeneral: 123456
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  130. Patient.identifier:NIP
                  Slice NameNIP
                  Definition

                  An identifier for this patient.

                  ShortNúmero de Identificador Provisorio FONASA (NIP)An identifier for this patient
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..1*
                  TypeIdentifier(DEIS Identificador Paciente con digito)
                  Is Modifierfalse
                  Must Supporttrue
                  Summarytrue
                  Requirements

                  Patients are almost always assigned specific numerical identifiers.

                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  132. Patient.identifier:NIP.extension
                  Definition

                  An Extension


                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortExtensionAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control10..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                  SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                    134. Patient.identifier:NIP.extension:digitoVerificador
                    Slice NamedigitoVerificador
                    Definition

                    allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                    ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                    Control1..1
                    TypeExtension(ID Check digit) (Extension Type: string)
                    Is Modifierfalse
                    Must Supporttrue
                    Summaryfalse
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    136. Patient.identifier:NIP.use
                    Definition

                    De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


                    The purpose of this identifier.

                    Shortusual | official | temp | secondary | old (If known)
                    Comments

                    Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


                    Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                    Control0..1
                    BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                    (required to http://hl7.org/fhir/ValueSet/identifier-use)
                    Typecode
                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Summarytrue
                    Requirements

                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    138. Patient.identifier:NIP.type
                    Definition

                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                    ShortDescription of identifier
                    Comments

                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                    Control10..1
                    BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                    (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                    TypeCodeableConcept
                    Is Modifierfalse
                    Must Supporttrue
                    Summarytrue
                    Requirements

                    Allows users to make use of identifiers when the identifier system is not known.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    140. Patient.identifier:NIP.type.extension
                    Definition

                    An Extension


                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                    ShortExtensionAdditional content defined by implementations
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control10..*
                    TypeExtension
                    Is Modifierfalse
                    Summaryfalse
                    Alternate Namesextensions, user content
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                    SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                      142. Patient.identifier:NIP.type.extension:PaisEmisor
                      Slice NamePaisEmisor
                      Definition

                      País que ha emitido el documento de identificación del paciente

                      ShortPaís de Emisión del Documento de Identificación
                      Control1..1
                      TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                      Is Modifierfalse
                      Must Supporttrue
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      144. Patient.identifier:NIP.type.coding
                      Definition

                      A reference to a code defined by a terminology system.

                      ShortCode defined by a terminology system
                      Comments

                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                      Control10..1*
                      TypeCoding
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Allows for alternative encodings within a code system, and translations to other code systems.

                      Pattern Value{
                        "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                        "code" : "5"
                      }
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      146. Patient.identifier:NIP.type.coding.system
                      Definition

                      The identification of the code system that defines the meaning of the symbol in the code.

                      ShortIdentity of the terminology system
                      Comments

                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Need to be unambiguous about the source of the definition of the symbol.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      148. Patient.identifier:NIP.type.coding.code
                      Definition

                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                      ShortSymbol in syntax defined by the system
                      Control10..1
                      Typecode
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Need to refer to a particular code in the system.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      150. Patient.identifier:NIP.system
                      Definition

                      Sistema de identificación del paciente


                      Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                      ShortSistema de identificación del pacienteThe namespace for the identifier value
                      Comments

                      Identifier.system is always case sensitive.

                      Control10..1
                      Typeuri
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                      Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.8
                      EjemploGeneral: http://www.acme.com/identifiers/patient
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      152. Patient.identifier:NIP.value
                      Definition

                      Valor alfanumérico


                      The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                      ShortNúmero NIPThe value that is unique
                      Comments

                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                      Control10..1
                      Typestring
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Must Supporttrue
                      Summarytrue
                      EjemploGeneral: 123456
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      154. Patient.identifier:HistoriaClinica
                      Slice NameHistoriaClinica
                      Definition

                      An identifier for this patient.

                      ShortNúmero de Historia ClínicaAn identifier for this patient
                      NoteThis is a business identifier, not a resource identifier (see discussion)
                      Control0..1*
                      TypeIdentifier(DEIS Identificador Paciente)
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Patients are almost always assigned specific numerical identifiers.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      156. Patient.identifier:HistoriaClinica.use
                      Definition

                      De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


                      The purpose of this identifier.

                      Shortusual | official | temp | secondary | old (If known)
                      Comments

                      Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


                      Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                      Control0..1
                      BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                      (required to http://hl7.org/fhir/ValueSet/identifier-use)
                      Typecode
                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Requirements

                      Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      158. Patient.identifier:HistoriaClinica.type
                      Definition

                      A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                      ShortDescription of identifier
                      Comments

                      This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                      Control10..1
                      BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                      (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Summarytrue
                      Requirements

                      Allows users to make use of identifiers when the identifier system is not known.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      160. Patient.identifier:HistoriaClinica.type.extension
                      Definition

                      An Extension


                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortExtensionAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control10..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                        162. Patient.identifier:HistoriaClinica.type.extension:PaisEmisor
                        Slice NamePaisEmisor
                        Definition

                        País que ha emitido el documento de identificación del paciente

                        ShortPaís de Emisión del Documento de Identificación
                        Control1..1
                        TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                        Is Modifierfalse
                        Must Supporttrue
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        164. Patient.identifier:HistoriaClinica.type.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control10..1*
                        TypeCoding
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Allows for alternative encodings within a code system, and translations to other code systems.

                        Pattern Value{
                          "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                          "code" : "6"
                        }
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        166. Patient.identifier:HistoriaClinica.type.coding.system
                        Definition

                        The identification of the code system that defines the meaning of the symbol in the code.

                        ShortIdentity of the terminology system
                        Comments

                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Need to be unambiguous about the source of the definition of the symbol.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        168. Patient.identifier:HistoriaClinica.type.coding.code
                        Definition

                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                        ShortSymbol in syntax defined by the system
                        Control10..1
                        Typecode
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Need to refer to a particular code in the system.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        170. Patient.identifier:HistoriaClinica.system
                        Definition

                        Sistema de identificación del paciente


                        Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                        ShortSistema de identificación del pacienteThe namespace for the identifier value
                        Comments

                        Identifier.system is always case sensitive.

                        Control10..1
                        Typeuri
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                        Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.12
                        EjemploGeneral: http://www.acme.com/identifiers/patient
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        172. Patient.identifier:HistoriaClinica.value
                        Definition

                        Valor alfanumérico


                        The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                        ShortNúmero de historia clínicaThe value that is unique
                        Comments

                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                        Control10..1
                        Typestring
                        Is Modifierfalse
                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                        Must Supporttrue
                        Summarytrue
                        EjemploGeneral: 123456
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        174. Patient.identifier:IPE
                        Slice NameIPE
                        Definition

                        An identifier for this patient.

                        ShortIdentificación Provisoria del Estudiante (IPE)An identifier for this patient
                        NoteThis is a business identifier, not a resource identifier (see discussion)
                        Control0..1*
                        TypeIdentifier(DEIS Identificador Paciente con digito)
                        Is Modifierfalse
                        Must Supporttrue
                        Summarytrue
                        Requirements

                        Patients are almost always assigned specific numerical identifiers.

                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        176. Patient.identifier:IPE.extension
                        Definition

                        An Extension


                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                        ShortExtensionAdditional content defined by implementations
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control10..*
                        TypeExtension
                        Is Modifierfalse
                        Summaryfalse
                        Alternate Namesextensions, user content
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                        SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                          178. Patient.identifier:IPE.extension:digitoVerificador
                          Slice NamedigitoVerificador
                          Definition

                          allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                          ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                          Control1..1
                          TypeExtension(ID Check digit) (Extension Type: string)
                          Is Modifierfalse
                          Must Supporttrue
                          Summaryfalse
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          180. Patient.identifier:IPE.use
                          Definition

                          De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador


                          The purpose of this identifier.

                          Shortusual | official | temp | secondary | old (If known)
                          Comments

                          Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador


                          Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

                          Control0..1
                          BindingThe codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1
                          (required to http://hl7.org/fhir/ValueSet/identifier-use)
                          Typecode
                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summarytrue
                          Requirements

                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          182. Patient.identifier:IPE.type
                          Definition

                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                          ShortDescription of identifier
                          Comments

                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                          Control10..1
                          BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Tipo de Identificadorhttp://hl7.org/fhir/ValueSet/identifier-type|4.0.1
                          (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                          TypeCodeableConcept
                          Is Modifierfalse
                          Must Supporttrue
                          Summarytrue
                          Requirements

                          Allows users to make use of identifiers when the identifier system is not known.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          184. Patient.identifier:IPE.type.extension
                          Definition

                          An Extension


                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                          ShortExtensionAdditional content defined by implementations
                          Comments

                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                          Control10..*
                          TypeExtension
                          Is Modifierfalse
                          Summaryfalse
                          Alternate Namesextensions, user content
                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                          SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • value @ url
                          • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                            186. Patient.identifier:IPE.type.extension:PaisEmisor
                            Slice NamePaisEmisor
                            Definition

                            País que ha emitido el documento de identificación del paciente

                            ShortPaís de Emisión del Documento de Identificación
                            Control1..1
                            TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                            Is Modifierfalse
                            Must Supporttrue
                            Summaryfalse
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                            188. Patient.identifier:IPE.type.coding
                            Definition

                            A reference to a code defined by a terminology system.

                            ShortCode defined by a terminology system
                            Comments

                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                            Control10..1*
                            TypeCoding
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Allows for alternative encodings within a code system, and translations to other code systems.

                            Pattern Value{
                              "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                              "code" : "7"
                            }
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            190. Patient.identifier:IPE.type.coding.system
                            Definition

                            The identification of the code system that defines the meaning of the symbol in the code.

                            ShortIdentity of the terminology system
                            Comments

                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to be unambiguous about the source of the definition of the symbol.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            192. Patient.identifier:IPE.type.coding.code
                            Definition

                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                            ShortSymbol in syntax defined by the system
                            Control10..1
                            Typecode
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to refer to a particular code in the system.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            194. Patient.identifier:IPE.system
                            Definition

                            Sistema de identificación del paciente


                            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                            ShortSistema de identificación del pacienteThe namespace for the identifier value
                            Comments

                            Identifier.system is always case sensitive.

                            Control10..1
                            Typeuri
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                            Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.11
                            EjemploGeneral: http://www.acme.com/identifiers/patient
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            196. Patient.identifier:IPE.value
                            Definition

                            Valor alfanumérico


                            The portion of the identifier typically relevant to the user and which is unique within the context of the system.

                            ShortNúmero IPEThe value that is unique
                            Comments

                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                            Control10..1
                            Typestring
                            Is Modifierfalse
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            EjemploGeneral: 123456
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            198. Patient.active
                            Definition

                            Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                            It is often used to filter patient lists to exclude inactive patients

                            Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                            ShortSi el registro de este paciente está en uso activo.Whether this patient's record is in active use
                            Comments

                            If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                            Control0..1
                            Typeboolean
                            Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to be able to mark a patient record as not to be used because it was created in error.

                            Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            200. Patient.name
                            Definition

                            Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido


                            A name associated with the individual.

                            ShortNombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o ApellidoA name associated with the patient
                            Comments

                            A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                            Control10..*
                            TypeHumanName
                            Is Modifierfalse
                            Must Supporttrue
                            Summarytrue
                            Requirements

                            Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                            SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • value @ use
                            • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                              202. Patient.name:NombreOficial
                              Slice NameNombreOficial
                              Definition

                              Determinación del nombre registrado oficialmente del Paciente


                              A name associated with the individual.

                              ShortDeterminación del nombre registrado oficialmente del PacienteA name associated with the patient
                              Comments

                              A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                              Control10..1*
                              TypeHumanName
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                              204. Patient.name:NombreOficial.use
                              Definition

                              este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official"


                              Identifies the purpose for this name.

                              Shortuso del nombre del pacienteusual | official | temp | nickname | anonymous | old | maiden
                              Comments

                              Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official"


                              Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                              Control10..1
                              BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                              (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                              The use of a human name.

                              Typecode
                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Allows the appropriate name for a particular context of use to be selected from among a set of names.

                              Pattern Valueofficial
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              206. Patient.name:NombreOficial.family
                              Definition

                              Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil


                              The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                              Short1er ApellidoFamily name (often called 'Surname')
                              Comments

                              Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                              Control10..1
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate Namessurname
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              208. Patient.name:NombreOficial.family.extension:segundoApellido
                              Slice NamesegundoApellido
                              Definition

                              Segundo Apellido

                              ShortSegundo Apellido
                              Control0..1
                              This element is affected by the following invariants: ele-1
                              TypeExtension(Segundo Apellido) (Extension Type: string)
                              Is Modifierfalse
                              Must Supporttrue
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              210. Patient.name:NombreOficial.given
                              Definition

                              Todos los nombres de los pacientes no necesariamente solo el Primer Nombre


                              Given name.

                              ShortPrimer nombre y nombres del PacienteGiven names (not always 'first'). Includes middle names
                              Comments

                              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                              Control10..*
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate Namesfirst name, middle name
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              212. Patient.name:NombreSocial
                              Slice NameNombreSocial
                              Definition

                              Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre


                              A name associated with the individual.

                              Shortnombre recurrente que usa el pacienteA name associated with the patient
                              Comments

                              A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                              Control0..1*
                              TypeHumanName
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                              214. Patient.name:NombreSocial.use
                              Definition

                              Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual


                              Identifies the purpose for this name.

                              Shortuso que se le da al nombreusual | official | temp | nickname | anonymous | old | maiden
                              Comments

                              Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual"


                              Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                              Control10..1
                              BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                              (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                              The use of a human name.

                              Typecode
                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              Allows the appropriate name for a particular context of use to be selected from among a set of names.

                              Pattern Valueusual
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              216. Patient.name:NombreSocial.text
                              Definition

                              Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                              ShortText representation of the full name
                              Comments

                              Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                              Control0..01
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              A renderable, unencoded form.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              218. Patient.name:NombreSocial.family
                              Definition

                              The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                              ShortFamily name (often called 'Surname')
                              Comments

                              Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                              Control0..01
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Alternate Namessurname
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              220. Patient.name:NombreSocial.given
                              Definition

                              Nombre Social del Paciente


                              Given name.

                              ShortNombre SocialGiven names (not always 'first'). Includes middle names
                              Comments

                              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                              Control10..*
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Must Supporttrue
                              Summarytrue
                              Alternate Namesfirst name, middle name
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              222. Patient.name:NombreSocial.prefix
                              Definition

                              Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                              ShortParts that come before the name
                              Control0..0*
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              224. Patient.name:NombreSocial.suffix
                              Definition

                              Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                              ShortParts that come after the name
                              Control0..0*
                              Typestring
                              Is Modifierfalse
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              226. Patient.name:NombreSocial.period
                              Definition

                              Indicates the period of time when this name was valid for the named person.

                              ShortTime period when name was/is in use
                              Control0..01
                              TypePeriod
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Allows names to be placed in historical context.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              228. Patient.telecom
                              Definition

                              Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)


                              A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                              ShortDetalles de contacto del PacienteA contact detail for the individual
                              Comments

                              A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                              Control20..*
                              TypeContactPoint
                              Is Modifierfalse
                              Must Supporttrue
                              Summarytrue
                              Requirements

                              People have (primary) ways to contact them in some way such as phone, email.

                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                              • value @ system
                              • value @ use
                              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                230. Patient.telecom.system
                                Definition

                                Sistema de contacto


                                Telecommunications form for contact point - what communications system is required to make use of the contact.

                                Shortphone | emailphone | fax | email | pager | url | sms | other
                                Control10..1
                                This element is affected by the following invariants: cpt-2
                                BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                Tipo de contacto para HL7 FHIR


                                Telecommunications form for contact point.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                232. Patient.telecom.value
                                Definition

                                Valor del contacto como por ejemplo el número de teléfono fijo o de móvil o el email del Paciente


                                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                ShortValor de contactoThe actual contact point details
                                Comments

                                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                Control10..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to support legacy numbers that are not in a tightly controlled format.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                234. Patient.telecom.use
                                Definition

                                Propósito para el contacto que se ha definido


                                Identifies the purpose for the contact point.

                                Shorthome | work | temp | old | mobilehome | work | temp | old | mobile - purpose of this contact point
                                Comments

                                Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                Control0..1
                                BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                236. Patient.telecom.rank
                                Definition

                                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                ShortOrden de uso del método de contacto, siendo 1 = prioritarioSpecify preferred order of use (1 = highest)
                                Comments

                                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                Control0..1
                                TypepositiveInt
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                238. Patient.telecom.period
                                Definition

                                Time period when the contact point was/is in use.

                                ShortPeriodo de tiempo durante el cual es válido el contacto del pacienteTime period when the contact point was/is in use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                240. Patient.telecom:telefonoFijo
                                Slice NametelefonoFijo
                                Definition

                                Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)


                                A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                ShortTeléfono fijo del pacienteA contact detail for the individual
                                Comments

                                A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                Control0..*
                                TypeContactPoint
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                People have (primary) ways to contact them in some way such as phone, email.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                242. Patient.telecom:telefonoFijo.system
                                Definition

                                Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.


                                Telecommunications form for contact point - what communications system is required to make use of the contact.

                                Shortphone | fax | email | pager | url | sms | other
                                Control0..1
                                This element is affected by the following invariants: cpt-2
                                BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                Tipo de contacto para HL7 FHIR


                                Telecommunications form for contact point.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Pattern Valuephone
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                244. Patient.telecom:telefonoFijo.value
                                Definition

                                Formato numérico "YXXXXXXX" (8 dígitos), donde Y corresponde al código de área


                                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                ShortNúmero de teléfono fijoThe actual contact point details
                                Comments

                                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to support legacy numbers that are not in a tightly controlled format.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                246. Patient.telecom:telefonoFijo.use
                                Definition

                                Propósito para el contacto que se ha definido


                                Identifies the purpose for the contact point.

                                Shorthome | work | temp | old | mobilehome | work | temp | old | mobile - purpose of this contact point
                                Comments

                                Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                Control10..1
                                BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                Pattern Valuehome
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                248. Patient.telecom:telefonoFijo.rank
                                Definition

                                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                ShortSpecify preferred order of use (1 = highest)
                                Comments

                                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                Control0..1
                                TypepositiveInt
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                250. Patient.telecom:telefonoFijo.period
                                Definition

                                Time period when the contact point was/is in use.

                                ShortTime period when the contact point was/is in use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                252. Patient.telecom:telefonoMovil
                                Slice NametelefonoMovil
                                Definition

                                Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)


                                A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                ShortTeléfono móvil del pacienteA contact detail for the individual
                                Comments

                                A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                Control10..*
                                TypeContactPoint
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                People have (primary) ways to contact them in some way such as phone, email.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                254. Patient.telecom:telefonoMovil.system
                                Definition

                                Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.


                                Telecommunications form for contact point - what communications system is required to make use of the contact.

                                Shortphone | fax | email | pager | url | sms | other
                                Control0..1
                                This element is affected by the following invariants: cpt-2
                                BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                Tipo de contacto para HL7 FHIR


                                Telecommunications form for contact point.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Pattern Valuephone
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                256. Patient.telecom:telefonoMovil.value
                                Definition

                                Formato numérico "ZZXXXXXXX" (9 dígitos), donde Z corresponde al dígito del código de país


                                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                ShortNúmero de teléfono móvilThe actual contact point details
                                Comments

                                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to support legacy numbers that are not in a tightly controlled format.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                258. Patient.telecom:telefonoMovil.use
                                Definition

                                Propósito para el contacto que se ha definido


                                Identifies the purpose for the contact point.

                                Shorthome | work | temp | old | mobilehome | work | temp | old | mobile - purpose of this contact point
                                Comments

                                Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                Control10..1
                                BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                Pattern Valuemobile
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                260. Patient.telecom:telefonoMovil.rank
                                Definition

                                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                ShortSpecify preferred order of use (1 = highest)
                                Comments

                                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                Control0..1
                                TypepositiveInt
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                262. Patient.telecom:telefonoMovil.period
                                Definition

                                Time period when the contact point was/is in use.

                                ShortTime period when the contact point was/is in use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                264. Patient.telecom:correoElectronico
                                Slice NamecorreoElectronico
                                Definition

                                Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)


                                A contact detail (e.g. a telephone number or an email address) by which the individual may be contacted.

                                ShortCorreo electrónico del pacienteA contact detail for the individual
                                Comments

                                A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                Control10..*
                                TypeContactPoint
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                People have (primary) ways to contact them in some way such as phone, email.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                266. Patient.telecom:correoElectronico.system
                                Definition

                                Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.


                                Telecommunications form for contact point - what communications system is required to make use of the contact.

                                Shortphone | fax | email | pager | url | sms | other
                                Control0..1
                                This element is affected by the following invariants: cpt-2
                                BindingThe codes SHALL be taken from ContactPointSystemhttp://hl7.org/fhir/ValueSet/contact-point-system|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                Tipo de contacto para HL7 FHIR


                                Telecommunications form for contact point.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Pattern Valueemail
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                268. Patient.telecom:correoElectronico.value
                                Definition

                                Formato "texto@dominio"


                                The actual contact point details, in a form that is meaningful to the designated communication system (i.e. phone number or email address).

                                ShortDirección de correo electrónicoThe actual contact point details
                                Comments

                                Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to support legacy numbers that are not in a tightly controlled format.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                270. Patient.telecom:correoElectronico.use
                                Definition

                                Propósito para el contacto que se ha definido


                                Identifies the purpose for the contact point.

                                Shorthome | work | temp | old | mobilehome | work | temp | old | mobile - purpose of this contact point
                                Comments

                                Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                Control10..1
                                BindingThe codes SHALL be taken from ContactPointUsehttp://hl7.org/fhir/ValueSet/contact-point-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                Pattern Valuehome
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                272. Patient.telecom:correoElectronico.rank
                                Definition

                                Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                ShortSpecify preferred order of use (1 = highest)
                                Comments

                                Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                Control0..1
                                TypepositiveInt
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                274. Patient.telecom:correoElectronico.period
                                Definition

                                Time period when the contact point was/is in use.

                                ShortTime period when the contact point was/is in use
                                Control0..1
                                TypePeriod
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                276. Patient.gender
                                Definition

                                Sexo Registrado


                                Administrative Gender - the gender that the patient is considered to have for administration and record keeping purposes.

                                ShortSexo Registral del pacientemale | female | other | unknown
                                Comments

                                The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                Control10..1
                                BindingThe codes SHALL be taken from AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                The gender of a person used for administrative purposes.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Needed for identification of the individual, in combination with (at least) name and birth date.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                278. Patient.birthDate
                                Definition

                                Fecha de nacimiento del Paciente.


                                The date of birth for the individual.

                                ShortFecha de nacimiento del Paciente.The date of birth for the individual
                                Comments

                                At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                Control10..1
                                Typedate
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Age of the individual drives many clinical processes.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                LOINC Code21112-8
                                280. Patient.deceased[x]
                                Definition

                                Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.


                                Indicates if the individual is deceased or not.

                                ShortPuede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.Indicates if the individual is deceased or not
                                Comments

                                If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                Control10..1
                                TypeChoice of: boolean, dateTime
                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Must Support TypesNo must-support rules about the choice of types/profiles
                                Summarytrue
                                Requirements

                                The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                282. Patient.address
                                Definition

                                An address for the individual.

                                ShortAn address for the individual
                                Comments

                                Patient may have multiple addresses with different uses or applicable periods.

                                Control0..*
                                TypeAddress(Dirección del Paciente)
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                284. Patient.maritalStatus
                                Definition

                                This field contains a patient's most recent marital (civil) status.

                                ShortMarital (civil) status of a patient
                                Control0..1
                                BindingThe codes SHALL be taken from Unless not suitable, these codes SHALL be taken from Estado Civilhttp://hl7.org/fhir/ValueSet/marital-status|4.0.1
                                (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-EstadoCivil-VS)
                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Most, if not all systems capture it.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                286. Patient.contact
                                Definition

                                Contacto, tutor legal o representante del Paciente


                                A contact party (e.g. guardian, partner, friend) for the patient.

                                ShortContacto, tutor legal o representante del PacienteA contact party (e.g. guardian, partner, friend) for the patient
                                Comments

                                Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Need to track people you can contact about the patient.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                288. Patient.contact.extension:IdContacto
                                Slice NameIdContacto
                                Definition

                                Extensión para declarar identificación del contacto y la procedencia de esta

                                ShortIdentificación del Contacto
                                Control0..*
                                This element is affected by the following invariants: ele-1
                                TypeExtension(Identificación del Contacto de un Paciente) (Complex Extension)
                                Is Modifierfalse
                                Must Supporttrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                290. Patient.contact.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                292. Patient.contact.relationship
                                Definition

                                The nature of the relationship between the patient and the contact person.

                                ShortRelación legal o de parentesco entre el contacto y el pacienteThe kind of relationship
                                Control0..*
                                BindingUnless not suitable, these codes SHALL be taken from Códigos de relación del contacto con el pacientehttp://hl7.org/fhir/ValueSet/patient-contactrelationship|4.0.1
                                (extensible to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSContactoRelacion)

                                VS FHIR para relación del contacto con el Paciente


                                The nature of the relationship between a patient and a contact person for that patient.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                294. Patient.contact.relationship.coding
                                Definition

                                A reference to a code defined by a terminology system.

                                ShortCode defined by a terminology system
                                Comments

                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                Control0..*
                                TypeCoding
                                Is Modifierfalse
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                296. Patient.contact.name
                                Definition

                                Nombre del contacto asociado al paciente


                                A name associated with the contact person.

                                ShortNombre del ContactoA name associated with the contact person
                                Control0..1
                                TypeHumanName
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                298. Patient.contact.name.use
                                Definition

                                Nombre registrado oficialmente en el Registro Civil


                                Identifies the purpose for this name.

                                Shortuso del nombre del pacienteusual | official | temp | nickname | anonymous | old | maiden
                                Comments

                                El use DEBE ser de valor de código "official"


                                Applications can assume that a name is current unless it explicitly says that it is temporary or old.

                                Control0..1
                                BindingThe codes SHALL be taken from NameUsehttp://hl7.org/fhir/ValueSet/name-use|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                The use of a human name.

                                Typecode
                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Requirements

                                Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                Pattern Valueofficial
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                300. Patient.contact.name.family
                                Definition

                                Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil


                                The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                Short1er ApellidoFamily name (often called 'Surname')
                                Comments

                                Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Alternate Namessurname
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                302. Patient.contact.name.family.extension:segundoApellido
                                Slice NamesegundoApellido
                                Definition

                                Segundo Apellido

                                ShortSegundo Apellido
                                Control0..1
                                This element is affected by the following invariants: ele-1
                                TypeExtension(Segundo Apellido) (Extension Type: string)
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                304. Patient.contact.name.given
                                Definition

                                Todos los nombres no necesariamente solo el Primero


                                Given name.

                                ShortPrimer nombre y nombres del Contacto o Representante LegalGiven names (not always 'first'). Includes middle names
                                Comments

                                If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                Control0..*
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Alternate Namesfirst name, middle name
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                306. Patient.communication
                                Definition

                                Lenguaje en el cual se puede comunicar con el paciente


                                A language which may be used to communicate with the patient about his or her health.

                                ShortLenguaje en el cual se puede comunicar con el pacienteA language which may be used to communicate with the patient about his or her health
                                Comments

                                If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                Control0..*
                                TypeBackboneElement
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                308. Patient.communication.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                310. Patient.communication.language
                                Definition

                                Código del lenguaje específico


                                The ISO-639-1 alpha 2 code in lower case for the language, optionally followed by a hyphen and the ISO-3166-1 alpha 2 code for the region in upper case; e.g. "en" for English, or "en-US" for American English versus "en-EN" for England English.

                                ShortLenguaje específicoThe language which can be used to communicate with the patient about his or her health
                                Comments

                                The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                Control1..1
                                BindingThe codes SHALL be taken from The codes SHOULD be taken from Codigos Lenguajehttp://hl7.org/fhir/ValueSet/languages|4.0.1
                                (required to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje)

                                Value Set de HL7, # de elementos es muy grande para poder visualizarlo


                                A human language.

                                TypeCodeableConcept
                                Is Modifierfalse
                                Must Supporttrue
                                Summaryfalse
                                Requirements

                                Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                312. Patient.generalPractitioner
                                Definition

                                Proveedor de Salud designado como principal


                                Patient's nominated care provider.

                                ShortProveedor de Salud designado como principalPatient's nominated primary care provider
                                Comments

                                This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                Control0..*
                                TypeReference(CL Organización, CL Prestador, CL RolClinico, Organization, Practitioner, PractitionerRole)
                                Is Modifierfalse
                                Must Supporttrue
                                Must Support TypesNo must-support rules about the choice of types/profiles
                                Summaryfalse
                                Alternate NamescareProvider
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                314. Patient.generalPractitioner.reference
                                Definition

                                URI de referencia a la Organización o a un Médico


                                A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                                ShortURI de referencia a la Organización o a un MédicoLiteral reference, Relative, internal or absolute URL
                                Comments

                                Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                Control0..1
                                This element is affected by the following invariants: ref-1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                316. Patient.generalPractitioner.display
                                Definition

                                Texto alternativo a la referencia.


                                Plain text narrative that identifies the resource in addition to the resource reference.

                                ShortTexto alternativo a la referencia.Text alternative for the resource
                                Comments

                                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                318. Patient.link
                                Definition

                                Link to another patient resource that concerns the same actual patient.

                                ShortLink to another patient resource that concerns the same actual person
                                Comments

                                There is no assumption that linked patient records have mutual links.

                                Control0..*
                                TypeBackboneElement
                                Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                Summarytrue
                                Requirements

                                There are multiple use cases:

                                • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                • Distribution of patient information across multiple servers.
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                320. Patient.link.modifierExtension
                                Definition

                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                ShortExtensions that cannot be ignored even if unrecognized
                                Comments

                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                Control0..*
                                TypeExtension
                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                Summarytrue
                                Requirements

                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                Alternate Namesextensions, user content, modifiers
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                322. Patient.link.other
                                Definition

                                The other patient resource that the link refers to.

                                ShortThe other patient or related person resource that the link refers to
                                Comments

                                Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

                                Control1..1
                                TypeReference(Patient, RelatedPerson)
                                Is Modifierfalse
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                324. Patient.link.type
                                Definition

                                The type of link between this patient resource and another patient resource.

                                Shortreplaced-by | replaces | refer | seealso
                                Control1..1
                                BindingThe codes SHALL be taken from LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1
                                (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                The type of link between this patient resource and another patient resource.

                                Typecode
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Summarytrue
                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                See the documentation on how to interpret the contents of this table

                                0. Patient
                                Complies with ProfileThis profile complies with the profile
                                Invariantsmpi-pat-enlaceEstado: Si el elemento Patient.link está presente, entonces **DEBE** estar presente el Patient.active (link.exists() implies active.exists())
                                2. Patient.implicitRules
                                Control0..0
                                4. Patient.extension
                                Control2..?
                                6. Patient.extension:sexoRegistral
                                Slice NamesexoRegistral
                                Control1..?
                                8. Patient.extension:nacionalidad
                                Slice Namenacionalidad
                                Control1..?
                                10. Patient.modifierExtension
                                Control0..0
                                12. Patient.identifier
                                ShortIdentificador de paciente
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control1..?
                                14. Patient.identifier.type
                                Definition

                                Tipo de documento

                                ShortTipo de documento
                                Comments

                                Tipo de documento

                                Control1..?
                                16. Patient.identifier:RUN
                                Slice NameRUN
                                ShortRUN del paciente
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                18. Patient.identifier:RUN.extension
                                Control1..?
                                20. Patient.identifier:RUN.extension:digitoVerificador
                                Slice NamedigitoVerificador
                                Control1..?
                                22. Patient.identifier:RUN.type
                                Control1..?
                                24. Patient.identifier:RUN.type.extension
                                Control1..?
                                26. Patient.identifier:RUN.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..?
                                28. Patient.identifier:RUN.type.coding
                                Control1..1
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "1"
                                }
                                30. Patient.identifier:RUN.type.coding.system
                                Control1..?
                                32. Patient.identifier:RUN.type.coding.code
                                Control1..?
                                34. Patient.identifier:RUN.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.1
                                36. Patient.identifier:RUN.value
                                Definition

                                Valor numérico, máximo 9 dígitos

                                ShortNúmero de RUN
                                Control1..?
                                38. Patient.identifier:RUNMaterno
                                Slice NameRUNMaterno
                                ShortRUN Materno / Progenitor(a) del paciente
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente con digito)
                                Must Supporttrue
                                40. Patient.identifier:RUNMaterno.extension
                                Control1..?
                                42. Patient.identifier:RUNMaterno.extension:digitoVerificador
                                Slice NamedigitoVerificador
                                Control1..?
                                44. Patient.identifier:RUNMaterno.type
                                Control1..?
                                46. Patient.identifier:RUNMaterno.type.extension
                                Control1..?
                                48. Patient.identifier:RUNMaterno.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                50. Patient.identifier:RUNMaterno.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "2"
                                }
                                52. Patient.identifier:RUNMaterno.type.coding.system
                                Control1..?
                                Must Supporttrue
                                54. Patient.identifier:RUNMaterno.type.coding.code
                                Control1..?
                                Must Supporttrue
                                56. Patient.identifier:RUNMaterno.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.3
                                58. Patient.identifier:RUNMaterno.value
                                Definition

                                Valor numérico, máximo 9 dígitos

                                ShortNúmero de RUN Materno / Progenitor(a)
                                Control1..?
                                60. Patient.identifier:Pasaporte
                                Slice NamePasaporte
                                ShortNúmero de pasaporte del paciente
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente)
                                Must Supporttrue
                                62. Patient.identifier:Pasaporte.type
                                Control1..?
                                64. Patient.identifier:Pasaporte.type.extension
                                Control1..?
                                66. Patient.identifier:Pasaporte.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                68. Patient.identifier:Pasaporte.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "3"
                                }
                                70. Patient.identifier:Pasaporte.type.coding.system
                                Control1..?
                                Must Supporttrue
                                72. Patient.identifier:Pasaporte.type.coding.code
                                Control1..?
                                Must Supporttrue
                                74. Patient.identifier:Pasaporte.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.5
                                76. Patient.identifier:Pasaporte.value
                                Definition

                                Valor alfanumérico

                                ShortNúmero de pasaporte
                                Control1..?
                                78. Patient.identifier:Pasaporte.period
                                80. Patient.identifier:Pasaporte.period.end
                                Definition

                                Formato de referencia "DD-MM-AAAA"

                                ShortFecha de caducidad del pasaporte
                                Control1..?
                                Must Supporttrue
                                82. Patient.identifier:DocumentoPaisOrigen
                                Slice NameDocumentoPaisOrigen
                                ShortDocumento identificador de país de origen
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente)
                                Must Supporttrue
                                84. Patient.identifier:DocumentoPaisOrigen.type
                                Control1..?
                                86. Patient.identifier:DocumentoPaisOrigen.type.extension
                                Control1..?
                                88. Patient.identifier:DocumentoPaisOrigen.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                90. Patient.identifier:DocumentoPaisOrigen.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "4"
                                }
                                92. Patient.identifier:DocumentoPaisOrigen.type.coding.system
                                Control1..?
                                Must Supporttrue
                                94. Patient.identifier:DocumentoPaisOrigen.type.coding.code
                                Control1..?
                                Must Supporttrue
                                96. Patient.identifier:DocumentoPaisOrigen.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.6
                                98. Patient.identifier:DocumentoPaisOrigen.value
                                Definition

                                Valor alfanumérico

                                ShortNúmero de documento de país de origen
                                Control1..?
                                100. Patient.identifier:NIP
                                Slice NameNIP
                                ShortNúmero de Identificador Provisorio FONASA (NIP)
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente con digito)
                                Must Supporttrue
                                102. Patient.identifier:NIP.extension
                                Control1..?
                                104. Patient.identifier:NIP.extension:digitoVerificador
                                Slice NamedigitoVerificador
                                Control1..?
                                106. Patient.identifier:NIP.type
                                Control1..?
                                108. Patient.identifier:NIP.type.extension
                                Control1..?
                                110. Patient.identifier:NIP.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                112. Patient.identifier:NIP.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "5"
                                }
                                114. Patient.identifier:NIP.type.coding.system
                                Control1..?
                                Must Supporttrue
                                116. Patient.identifier:NIP.type.coding.code
                                Control1..?
                                Must Supporttrue
                                118. Patient.identifier:NIP.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.8
                                120. Patient.identifier:NIP.value
                                Definition

                                Valor alfanumérico

                                ShortNúmero NIP
                                Control1..?
                                122. Patient.identifier:HistoriaClinica
                                Slice NameHistoriaClinica
                                ShortNúmero de Historia Clínica
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente)
                                Must Supporttrue
                                124. Patient.identifier:HistoriaClinica.type
                                Control1..?
                                126. Patient.identifier:HistoriaClinica.type.extension
                                Control1..?
                                128. Patient.identifier:HistoriaClinica.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                130. Patient.identifier:HistoriaClinica.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "6"
                                }
                                132. Patient.identifier:HistoriaClinica.type.coding.system
                                Control1..?
                                Must Supporttrue
                                134. Patient.identifier:HistoriaClinica.type.coding.code
                                Control1..?
                                Must Supporttrue
                                136. Patient.identifier:HistoriaClinica.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.12
                                138. Patient.identifier:HistoriaClinica.value
                                Definition

                                Valor alfanumérico

                                ShortNúmero de historia clínica
                                Control1..?
                                140. Patient.identifier:IPE
                                Slice NameIPE
                                ShortIdentificación Provisoria del Estudiante (IPE)
                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                Control0..1
                                TypeIdentifier(DEIS Identificador Paciente con digito)
                                Must Supporttrue
                                142. Patient.identifier:IPE.extension
                                Control1..?
                                144. Patient.identifier:IPE.extension:digitoVerificador
                                Slice NamedigitoVerificador
                                Control1..?
                                146. Patient.identifier:IPE.type
                                Control1..?
                                148. Patient.identifier:IPE.type.extension
                                Control1..?
                                150. Patient.identifier:IPE.type.extension:PaisEmisor
                                Slice NamePaisEmisor
                                Control1..1
                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                Must Supporttrue
                                152. Patient.identifier:IPE.type.coding
                                Control1..1
                                Must Supporttrue
                                Pattern Value{
                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                  "code" : "7"
                                }
                                154. Patient.identifier:IPE.type.coding.system
                                Control1..?
                                Must Supporttrue
                                156. Patient.identifier:IPE.type.coding.code
                                Control1..?
                                Must Supporttrue
                                158. Patient.identifier:IPE.system
                                Definition

                                Sistema de identificación del paciente

                                ShortSistema de identificación del paciente
                                Control1..?
                                Must Supporttrue
                                Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.11
                                160. Patient.identifier:IPE.value
                                Definition

                                Valor alfanumérico

                                ShortNúmero IPE
                                Control1..?
                                162. Patient.active
                                ShortSi el registro de este paciente está en uso activo.
                                Must Supporttrue
                                164. Patient.name
                                Control1..?
                                Must Supporttrue
                                Invariantsmpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                166. Patient.name:NombreOficial
                                Slice NameNombreOficial
                                Control1..?
                                Invariantsmpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                168. Patient.name:NombreOficial.family
                                Control1..?
                                170. Patient.name:NombreOficial.given
                                Control1..?
                                172. Patient.name:NombreSocial
                                Slice NameNombreSocial
                                Invariantsmpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                174. Patient.telecom
                                Control2..?
                                SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                • value @ system
                                • value @ use
                                • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                  176. Patient.telecom.system
                                  Definition

                                  Sistema de contacto

                                  Shortphone | email
                                  Control1..?
                                  178. Patient.telecom.value
                                  ShortValor de contacto
                                  Control1..?
                                  180. Patient.telecom.rank
                                  ShortOrden de uso del método de contacto, siendo 1 = prioritario
                                  Must Supporttrue
                                  182. Patient.telecom.period
                                  ShortPeriodo de tiempo durante el cual es válido el contacto del paciente
                                  Must Supporttrue
                                  184. Patient.telecom:telefonoFijo
                                  Slice NametelefonoFijo
                                  ShortTeléfono fijo del paciente
                                  Control0..*
                                  Must Supporttrue
                                  186. Patient.telecom:telefonoFijo.system
                                  Pattern Valuephone
                                  188. Patient.telecom:telefonoFijo.value
                                  Definition

                                  Formato numérico "YXXXXXXX" (8 dígitos), donde Y corresponde al código de área

                                  ShortNúmero de teléfono fijo
                                  190. Patient.telecom:telefonoFijo.use
                                  Control1..?
                                  Pattern Valuehome
                                  192. Patient.telecom:telefonoMovil
                                  Slice NametelefonoMovil
                                  ShortTeléfono móvil del paciente
                                  Control1..*
                                  Must Supporttrue
                                  194. Patient.telecom:telefonoMovil.system
                                  Pattern Valuephone
                                  196. Patient.telecom:telefonoMovil.value
                                  Definition

                                  Formato numérico "ZZXXXXXXX" (9 dígitos), donde Z corresponde al dígito del código de país

                                  ShortNúmero de teléfono móvil
                                  198. Patient.telecom:telefonoMovil.use
                                  Control1..?
                                  Pattern Valuemobile
                                  200. Patient.telecom:correoElectronico
                                  Slice NamecorreoElectronico
                                  ShortCorreo electrónico del paciente
                                  Control1..*
                                  Must Supporttrue
                                  202. Patient.telecom:correoElectronico.system
                                  Pattern Valueemail
                                  204. Patient.telecom:correoElectronico.value
                                  Definition

                                  Formato "texto@dominio"

                                  ShortDirección de correo electrónico
                                  206. Patient.telecom:correoElectronico.use
                                  Control1..?
                                  Pattern Valuehome
                                  208. Patient.gender
                                  ShortSexo Registral del paciente
                                  Control1..?
                                  210. Patient.birthDate
                                  Control1..?
                                  LOINC Code
                                  212. Patient.deceased[x]
                                  Definition

                                  Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.

                                  ShortPuede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.
                                  Control1..?
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Must Supporttrue
                                  214. Patient.address
                                  TypeAddress(Dirección del Paciente)

                                  See the documentation on how to interpret the contents of this table

                                  0. Patient
                                  Definition

                                  Demographics and other administrative information about an individual or animal receiving care or other health-related services.

                                  ShortInformation about an individual or animal receiving health care services
                                  Control0..*
                                  Is Modifierfalse
                                  Complies with ProfileThis profile complies with the profile
                                  Summaryfalse
                                  Alternate NamesSubjectOfCare Client Resident
                                  Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                  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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                  dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                  mpi-pat-enlaceEstado: Si el elemento Patient.link está presente, entonces **DEBE** estar presente el Patient.active (link.exists() implies active.exists())
                                  2. Patient.id
                                  Definition

                                  The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                  ShortLogical id of this artifact
                                  Comments

                                  The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                  Control0..1
                                  Typeid
                                  Is Modifierfalse
                                  Summarytrue
                                  4. Patient.meta
                                  Definition

                                  The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                  ShortMetadata about the resource
                                  Control0..1
                                  TypeMeta
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  6. Patient.implicitRules
                                  Definition

                                  A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                  ShortA set of rules under which this content was created
                                  Comments

                                  Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                  Control0..0
                                  Typeuri
                                  Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  8. Patient.language
                                  Definition

                                  The base language in which the resource is written.

                                  ShortLanguage of the resource content
                                  Comments

                                  Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                  Control0..1
                                  BindingThe codes SHOULD be taken from CommonLanguages
                                  (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                  A human language.

                                  Additional BindingsPurpose
                                  AllLanguagesMax Binding
                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  10. Patient.text
                                  Definition

                                  A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                  ShortText summary of the resource, for human interpretation
                                  Comments

                                  Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                  Control0..1
                                  TypeNarrative
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesnarrative, html, xhtml, display
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  12. Patient.contained
                                  Definition

                                  These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                  ShortContained, inline Resources
                                  Comments

                                  This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                  Control0..*
                                  TypeResource
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesinline resources, anonymous resources, contained resources
                                  14. Patient.extension
                                  Definition

                                  An Extension

                                  ShortExtension
                                  Control2..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  SlicingThis element introduces a set of slices on Patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • value @ url
                                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                    16. Patient.extension:IdentidadDeGenero
                                    Slice NameIdentidadDeGenero
                                    Definition

                                    Identidad De Género

                                    ShortIdentidad De Género
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Identidad De Género) (Complex Extension)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    18. Patient.extension:SexoBiologico
                                    Slice NameSexoBiologico
                                    Definition

                                    Sexo Biologico del paciente

                                    ShortSexo Biologico del paciente
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Sexo Biologico del paciente) (Extension Type: CodeableConcept)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    20. Patient.extension:sexoRegistral
                                    Slice NamesexoRegistral
                                    Definition

                                    Sexo Registral del paciente

                                    ShortSexo Registral del paciente
                                    Control1..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Sexo Registral del paciente) (Extension Type: code)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    22. Patient.extension:nacionalidad
                                    Slice Namenacionalidad
                                    Definition

                                    Nacionalidad del Paciente

                                    ShortNacionalidad del Paciente
                                    Control1..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Nacionalidad del Paciente) (Complex Extension)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    24. Patient.extension:paisNacimiento
                                    Slice NamepaisNacimiento
                                    Definition

                                    País donde nació el paciente

                                    ShortPaís de Nacimiento
                                    Control0..1
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(País de Nacimiento) (Extension Type: code)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    26. Patient.extension:pueblosIndigenas
                                    Slice NamepueblosIndigenas
                                    Definition

                                    Descendientes de agrupaciones humanas que pertenecían al país

                                    ShortPueblos Indígenas
                                    Control0..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Pueblos Indígenas) (Extension Type: code)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    28. Patient.extension:religionesCultos
                                    Slice NamereligionesCultos
                                    Definition

                                    Religiones y cultos a los que la persona se vincula espiritualmente

                                    ShortReligiones y Cultos
                                    Control0..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Religiones y Cultos) (Extension Type: code)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    30. Patient.extension:pueblosTribales
                                    Slice NamepueblosTribales
                                    Definition

                                    Pueblos tribales a los que la persona pertenece o con los que se identifica

                                    ShortPueblos Tribales o Afrodescendientes
                                    Control0..*
                                    This element is affected by the following invariants: ele-1
                                    TypeExtension(Pueblos Tribales o Afrodescendientes) (Extension Type: code)
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    32. Patient.modifierExtension
                                    Definition

                                    An Extension

                                    ShortExtension
                                    Control0..0
                                    TypeExtension
                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    34. Patient.identifier
                                    Definition

                                    Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero

                                    ShortIdentificador de paciente
                                    Comments

                                    En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador

                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                    Control1..*
                                    TypeIdentifier
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summarytrue
                                    Requirements

                                    Patients are almost always assigned specific numerical identifiers.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Patient.identifier. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • value @ type.coding.code
                                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                      36. Patient.identifier.id
                                      Definition

                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      38. Patient.identifier.extension
                                      Definition

                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                      ShortAdditional content defined by implementations
                                      Comments

                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • value @ url
                                      • 40. Patient.identifier.use
                                        Definition

                                        De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                        Shortusual | official | temp | secondary | old (If known)
                                        Comments

                                        Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                        Control0..1
                                        BindingThe codes SHALL be taken from IdentifierUse
                                        (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1)

                                        Identifies the purpose for this identifier, if known .

                                        Typecode
                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        42. Patient.identifier.type
                                        Definition

                                        Tipo de documento

                                        ShortTipo de documento
                                        Comments

                                        Tipo de documento

                                        Control1..1
                                        BindingUnless not suitable, these codes SHALL be taken from Identifier Type Codes
                                        (extensible to http://hl7.org/fhir/ValueSet/identifier-type|4.0.1)

                                        A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summarytrue
                                        Requirements

                                        Allows users to make use of identifiers when the identifier system is not known.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        44. Patient.identifier.type.id
                                        Definition

                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        46. Patient.identifier.type.extension
                                        Definition

                                        Se usa esta extensión para agregarle al tipo de documento el país de origen de este

                                        ShortPaís de Origen del Documento de Id
                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • value @ url
                                        • 48. Patient.identifier.type.extension:PaisEmisor
                                          Slice NamePaisEmisor
                                          Definition

                                          País que ha emitido el documento de identificación del paciente

                                          ShortPaís de Emisión del Documento de Identificación
                                          Control0..1
                                          TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          50. Patient.identifier.type.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system
                                          Comments

                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                          Control0..*
                                          TypeCoding
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summarytrue
                                          Requirements

                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          52. Patient.identifier.type.coding.id
                                          Definition

                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          54. Patient.identifier.type.coding.extension
                                          Definition

                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                          ShortAdditional content defined by implementations
                                          Comments

                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • value @ url
                                          • 56. Patient.identifier.type.coding.system
                                            Definition

                                            The identification of the code system that defines the meaning of the symbol in the code.

                                            ShortIdentity of the terminology system
                                            Comments

                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                            Control0..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Need to be unambiguous about the source of the definition of the symbol.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            58. Patient.identifier.type.coding.version
                                            Definition

                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                            ShortVersion of the system - if relevant
                                            Comments

                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            60. Patient.identifier.type.coding.code
                                            Definition

                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                            ShortSymbol in syntax defined by the system
                                            Control0..1
                                            Typecode
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Need to refer to a particular code in the system.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            62. Patient.identifier.type.coding.display
                                            Definition

                                            A representation of the meaning of the code in the system, following the rules of the system.

                                            ShortRepresentation defined by the system
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            64. Patient.identifier.type.coding.userSelected
                                            Definition

                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                            ShortIf this coding was chosen directly by the user
                                            Comments

                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                            Control0..1
                                            Typeboolean
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            66. Patient.identifier.type.text
                                            Definition

                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                            ShortPlain text representation of the concept
                                            Comments

                                            Very often the text is the same as a displayName of one of the codings.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            68. Patient.identifier.system
                                            Definition

                                            Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

                                            ShortThe namespace for the identifier value
                                            Comments

                                            Identifier.system is always case sensitive.

                                            Control0..1
                                            Typeuri
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            Requirements

                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                            EjemploGeneral: http://www.acme.com/identifiers/patient
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            70. Patient.identifier.value
                                            Definition

                                            Número o valor de identificación

                                            ShortNúmero o valor de identificación
                                            Comments

                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Summarytrue
                                            EjemploGeneral: 123456
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            72. Patient.identifier.period
                                            Definition

                                            Time period during which identifier is/was valid for use.

                                            ShortTime period when id is/was valid for use
                                            Control0..1
                                            TypePeriod
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            74. Patient.identifier.assigner
                                            Definition

                                            Organization that issued/manages the identifier.

                                            ShortOrganization that issued id (may be just text)
                                            Comments

                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                            Control0..1
                                            TypeReference(Organization)
                                            Is Modifierfalse
                                            Summarytrue
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            76. Patient.identifier:RUN
                                            Slice NameRUN
                                            Definition

                                            An identifier for this patient.

                                            ShortRUN del paciente
                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                            Control0..1
                                            TypeIdentifier(DEIS Identificador Paciente con digito The snapshot does not say whether the constraints on the root of this type profile have been applied to this element, so assume they have not. Check the type profile directly as well)
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summarytrue
                                            Requirements

                                            Patients are almost always assigned specific numerical identifiers.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            78. Patient.identifier:RUN.id
                                            Definition

                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            80. Patient.identifier:RUN.extension
                                            Definition

                                            An Extension

                                            ShortExtension
                                            Control1..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • value @ url
                                            • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                              82. Patient.identifier:RUN.extension:digitoVerificador
                                              Slice NamedigitoVerificador
                                              Definition

                                              allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                                              ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                                              Control1..1
                                              TypeExtension(ID Check digit) (Extension Type: string)
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              84. Patient.identifier:RUN.use
                                              Definition

                                              De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                              Shortusual | official | temp | secondary | old (If known)
                                              Comments

                                              Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                              Control0..1
                                              BindingThe codes SHALL be taken from IdentifierUse
                                              (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                              Typecode
                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                              Must Supporttrue
                                              Summarytrue
                                              Requirements

                                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              86. Patient.identifier:RUN.type
                                              Definition

                                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                              ShortDescription of identifier
                                              Comments

                                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                              Control1..1
                                              BindingThe codes SHALL be taken from Tipo de Identificador
                                              (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summarytrue
                                              Requirements

                                              Allows users to make use of identifiers when the identifier system is not known.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              88. Patient.identifier:RUN.type.id
                                              Definition

                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              90. Patient.identifier:RUN.type.extension
                                              Definition

                                              An Extension

                                              ShortExtension
                                              Control1..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • value @ url
                                              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                92. Patient.identifier:RUN.type.extension:PaisEmisor
                                                Slice NamePaisEmisor
                                                Definition

                                                País que ha emitido el documento de identificación del paciente

                                                ShortPaís de Emisión del Documento de Identificación
                                                Control1..1
                                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                94. Patient.identifier:RUN.type.coding
                                                Definition

                                                A reference to a code defined by a terminology system.

                                                ShortCode defined by a terminology system
                                                Comments

                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                Control1..1
                                                TypeCoding
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Summarytrue
                                                Requirements

                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                Pattern Value{
                                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                  "code" : "1"
                                                }
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                96. Patient.identifier:RUN.type.coding.id
                                                Definition

                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                ShortUnique id for inter-element referencing
                                                Control0..1
                                                Typestring
                                                Is Modifierfalse
                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                Summaryfalse
                                                98. Patient.identifier:RUN.type.coding.extension
                                                Definition

                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                ShortAdditional content defined by implementations
                                                Comments

                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                Control0..*
                                                TypeExtension
                                                Is Modifierfalse
                                                Summaryfalse
                                                Alternate Namesextensions, user content
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                • value @ url
                                                • 100. Patient.identifier:RUN.type.coding.system
                                                  Definition

                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                  ShortIdentity of the terminology system
                                                  Comments

                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  102. Patient.identifier:RUN.type.coding.version
                                                  Definition

                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                  ShortVersion of the system - if relevant
                                                  Comments

                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  104. Patient.identifier:RUN.type.coding.code
                                                  Definition

                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                  ShortSymbol in syntax defined by the system
                                                  Control1..1
                                                  Typecode
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Need to refer to a particular code in the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  106. Patient.identifier:RUN.type.coding.display
                                                  Definition

                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                  ShortRepresentation defined by the system
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  108. Patient.identifier:RUN.type.coding.userSelected
                                                  Definition

                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                  ShortIf this coding was chosen directly by the user
                                                  Comments

                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                  Control0..1
                                                  Typeboolean
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  110. Patient.identifier:RUN.type.text
                                                  Definition

                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                  ShortPlain text representation of the concept
                                                  Comments

                                                  Very often the text is the same as a displayName of one of the codings.

                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Summarytrue
                                                  Requirements

                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  112. Patient.identifier:RUN.system
                                                  Definition

                                                  Sistema de identificación del paciente

                                                  ShortSistema de identificación del paciente
                                                  Comments

                                                  Identifier.system is always case sensitive.

                                                  Control1..1
                                                  Typeuri
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                  Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.1
                                                  EjemploGeneral: http://www.acme.com/identifiers/patient
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  114. Patient.identifier:RUN.value
                                                  Definition

                                                  Valor numérico, máximo 9 dígitos

                                                  ShortNúmero de RUN
                                                  Comments

                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                  Control1..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Summarytrue
                                                  EjemploGeneral: 123456
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  116. Patient.identifier:RUN.period
                                                  Definition

                                                  Time period during which identifier is/was valid for use.

                                                  ShortTime period when id is/was valid for use
                                                  Control0..1
                                                  TypePeriod
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  118. Patient.identifier:RUN.assigner
                                                  Definition

                                                  Organization that issued/manages the identifier.

                                                  ShortOrganization that issued id (may be just text)
                                                  Comments

                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                  Control0..1
                                                  TypeReference(Organization)
                                                  Is Modifierfalse
                                                  Summarytrue
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  120. Patient.identifier:RUNMaterno
                                                  Slice NameRUNMaterno
                                                  Definition

                                                  An identifier for this patient.

                                                  ShortRUN Materno / Progenitor(a) del paciente
                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                  Control0..1
                                                  TypeIdentifier(DEIS Identificador Paciente con digito)
                                                  Is Modifierfalse
                                                  Must Supporttrue
                                                  Summarytrue
                                                  Requirements

                                                  Patients are almost always assigned specific numerical identifiers.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  122. Patient.identifier:RUNMaterno.id
                                                  Definition

                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                  ShortUnique id for inter-element referencing
                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                  Summaryfalse
                                                  124. Patient.identifier:RUNMaterno.extension
                                                  Definition

                                                  An Extension

                                                  ShortExtension
                                                  Control1..*
                                                  TypeExtension
                                                  Is Modifierfalse
                                                  Summaryfalse
                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                  SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                  • value @ url
                                                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                    126. Patient.identifier:RUNMaterno.extension:digitoVerificador
                                                    Slice NamedigitoVerificador
                                                    Definition

                                                    allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                                                    ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                                                    Control1..1
                                                    TypeExtension(ID Check digit) (Extension Type: string)
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    128. Patient.identifier:RUNMaterno.use
                                                    Definition

                                                    De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                    Shortusual | official | temp | secondary | old (If known)
                                                    Comments

                                                    Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                    Control0..1
                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                    Typecode
                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                    Summarytrue
                                                    Requirements

                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    130. Patient.identifier:RUNMaterno.type
                                                    Definition

                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                    ShortDescription of identifier
                                                    Comments

                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                    Control1..1
                                                    BindingThe codes SHALL be taken from Tipo de Identificador
                                                    (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                    TypeCodeableConcept
                                                    Is Modifierfalse
                                                    Must Supporttrue
                                                    Summarytrue
                                                    Requirements

                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    132. Patient.identifier:RUNMaterno.type.id
                                                    Definition

                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                    ShortUnique id for inter-element referencing
                                                    Control0..1
                                                    Typestring
                                                    Is Modifierfalse
                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                    Summaryfalse
                                                    134. Patient.identifier:RUNMaterno.type.extension
                                                    Definition

                                                    An Extension

                                                    ShortExtension
                                                    Control1..*
                                                    TypeExtension
                                                    Is Modifierfalse
                                                    Summaryfalse
                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                    SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                    • value @ url
                                                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                      136. Patient.identifier:RUNMaterno.type.extension:PaisEmisor
                                                      Slice NamePaisEmisor
                                                      Definition

                                                      País que ha emitido el documento de identificación del paciente

                                                      ShortPaís de Emisión del Documento de Identificación
                                                      Control1..1
                                                      TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summaryfalse
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      138. Patient.identifier:RUNMaterno.type.coding
                                                      Definition

                                                      A reference to a code defined by a terminology system.

                                                      ShortCode defined by a terminology system
                                                      Comments

                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                      Control1..1
                                                      TypeCoding
                                                      Is Modifierfalse
                                                      Must Supporttrue
                                                      Summarytrue
                                                      Requirements

                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                      Pattern Value{
                                                        "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                        "code" : "2"
                                                      }
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      140. Patient.identifier:RUNMaterno.type.coding.id
                                                      Definition

                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                      ShortUnique id for inter-element referencing
                                                      Control0..1
                                                      Typestring
                                                      Is Modifierfalse
                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                      Summaryfalse
                                                      142. Patient.identifier:RUNMaterno.type.coding.extension
                                                      Definition

                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                      ShortAdditional content defined by implementations
                                                      Comments

                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                      Control0..*
                                                      TypeExtension
                                                      Is Modifierfalse
                                                      Summaryfalse
                                                      Alternate Namesextensions, user content
                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                      SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                      • value @ url
                                                      • 144. Patient.identifier:RUNMaterno.type.coding.system
                                                        Definition

                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                        ShortIdentity of the terminology system
                                                        Comments

                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                        Control1..1
                                                        Typeuri
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        146. Patient.identifier:RUNMaterno.type.coding.version
                                                        Definition

                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                        ShortVersion of the system - if relevant
                                                        Comments

                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        148. Patient.identifier:RUNMaterno.type.coding.code
                                                        Definition

                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                        ShortSymbol in syntax defined by the system
                                                        Control1..1
                                                        Typecode
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Need to refer to a particular code in the system.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        150. Patient.identifier:RUNMaterno.type.coding.display
                                                        Definition

                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                        ShortRepresentation defined by the system
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        152. Patient.identifier:RUNMaterno.type.coding.userSelected
                                                        Definition

                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                        ShortIf this coding was chosen directly by the user
                                                        Comments

                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                        Control0..1
                                                        Typeboolean
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        154. Patient.identifier:RUNMaterno.type.text
                                                        Definition

                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                        ShortPlain text representation of the concept
                                                        Comments

                                                        Very often the text is the same as a displayName of one of the codings.

                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Summarytrue
                                                        Requirements

                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        156. Patient.identifier:RUNMaterno.system
                                                        Definition

                                                        Sistema de identificación del paciente

                                                        ShortSistema de identificación del paciente
                                                        Comments

                                                        Identifier.system is always case sensitive.

                                                        Control1..1
                                                        Typeuri
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                        Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.3
                                                        EjemploGeneral: http://www.acme.com/identifiers/patient
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        158. Patient.identifier:RUNMaterno.value
                                                        Definition

                                                        Valor numérico, máximo 9 dígitos

                                                        ShortNúmero de RUN Materno / Progenitor(a)
                                                        Comments

                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                        Control1..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                        Must Supporttrue
                                                        Summarytrue
                                                        EjemploGeneral: 123456
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        160. Patient.identifier:RUNMaterno.period
                                                        Definition

                                                        Time period during which identifier is/was valid for use.

                                                        ShortTime period when id is/was valid for use
                                                        Control0..1
                                                        TypePeriod
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        162. Patient.identifier:RUNMaterno.assigner
                                                        Definition

                                                        Organization that issued/manages the identifier.

                                                        ShortOrganization that issued id (may be just text)
                                                        Comments

                                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                        Control0..1
                                                        TypeReference(Organization)
                                                        Is Modifierfalse
                                                        Summarytrue
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        164. Patient.identifier:Pasaporte
                                                        Slice NamePasaporte
                                                        Definition

                                                        An identifier for this patient.

                                                        ShortNúmero de pasaporte del paciente
                                                        NoteThis is a business identifier, not a resource identifier (see discussion)
                                                        Control0..1
                                                        TypeIdentifier(DEIS Identificador Paciente)
                                                        Is Modifierfalse
                                                        Must Supporttrue
                                                        Summarytrue
                                                        Requirements

                                                        Patients are almost always assigned specific numerical identifiers.

                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        166. Patient.identifier:Pasaporte.id
                                                        Definition

                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                        ShortUnique id for inter-element referencing
                                                        Control0..1
                                                        Typestring
                                                        Is Modifierfalse
                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                        Summaryfalse
                                                        168. Patient.identifier:Pasaporte.extension
                                                        Definition

                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                        ShortAdditional content defined by implementations
                                                        Comments

                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                        Control0..*
                                                        TypeExtension
                                                        Is Modifierfalse
                                                        Summaryfalse
                                                        Alternate Namesextensions, user content
                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                        SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                        • value @ url
                                                        • 170. Patient.identifier:Pasaporte.use
                                                          Definition

                                                          De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                          Shortusual | official | temp | secondary | old (If known)
                                                          Comments

                                                          Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                          Control0..1
                                                          BindingThe codes SHALL be taken from IdentifierUse
                                                          (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                          Typecode
                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                          Summarytrue
                                                          Requirements

                                                          Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          172. Patient.identifier:Pasaporte.type
                                                          Definition

                                                          A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                          ShortDescription of identifier
                                                          Comments

                                                          This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                          Control1..1
                                                          BindingThe codes SHALL be taken from Tipo de Identificador
                                                          (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                          TypeCodeableConcept
                                                          Is Modifierfalse
                                                          Must Supporttrue
                                                          Summarytrue
                                                          Requirements

                                                          Allows users to make use of identifiers when the identifier system is not known.

                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          174. Patient.identifier:Pasaporte.type.id
                                                          Definition

                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                          ShortUnique id for inter-element referencing
                                                          Control0..1
                                                          Typestring
                                                          Is Modifierfalse
                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                          Summaryfalse
                                                          176. Patient.identifier:Pasaporte.type.extension
                                                          Definition

                                                          An Extension

                                                          ShortExtension
                                                          Control1..*
                                                          TypeExtension
                                                          Is Modifierfalse
                                                          Summaryfalse
                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                          • value @ url
                                                          • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                            178. Patient.identifier:Pasaporte.type.extension:PaisEmisor
                                                            Slice NamePaisEmisor
                                                            Definition

                                                            País que ha emitido el documento de identificación del paciente

                                                            ShortPaís de Emisión del Documento de Identificación
                                                            Control1..1
                                                            TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summaryfalse
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            180. Patient.identifier:Pasaporte.type.coding
                                                            Definition

                                                            A reference to a code defined by a terminology system.

                                                            ShortCode defined by a terminology system
                                                            Comments

                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                            Control1..1
                                                            TypeCoding
                                                            Is Modifierfalse
                                                            Must Supporttrue
                                                            Summarytrue
                                                            Requirements

                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                            Pattern Value{
                                                              "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                              "code" : "3"
                                                            }
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            182. Patient.identifier:Pasaporte.type.coding.id
                                                            Definition

                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                            ShortUnique id for inter-element referencing
                                                            Control0..1
                                                            Typestring
                                                            Is Modifierfalse
                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                            Summaryfalse
                                                            184. Patient.identifier:Pasaporte.type.coding.extension
                                                            Definition

                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                            ShortAdditional content defined by implementations
                                                            Comments

                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                            Control0..*
                                                            TypeExtension
                                                            Is Modifierfalse
                                                            Summaryfalse
                                                            Alternate Namesextensions, user content
                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                            SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                            • value @ url
                                                            • 186. Patient.identifier:Pasaporte.type.coding.system
                                                              Definition

                                                              The identification of the code system that defines the meaning of the symbol in the code.

                                                              ShortIdentity of the terminology system
                                                              Comments

                                                              The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                              Control1..1
                                                              Typeuri
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summarytrue
                                                              Requirements

                                                              Need to be unambiguous about the source of the definition of the symbol.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              188. Patient.identifier:Pasaporte.type.coding.version
                                                              Definition

                                                              The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                              ShortVersion of the system - if relevant
                                                              Comments

                                                              Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                              NoteThis is a business version Id, not a resource version Id (see discussion)
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              190. Patient.identifier:Pasaporte.type.coding.code
                                                              Definition

                                                              A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                              ShortSymbol in syntax defined by the system
                                                              Control1..1
                                                              Typecode
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summarytrue
                                                              Requirements

                                                              Need to refer to a particular code in the system.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              192. Patient.identifier:Pasaporte.type.coding.display
                                                              Definition

                                                              A representation of the meaning of the code in the system, following the rules of the system.

                                                              ShortRepresentation defined by the system
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              194. Patient.identifier:Pasaporte.type.coding.userSelected
                                                              Definition

                                                              Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                              ShortIf this coding was chosen directly by the user
                                                              Comments

                                                              Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                              Control0..1
                                                              Typeboolean
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              196. Patient.identifier:Pasaporte.type.text
                                                              Definition

                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                              ShortPlain text representation of the concept
                                                              Comments

                                                              Very often the text is the same as a displayName of one of the codings.

                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Summarytrue
                                                              Requirements

                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              198. Patient.identifier:Pasaporte.system
                                                              Definition

                                                              Sistema de identificación del paciente

                                                              ShortSistema de identificación del paciente
                                                              Comments

                                                              Identifier.system is always case sensitive.

                                                              Control1..1
                                                              Typeuri
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summarytrue
                                                              Requirements

                                                              There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                              Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.5
                                                              EjemploGeneral: http://www.acme.com/identifiers/patient
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              200. Patient.identifier:Pasaporte.value
                                                              Definition

                                                              Valor alfanumérico

                                                              ShortNúmero de pasaporte
                                                              Comments

                                                              If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                              Control1..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                              Must Supporttrue
                                                              Summarytrue
                                                              EjemploGeneral: 123456
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              202. Patient.identifier:Pasaporte.period
                                                              Definition

                                                              Time period during which identifier is/was valid for use.

                                                              ShortTime period when id is/was valid for use
                                                              Control0..1
                                                              TypePeriod
                                                              Is Modifierfalse
                                                              Summarytrue
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              204. Patient.identifier:Pasaporte.period.id
                                                              Definition

                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                              ShortUnique id for inter-element referencing
                                                              Control0..1
                                                              Typestring
                                                              Is Modifierfalse
                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                              Summaryfalse
                                                              206. Patient.identifier:Pasaporte.period.extension
                                                              Definition

                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                              ShortAdditional content defined by implementations
                                                              Comments

                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                              Control0..*
                                                              TypeExtension
                                                              Is Modifierfalse
                                                              Summaryfalse
                                                              Alternate Namesextensions, user content
                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                              SlicingThis element introduces a set of slices on Patient.identifier.period.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                              • value @ url
                                                              • 208. Patient.identifier:Pasaporte.period.start
                                                                Definition

                                                                The start of the period. The boundary is inclusive.

                                                                ShortStarting time with inclusive boundary
                                                                Comments

                                                                If the low element is missing, the meaning is that the low boundary is not known.

                                                                Control0..1
                                                                This element is affected by the following invariants: per-1
                                                                TypedateTime
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                210. Patient.identifier:Pasaporte.period.end
                                                                Definition

                                                                Formato de referencia "DD-MM-AAAA"

                                                                ShortFecha de caducidad del pasaporte
                                                                Comments

                                                                The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

                                                                Control1..1
                                                                This element is affected by the following invariants: per-1
                                                                TypedateTime
                                                                Is Modifierfalse
                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                Must Supporttrue
                                                                Summarytrue
                                                                Meaning if MissingIf the end of the period is missing, it means that the period is ongoing
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                212. Patient.identifier:Pasaporte.assigner
                                                                Definition

                                                                Organization that issued/manages the identifier.

                                                                ShortOrganization that issued id (may be just text)
                                                                Comments

                                                                The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                Control0..1
                                                                TypeReference(Organization)
                                                                Is Modifierfalse
                                                                Summarytrue
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                214. Patient.identifier:DocumentoPaisOrigen
                                                                Slice NameDocumentoPaisOrigen
                                                                Definition

                                                                An identifier for this patient.

                                                                ShortDocumento identificador de país de origen
                                                                NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                Control0..1
                                                                TypeIdentifier(DEIS Identificador Paciente)
                                                                Is Modifierfalse
                                                                Must Supporttrue
                                                                Summarytrue
                                                                Requirements

                                                                Patients are almost always assigned specific numerical identifiers.

                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                216. Patient.identifier:DocumentoPaisOrigen.id
                                                                Definition

                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                ShortUnique id for inter-element referencing
                                                                Control0..1
                                                                Typestring
                                                                Is Modifierfalse
                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                Summaryfalse
                                                                218. Patient.identifier:DocumentoPaisOrigen.extension
                                                                Definition

                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                ShortAdditional content defined by implementations
                                                                Comments

                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                Control0..*
                                                                TypeExtension
                                                                Is Modifierfalse
                                                                Summaryfalse
                                                                Alternate Namesextensions, user content
                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • value @ url
                                                                • 220. Patient.identifier:DocumentoPaisOrigen.use
                                                                  Definition

                                                                  De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                                  Shortusual | official | temp | secondary | old (If known)
                                                                  Comments

                                                                  Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                                  Control0..1
                                                                  BindingThe codes SHALL be taken from IdentifierUse
                                                                  (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                                  Typecode
                                                                  Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                  Summarytrue
                                                                  Requirements

                                                                  Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  222. Patient.identifier:DocumentoPaisOrigen.type
                                                                  Definition

                                                                  A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                  ShortDescription of identifier
                                                                  Comments

                                                                  This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                  Control1..1
                                                                  BindingThe codes SHALL be taken from Tipo de Identificador
                                                                  (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                                  TypeCodeableConcept
                                                                  Is Modifierfalse
                                                                  Must Supporttrue
                                                                  Summarytrue
                                                                  Requirements

                                                                  Allows users to make use of identifiers when the identifier system is not known.

                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  224. Patient.identifier:DocumentoPaisOrigen.type.id
                                                                  Definition

                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                  ShortUnique id for inter-element referencing
                                                                  Control0..1
                                                                  Typestring
                                                                  Is Modifierfalse
                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                  Summaryfalse
                                                                  226. Patient.identifier:DocumentoPaisOrigen.type.extension
                                                                  Definition

                                                                  An Extension

                                                                  ShortExtension
                                                                  Control1..*
                                                                  TypeExtension
                                                                  Is Modifierfalse
                                                                  Summaryfalse
                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                  SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                  • value @ url
                                                                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                    228. Patient.identifier:DocumentoPaisOrigen.type.extension:PaisEmisor
                                                                    Slice NamePaisEmisor
                                                                    Definition

                                                                    País que ha emitido el documento de identificación del paciente

                                                                    ShortPaís de Emisión del Documento de Identificación
                                                                    Control1..1
                                                                    TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                                    Is Modifierfalse
                                                                    Must Supporttrue
                                                                    Summaryfalse
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    230. Patient.identifier:DocumentoPaisOrigen.type.coding
                                                                    Definition

                                                                    A reference to a code defined by a terminology system.

                                                                    ShortCode defined by a terminology system
                                                                    Comments

                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                    Control1..1
                                                                    TypeCoding
                                                                    Is Modifierfalse
                                                                    Must Supporttrue
                                                                    Summarytrue
                                                                    Requirements

                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                    Pattern Value{
                                                                      "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                                      "code" : "4"
                                                                    }
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    232. Patient.identifier:DocumentoPaisOrigen.type.coding.id
                                                                    Definition

                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                    ShortUnique id for inter-element referencing
                                                                    Control0..1
                                                                    Typestring
                                                                    Is Modifierfalse
                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                    Summaryfalse
                                                                    234. Patient.identifier:DocumentoPaisOrigen.type.coding.extension
                                                                    Definition

                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                    ShortAdditional content defined by implementations
                                                                    Comments

                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                    Control0..*
                                                                    TypeExtension
                                                                    Is Modifierfalse
                                                                    Summaryfalse
                                                                    Alternate Namesextensions, user content
                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                    SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                    • value @ url
                                                                    • 236. Patient.identifier:DocumentoPaisOrigen.type.coding.system
                                                                      Definition

                                                                      The identification of the code system that defines the meaning of the symbol in the code.

                                                                      ShortIdentity of the terminology system
                                                                      Comments

                                                                      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                      Control1..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be unambiguous about the source of the definition of the symbol.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      238. Patient.identifier:DocumentoPaisOrigen.type.coding.version
                                                                      Definition

                                                                      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                      ShortVersion of the system - if relevant
                                                                      Comments

                                                                      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                      NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      240. Patient.identifier:DocumentoPaisOrigen.type.coding.code
                                                                      Definition

                                                                      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                      ShortSymbol in syntax defined by the system
                                                                      Control1..1
                                                                      Typecode
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to refer to a particular code in the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      242. Patient.identifier:DocumentoPaisOrigen.type.coding.display
                                                                      Definition

                                                                      A representation of the meaning of the code in the system, following the rules of the system.

                                                                      ShortRepresentation defined by the system
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      244. Patient.identifier:DocumentoPaisOrigen.type.coding.userSelected
                                                                      Definition

                                                                      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                      ShortIf this coding was chosen directly by the user
                                                                      Comments

                                                                      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                      Control0..1
                                                                      Typeboolean
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      246. Patient.identifier:DocumentoPaisOrigen.type.text
                                                                      Definition

                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                      ShortPlain text representation of the concept
                                                                      Comments

                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Summarytrue
                                                                      Requirements

                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      248. Patient.identifier:DocumentoPaisOrigen.system
                                                                      Definition

                                                                      Sistema de identificación del paciente

                                                                      ShortSistema de identificación del paciente
                                                                      Comments

                                                                      Identifier.system is always case sensitive.

                                                                      Control1..1
                                                                      Typeuri
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                      Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.6
                                                                      EjemploGeneral: http://www.acme.com/identifiers/patient
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      250. Patient.identifier:DocumentoPaisOrigen.value
                                                                      Definition

                                                                      Valor alfanumérico

                                                                      ShortNúmero de documento de país de origen
                                                                      Comments

                                                                      If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                      Control1..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      EjemploGeneral: 123456
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      252. Patient.identifier:DocumentoPaisOrigen.period
                                                                      Definition

                                                                      Time period during which identifier is/was valid for use.

                                                                      ShortTime period when id is/was valid for use
                                                                      Control0..1
                                                                      TypePeriod
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      254. Patient.identifier:DocumentoPaisOrigen.assigner
                                                                      Definition

                                                                      Organization that issued/manages the identifier.

                                                                      ShortOrganization that issued id (may be just text)
                                                                      Comments

                                                                      The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                      Control0..1
                                                                      TypeReference(Organization)
                                                                      Is Modifierfalse
                                                                      Summarytrue
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      256. Patient.identifier:NIP
                                                                      Slice NameNIP
                                                                      Definition

                                                                      An identifier for this patient.

                                                                      ShortNúmero de Identificador Provisorio FONASA (NIP)
                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                      Control0..1
                                                                      TypeIdentifier(DEIS Identificador Paciente con digito)
                                                                      Is Modifierfalse
                                                                      Must Supporttrue
                                                                      Summarytrue
                                                                      Requirements

                                                                      Patients are almost always assigned specific numerical identifiers.

                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      258. Patient.identifier:NIP.id
                                                                      Definition

                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                      ShortUnique id for inter-element referencing
                                                                      Control0..1
                                                                      Typestring
                                                                      Is Modifierfalse
                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                      Summaryfalse
                                                                      260. Patient.identifier:NIP.extension
                                                                      Definition

                                                                      An Extension

                                                                      ShortExtension
                                                                      Control1..*
                                                                      TypeExtension
                                                                      Is Modifierfalse
                                                                      Summaryfalse
                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                      SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                      • value @ url
                                                                      • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                        262. Patient.identifier:NIP.extension:digitoVerificador
                                                                        Slice NamedigitoVerificador
                                                                        Definition

                                                                        allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                                                                        ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                                                                        Control1..1
                                                                        TypeExtension(ID Check digit) (Extension Type: string)
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        264. Patient.identifier:NIP.use
                                                                        Definition

                                                                        De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                                        Shortusual | official | temp | secondary | old (If known)
                                                                        Comments

                                                                        Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                                        Control0..1
                                                                        BindingThe codes SHALL be taken from IdentifierUse
                                                                        (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                                        Typecode
                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        266. Patient.identifier:NIP.type
                                                                        Definition

                                                                        A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                        ShortDescription of identifier
                                                                        Comments

                                                                        This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                        Control1..1
                                                                        BindingThe codes SHALL be taken from Tipo de Identificador
                                                                        (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                                        TypeCodeableConcept
                                                                        Is Modifierfalse
                                                                        Must Supporttrue
                                                                        Summarytrue
                                                                        Requirements

                                                                        Allows users to make use of identifiers when the identifier system is not known.

                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        268. Patient.identifier:NIP.type.id
                                                                        Definition

                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                        ShortUnique id for inter-element referencing
                                                                        Control0..1
                                                                        Typestring
                                                                        Is Modifierfalse
                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                        Summaryfalse
                                                                        270. Patient.identifier:NIP.type.extension
                                                                        Definition

                                                                        An Extension

                                                                        ShortExtension
                                                                        Control1..*
                                                                        TypeExtension
                                                                        Is Modifierfalse
                                                                        Summaryfalse
                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                        SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                        • value @ url
                                                                        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                          272. Patient.identifier:NIP.type.extension:PaisEmisor
                                                                          Slice NamePaisEmisor
                                                                          Definition

                                                                          País que ha emitido el documento de identificación del paciente

                                                                          ShortPaís de Emisión del Documento de Identificación
                                                                          Control1..1
                                                                          TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summaryfalse
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          274. Patient.identifier:NIP.type.coding
                                                                          Definition

                                                                          A reference to a code defined by a terminology system.

                                                                          ShortCode defined by a terminology system
                                                                          Comments

                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                          Control1..1
                                                                          TypeCoding
                                                                          Is Modifierfalse
                                                                          Must Supporttrue
                                                                          Summarytrue
                                                                          Requirements

                                                                          Allows for alternative encodings within a code system, and translations to other code systems.

                                                                          Pattern Value{
                                                                            "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                                            "code" : "5"
                                                                          }
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          276. Patient.identifier:NIP.type.coding.id
                                                                          Definition

                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                          ShortUnique id for inter-element referencing
                                                                          Control0..1
                                                                          Typestring
                                                                          Is Modifierfalse
                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                          Summaryfalse
                                                                          278. Patient.identifier:NIP.type.coding.extension
                                                                          Definition

                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                          ShortAdditional content defined by implementations
                                                                          Comments

                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                          Control0..*
                                                                          TypeExtension
                                                                          Is Modifierfalse
                                                                          Summaryfalse
                                                                          Alternate Namesextensions, user content
                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                          SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                          • value @ url
                                                                          • 280. Patient.identifier:NIP.type.coding.system
                                                                            Definition

                                                                            The identification of the code system that defines the meaning of the symbol in the code.

                                                                            ShortIdentity of the terminology system
                                                                            Comments

                                                                            The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                            Control1..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be unambiguous about the source of the definition of the symbol.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            282. Patient.identifier:NIP.type.coding.version
                                                                            Definition

                                                                            The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                            ShortVersion of the system - if relevant
                                                                            Comments

                                                                            Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                            NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            284. Patient.identifier:NIP.type.coding.code
                                                                            Definition

                                                                            A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                            ShortSymbol in syntax defined by the system
                                                                            Control1..1
                                                                            Typecode
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to refer to a particular code in the system.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            286. Patient.identifier:NIP.type.coding.display
                                                                            Definition

                                                                            A representation of the meaning of the code in the system, following the rules of the system.

                                                                            ShortRepresentation defined by the system
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            288. Patient.identifier:NIP.type.coding.userSelected
                                                                            Definition

                                                                            Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                            ShortIf this coding was chosen directly by the user
                                                                            Comments

                                                                            Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                            Control0..1
                                                                            Typeboolean
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            290. Patient.identifier:NIP.type.text
                                                                            Definition

                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                            ShortPlain text representation of the concept
                                                                            Comments

                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Summarytrue
                                                                            Requirements

                                                                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            292. Patient.identifier:NIP.system
                                                                            Definition

                                                                            Sistema de identificación del paciente

                                                                            ShortSistema de identificación del paciente
                                                                            Comments

                                                                            Identifier.system is always case sensitive.

                                                                            Control1..1
                                                                            Typeuri
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                            Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.8
                                                                            EjemploGeneral: http://www.acme.com/identifiers/patient
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            294. Patient.identifier:NIP.value
                                                                            Definition

                                                                            Valor alfanumérico

                                                                            ShortNúmero NIP
                                                                            Comments

                                                                            If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                            Control1..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            EjemploGeneral: 123456
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            296. Patient.identifier:NIP.period
                                                                            Definition

                                                                            Time period during which identifier is/was valid for use.

                                                                            ShortTime period when id is/was valid for use
                                                                            Control0..1
                                                                            TypePeriod
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            298. Patient.identifier:NIP.assigner
                                                                            Definition

                                                                            Organization that issued/manages the identifier.

                                                                            ShortOrganization that issued id (may be just text)
                                                                            Comments

                                                                            The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                            Control0..1
                                                                            TypeReference(Organization)
                                                                            Is Modifierfalse
                                                                            Summarytrue
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            300. Patient.identifier:HistoriaClinica
                                                                            Slice NameHistoriaClinica
                                                                            Definition

                                                                            An identifier for this patient.

                                                                            ShortNúmero de Historia Clínica
                                                                            NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                            Control0..1
                                                                            TypeIdentifier(DEIS Identificador Paciente)
                                                                            Is Modifierfalse
                                                                            Must Supporttrue
                                                                            Summarytrue
                                                                            Requirements

                                                                            Patients are almost always assigned specific numerical identifiers.

                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            302. Patient.identifier:HistoriaClinica.id
                                                                            Definition

                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                            ShortUnique id for inter-element referencing
                                                                            Control0..1
                                                                            Typestring
                                                                            Is Modifierfalse
                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                            Summaryfalse
                                                                            304. Patient.identifier:HistoriaClinica.extension
                                                                            Definition

                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                            ShortAdditional content defined by implementations
                                                                            Comments

                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                            Control0..*
                                                                            TypeExtension
                                                                            Is Modifierfalse
                                                                            Summaryfalse
                                                                            Alternate Namesextensions, user content
                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                            SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                            • value @ url
                                                                            • 306. Patient.identifier:HistoriaClinica.use
                                                                              Definition

                                                                              De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                                              Shortusual | official | temp | secondary | old (If known)
                                                                              Comments

                                                                              Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                                              Control0..1
                                                                              BindingThe codes SHALL be taken from IdentifierUse
                                                                              (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                                              Typecode
                                                                              Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                              Summarytrue
                                                                              Requirements

                                                                              Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              308. Patient.identifier:HistoriaClinica.type
                                                                              Definition

                                                                              A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                              ShortDescription of identifier
                                                                              Comments

                                                                              This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                              Control1..1
                                                                              BindingThe codes SHALL be taken from Tipo de Identificador
                                                                              (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                                              TypeCodeableConcept
                                                                              Is Modifierfalse
                                                                              Must Supporttrue
                                                                              Summarytrue
                                                                              Requirements

                                                                              Allows users to make use of identifiers when the identifier system is not known.

                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              310. Patient.identifier:HistoriaClinica.type.id
                                                                              Definition

                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                              ShortUnique id for inter-element referencing
                                                                              Control0..1
                                                                              Typestring
                                                                              Is Modifierfalse
                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                              Summaryfalse
                                                                              312. Patient.identifier:HistoriaClinica.type.extension
                                                                              Definition

                                                                              An Extension

                                                                              ShortExtension
                                                                              Control1..*
                                                                              TypeExtension
                                                                              Is Modifierfalse
                                                                              Summaryfalse
                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                              SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                              • value @ url
                                                                              • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                                314. Patient.identifier:HistoriaClinica.type.extension:PaisEmisor
                                                                                Slice NamePaisEmisor
                                                                                Definition

                                                                                País que ha emitido el documento de identificación del paciente

                                                                                ShortPaís de Emisión del Documento de Identificación
                                                                                Control1..1
                                                                                TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Summaryfalse
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                316. Patient.identifier:HistoriaClinica.type.coding
                                                                                Definition

                                                                                A reference to a code defined by a terminology system.

                                                                                ShortCode defined by a terminology system
                                                                                Comments

                                                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                Control1..1
                                                                                TypeCoding
                                                                                Is Modifierfalse
                                                                                Must Supporttrue
                                                                                Summarytrue
                                                                                Requirements

                                                                                Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                Pattern Value{
                                                                                  "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                                                  "code" : "6"
                                                                                }
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                318. Patient.identifier:HistoriaClinica.type.coding.id
                                                                                Definition

                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                ShortUnique id for inter-element referencing
                                                                                Control0..1
                                                                                Typestring
                                                                                Is Modifierfalse
                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                Summaryfalse
                                                                                320. Patient.identifier:HistoriaClinica.type.coding.extension
                                                                                Definition

                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                ShortAdditional content defined by implementations
                                                                                Comments

                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                Control0..*
                                                                                TypeExtension
                                                                                Is Modifierfalse
                                                                                Summaryfalse
                                                                                Alternate Namesextensions, user content
                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                • value @ url
                                                                                • 322. Patient.identifier:HistoriaClinica.type.coding.system
                                                                                  Definition

                                                                                  The identification of the code system that defines the meaning of the symbol in the code.

                                                                                  ShortIdentity of the terminology system
                                                                                  Comments

                                                                                  The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to be unambiguous about the source of the definition of the symbol.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  324. Patient.identifier:HistoriaClinica.type.coding.version
                                                                                  Definition

                                                                                  The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                  ShortVersion of the system - if relevant
                                                                                  Comments

                                                                                  Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                  NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  326. Patient.identifier:HistoriaClinica.type.coding.code
                                                                                  Definition

                                                                                  A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                  ShortSymbol in syntax defined by the system
                                                                                  Control1..1
                                                                                  Typecode
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to refer to a particular code in the system.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  328. Patient.identifier:HistoriaClinica.type.coding.display
                                                                                  Definition

                                                                                  A representation of the meaning of the code in the system, following the rules of the system.

                                                                                  ShortRepresentation defined by the system
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  330. Patient.identifier:HistoriaClinica.type.coding.userSelected
                                                                                  Definition

                                                                                  Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                  ShortIf this coding was chosen directly by the user
                                                                                  Comments

                                                                                  Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                  Control0..1
                                                                                  Typeboolean
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  332. Patient.identifier:HistoriaClinica.type.text
                                                                                  Definition

                                                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                  ShortPlain text representation of the concept
                                                                                  Comments

                                                                                  Very often the text is the same as a displayName of one of the codings.

                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  334. Patient.identifier:HistoriaClinica.system
                                                                                  Definition

                                                                                  Sistema de identificación del paciente

                                                                                  ShortSistema de identificación del paciente
                                                                                  Comments

                                                                                  Identifier.system is always case sensitive.

                                                                                  Control1..1
                                                                                  Typeuri
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                  Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.12
                                                                                  EjemploGeneral: http://www.acme.com/identifiers/patient
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  336. Patient.identifier:HistoriaClinica.value
                                                                                  Definition

                                                                                  Valor alfanumérico

                                                                                  ShortNúmero de historia clínica
                                                                                  Comments

                                                                                  If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                  Control1..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  EjemploGeneral: 123456
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  338. Patient.identifier:HistoriaClinica.period
                                                                                  Definition

                                                                                  Time period during which identifier is/was valid for use.

                                                                                  ShortTime period when id is/was valid for use
                                                                                  Control0..1
                                                                                  TypePeriod
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  340. Patient.identifier:HistoriaClinica.assigner
                                                                                  Definition

                                                                                  Organization that issued/manages the identifier.

                                                                                  ShortOrganization that issued id (may be just text)
                                                                                  Comments

                                                                                  The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                  Control0..1
                                                                                  TypeReference(Organization)
                                                                                  Is Modifierfalse
                                                                                  Summarytrue
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  342. Patient.identifier:IPE
                                                                                  Slice NameIPE
                                                                                  Definition

                                                                                  An identifier for this patient.

                                                                                  ShortIdentificación Provisoria del Estudiante (IPE)
                                                                                  NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                  Control0..1
                                                                                  TypeIdentifier(DEIS Identificador Paciente con digito)
                                                                                  Is Modifierfalse
                                                                                  Must Supporttrue
                                                                                  Summarytrue
                                                                                  Requirements

                                                                                  Patients are almost always assigned specific numerical identifiers.

                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  344. Patient.identifier:IPE.id
                                                                                  Definition

                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                  ShortUnique id for inter-element referencing
                                                                                  Control0..1
                                                                                  Typestring
                                                                                  Is Modifierfalse
                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                  Summaryfalse
                                                                                  346. Patient.identifier:IPE.extension
                                                                                  Definition

                                                                                  An Extension

                                                                                  ShortExtension
                                                                                  Control1..*
                                                                                  TypeExtension
                                                                                  Is Modifierfalse
                                                                                  Summaryfalse
                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                  SlicingThis element introduces a set of slices on Patient.identifier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                  • value @ url
                                                                                  • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                                    348. Patient.identifier:IPE.extension:digitoVerificador
                                                                                    Slice NamedigitoVerificador
                                                                                    Definition

                                                                                    allow for a check digit and a check digit scheme to be conveyed as part of Identifier. The rules of the ID Type determine if the check digit is part of the ID value or sent separately.

                                                                                    ShortAllows for a check digit and a check digit scheme to be conveyed as part of Identifier
                                                                                    Control1..1
                                                                                    TypeExtension(ID Check digit) (Extension Type: string)
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    350. Patient.identifier:IPE.use
                                                                                    Definition

                                                                                    De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

                                                                                    Shortusual | official | temp | secondary | old (If known)
                                                                                    Comments

                                                                                    Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

                                                                                    Control0..1
                                                                                    BindingThe codes SHALL be taken from IdentifierUse
                                                                                    (required to http://hl7.org/fhir/ValueSet/identifier-use)
                                                                                    Typecode
                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one.
                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    352. Patient.identifier:IPE.type
                                                                                    Definition

                                                                                    A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

                                                                                    ShortDescription of identifier
                                                                                    Comments

                                                                                    This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

                                                                                    Control1..1
                                                                                    BindingThe codes SHALL be taken from Tipo de Identificador
                                                                                    (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-tipo-identificador-vs)
                                                                                    TypeCodeableConcept
                                                                                    Is Modifierfalse
                                                                                    Must Supporttrue
                                                                                    Summarytrue
                                                                                    Requirements

                                                                                    Allows users to make use of identifiers when the identifier system is not known.

                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    354. Patient.identifier:IPE.type.id
                                                                                    Definition

                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                    ShortUnique id for inter-element referencing
                                                                                    Control0..1
                                                                                    Typestring
                                                                                    Is Modifierfalse
                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                    Summaryfalse
                                                                                    356. Patient.identifier:IPE.type.extension
                                                                                    Definition

                                                                                    An Extension

                                                                                    ShortExtension
                                                                                    Control1..*
                                                                                    TypeExtension
                                                                                    Is Modifierfalse
                                                                                    Summaryfalse
                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                    SlicingThis element introduces a set of slices on Patient.identifier.type.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                    • value @ url
                                                                                    • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                                      358. Patient.identifier:IPE.type.extension:PaisEmisor
                                                                                      Slice NamePaisEmisor
                                                                                      Definition

                                                                                      País que ha emitido el documento de identificación del paciente

                                                                                      ShortPaís de Emisión del Documento de Identificación
                                                                                      Control1..1
                                                                                      TypeExtension(País de Emisión del Documento de Identificación) (Extension Type: code)
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Summaryfalse
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      360. Patient.identifier:IPE.type.coding
                                                                                      Definition

                                                                                      A reference to a code defined by a terminology system.

                                                                                      ShortCode defined by a terminology system
                                                                                      Comments

                                                                                      Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                      Control1..1
                                                                                      TypeCoding
                                                                                      Is Modifierfalse
                                                                                      Must Supporttrue
                                                                                      Summarytrue
                                                                                      Requirements

                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                      Pattern Value{
                                                                                        "system" : "https://interoperabilidad.minsal.cl/fhir/ig/eis/CodeSystem/eis-tipo-identificador-cs",
                                                                                        "code" : "7"
                                                                                      }
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      362. Patient.identifier:IPE.type.coding.id
                                                                                      Definition

                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                      ShortUnique id for inter-element referencing
                                                                                      Control0..1
                                                                                      Typestring
                                                                                      Is Modifierfalse
                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                      Summaryfalse
                                                                                      364. Patient.identifier:IPE.type.coding.extension
                                                                                      Definition

                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                      ShortAdditional content defined by implementations
                                                                                      Comments

                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                      Control0..*
                                                                                      TypeExtension
                                                                                      Is Modifierfalse
                                                                                      Summaryfalse
                                                                                      Alternate Namesextensions, user content
                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                      SlicingThis element introduces a set of slices on Patient.identifier.type.coding.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                      • value @ url
                                                                                      • 366. Patient.identifier:IPE.type.coding.system
                                                                                        Definition

                                                                                        The identification of the code system that defines the meaning of the symbol in the code.

                                                                                        ShortIdentity of the terminology system
                                                                                        Comments

                                                                                        The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be unambiguous about the source of the definition of the symbol.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        368. Patient.identifier:IPE.type.coding.version
                                                                                        Definition

                                                                                        The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

                                                                                        ShortVersion of the system - if relevant
                                                                                        Comments

                                                                                        Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

                                                                                        NoteThis is a business version Id, not a resource version Id (see discussion)
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        370. Patient.identifier:IPE.type.coding.code
                                                                                        Definition

                                                                                        A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

                                                                                        ShortSymbol in syntax defined by the system
                                                                                        Control1..1
                                                                                        Typecode
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to refer to a particular code in the system.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        372. Patient.identifier:IPE.type.coding.display
                                                                                        Definition

                                                                                        A representation of the meaning of the code in the system, following the rules of the system.

                                                                                        ShortRepresentation defined by the system
                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        374. Patient.identifier:IPE.type.coding.userSelected
                                                                                        Definition

                                                                                        Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

                                                                                        ShortIf this coding was chosen directly by the user
                                                                                        Comments

                                                                                        Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

                                                                                        Control0..1
                                                                                        Typeboolean
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        376. Patient.identifier:IPE.type.text
                                                                                        Definition

                                                                                        A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                        ShortPlain text representation of the concept
                                                                                        Comments

                                                                                        Very often the text is the same as a displayName of one of the codings.

                                                                                        Control0..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        378. Patient.identifier:IPE.system
                                                                                        Definition

                                                                                        Sistema de identificación del paciente

                                                                                        ShortSistema de identificación del paciente
                                                                                        Comments

                                                                                        Identifier.system is always case sensitive.

                                                                                        Control1..1
                                                                                        Typeuri
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

                                                                                        Pattern Valueurn:oid:2.16.840.1.113883.2.22.1.152.11
                                                                                        EjemploGeneral: http://www.acme.com/identifiers/patient
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        380. Patient.identifier:IPE.value
                                                                                        Definition

                                                                                        Valor alfanumérico

                                                                                        ShortNúmero IPE
                                                                                        Comments

                                                                                        If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

                                                                                        Control1..1
                                                                                        Typestring
                                                                                        Is Modifierfalse
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        EjemploGeneral: 123456
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        382. Patient.identifier:IPE.period
                                                                                        Definition

                                                                                        Time period during which identifier is/was valid for use.

                                                                                        ShortTime period when id is/was valid for use
                                                                                        Control0..1
                                                                                        TypePeriod
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        384. Patient.identifier:IPE.assigner
                                                                                        Definition

                                                                                        Organization that issued/manages the identifier.

                                                                                        ShortOrganization that issued id (may be just text)
                                                                                        Comments

                                                                                        The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

                                                                                        Control0..1
                                                                                        TypeReference(Organization)
                                                                                        Is Modifierfalse
                                                                                        Summarytrue
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        386. Patient.active
                                                                                        Definition

                                                                                        Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

                                                                                        It is often used to filter patient lists to exclude inactive patients

                                                                                        Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

                                                                                        ShortSi el registro de este paciente está en uso activo.
                                                                                        Comments

                                                                                        If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

                                                                                        Control0..1
                                                                                        Typeboolean
                                                                                        Is Modifiertrue because This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid
                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be able to mark a patient record as not to be used because it was created in error.

                                                                                        Meaning if MissingThis resource is generally assumed to be active if no value is provided for the active element
                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        388. Patient.name
                                                                                        Definition

                                                                                        Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido

                                                                                        ShortNombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido
                                                                                        Comments

                                                                                        A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                        Control1..*
                                                                                        TypeHumanName
                                                                                        Is Modifierfalse
                                                                                        Must Supporttrue
                                                                                        Summarytrue
                                                                                        Requirements

                                                                                        Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                        mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                                                                        SlicingThis element introduces a set of slices on Patient.name. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                        • value @ use
                                                                                        • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                                          390. Patient.name:NombreOficial
                                                                                          Slice NameNombreOficial
                                                                                          Definition

                                                                                          Determinación del nombre registrado oficialmente del Paciente

                                                                                          ShortDeterminación del nombre registrado oficialmente del Paciente
                                                                                          Comments

                                                                                          A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                          Control1..1
                                                                                          TypeHumanName
                                                                                          Is Modifierfalse
                                                                                          Must Supporttrue
                                                                                          Summarytrue
                                                                                          Requirements

                                                                                          Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                                                                          392. Patient.name:NombreOficial.id
                                                                                          Definition

                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                          ShortUnique id for inter-element referencing
                                                                                          Control0..1
                                                                                          Typestring
                                                                                          Is Modifierfalse
                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                          Summaryfalse
                                                                                          394. Patient.name:NombreOficial.extension
                                                                                          Definition

                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                          ShortAdditional content defined by implementations
                                                                                          Comments

                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                          Control0..*
                                                                                          TypeExtension
                                                                                          Is Modifierfalse
                                                                                          Summaryfalse
                                                                                          Alternate Namesextensions, user content
                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                          SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                          • value @ url
                                                                                          • 396. Patient.name:NombreOficial.use
                                                                                            Definition

                                                                                            este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official"

                                                                                            Shortuso del nombre del paciente
                                                                                            Comments

                                                                                            Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official"

                                                                                            Control1..1
                                                                                            BindingThe codes SHALL be taken from NameUse
                                                                                            (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                            The use of a human name.

                                                                                            Typecode
                                                                                            Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                            Pattern Valueofficial
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            398. Patient.name:NombreOficial.text
                                                                                            Definition

                                                                                            Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                            ShortText representation of the full name
                                                                                            Comments

                                                                                            Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Summarytrue
                                                                                            Requirements

                                                                                            A renderable, unencoded form.

                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            400. Patient.name:NombreOficial.family
                                                                                            Definition

                                                                                            Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

                                                                                            Short1er Apellido
                                                                                            Comments

                                                                                            Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                            Control1..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                            Must Supporttrue
                                                                                            Summarytrue
                                                                                            Alternate Namessurname
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            402. Patient.name:NombreOficial.family.id
                                                                                            Definition

                                                                                            unique id for the element within a resource (for internal references)

                                                                                            Shortxml:id (or equivalent in JSON)
                                                                                            Control0..1
                                                                                            Typestring
                                                                                            Is Modifierfalse
                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                            Summaryfalse
                                                                                            404. Patient.name:NombreOficial.family.extension
                                                                                            Definition

                                                                                            Extensión para la declaración de un segundo apellido

                                                                                            ShortExtensión para el segundo apellido
                                                                                            Control0..*
                                                                                            TypeExtension
                                                                                            Is Modifierfalse
                                                                                            Summaryfalse
                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                            SlicingThis element introduces a set of slices on Patient.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                            • value @ url
                                                                                            • 406. Patient.name:NombreOficial.family.extension:segundoApellido
                                                                                              Slice NamesegundoApellido
                                                                                              Definition

                                                                                              Segundo Apellido

                                                                                              ShortSegundo Apellido
                                                                                              Control0..1
                                                                                              This element is affected by the following invariants: ele-1
                                                                                              TypeExtension(Segundo Apellido) (Extension Type: string)
                                                                                              Is Modifierfalse
                                                                                              Must Supporttrue
                                                                                              Summaryfalse
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              408. Patient.name:NombreOficial.family.value
                                                                                              Definition

                                                                                              The actual value

                                                                                              ShortPrimitive value for string
                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              Max Length:1048576
                                                                                              410. Patient.name:NombreOficial.given
                                                                                              Definition

                                                                                              Todos los nombres de los pacientes no necesariamente solo el Primer Nombre

                                                                                              ShortPrimer nombre y nombres del Paciente
                                                                                              Comments

                                                                                              If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                              Control1..*
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Must Supporttrue
                                                                                              Summarytrue
                                                                                              Alternate Namesfirst name, middle name
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              412. Patient.name:NombreOficial.prefix
                                                                                              Definition

                                                                                              Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                              ShortParts that come before the name
                                                                                              Control0..*
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              414. Patient.name:NombreOficial.suffix
                                                                                              Definition

                                                                                              Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                              ShortParts that come after the name
                                                                                              Control0..*
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                              Summarytrue
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              416. Patient.name:NombreOficial.period
                                                                                              Definition

                                                                                              Indicates the period of time when this name was valid for the named person.

                                                                                              ShortTime period when name was/is in use
                                                                                              Control0..1
                                                                                              TypePeriod
                                                                                              Is Modifierfalse
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Allows names to be placed in historical context.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              418. Patient.name:NombreSocial
                                                                                              Slice NameNombreSocial
                                                                                              Definition

                                                                                              Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre

                                                                                              Shortnombre recurrente que usa el paciente
                                                                                              Comments

                                                                                              A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

                                                                                              Control0..1
                                                                                              TypeHumanName
                                                                                              Is Modifierfalse
                                                                                              Must Supporttrue
                                                                                              Summarytrue
                                                                                              Requirements

                                                                                              Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              mpi-pat-nombre: En caso de utilizar el dato nombre el Patient.name.given o Patient.name.family o el Patient.name.text debe existir, caso contrario **DEBE** utilizar la extensión data-absent-reason ((family.exists() or given.exists() or text.exists()) xor extension.where(url='http://hl7.org/fhir/StructureDefinition/data-absent-reason').exists())
                                                                                              420. Patient.name:NombreSocial.id
                                                                                              Definition

                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                              ShortUnique id for inter-element referencing
                                                                                              Control0..1
                                                                                              Typestring
                                                                                              Is Modifierfalse
                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                              Summaryfalse
                                                                                              422. Patient.name:NombreSocial.extension
                                                                                              Definition

                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                              ShortAdditional content defined by implementations
                                                                                              Comments

                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                              Control0..*
                                                                                              TypeExtension
                                                                                              Is Modifierfalse
                                                                                              Summaryfalse
                                                                                              Alternate Namesextensions, user content
                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                              SlicingThis element introduces a set of slices on Patient.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                              • value @ url
                                                                                              • 424. Patient.name:NombreSocial.use
                                                                                                Definition

                                                                                                Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual

                                                                                                Shortuso que se le da al nombre
                                                                                                Comments

                                                                                                Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual"

                                                                                                Control1..1
                                                                                                BindingThe codes SHALL be taken from NameUse
                                                                                                (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                The use of a human name.

                                                                                                Typecode
                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Must Supporttrue
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                Pattern Valueusual
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                426. Patient.name:NombreSocial.text
                                                                                                Definition

                                                                                                Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                                ShortText representation of the full name
                                                                                                Comments

                                                                                                Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                A renderable, unencoded form.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                428. Patient.name:NombreSocial.family
                                                                                                Definition

                                                                                                The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

                                                                                                ShortFamily name (often called 'Surname')
                                                                                                Comments

                                                                                                Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Alternate Namessurname
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                430. Patient.name:NombreSocial.given
                                                                                                Definition

                                                                                                Nombre Social del Paciente

                                                                                                ShortNombre Social
                                                                                                Comments

                                                                                                If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                Control1..*
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Must Supporttrue
                                                                                                Summarytrue
                                                                                                Alternate Namesfirst name, middle name
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                432. Patient.name:NombreSocial.prefix
                                                                                                Definition

                                                                                                Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                                ShortParts that come before the name
                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                434. Patient.name:NombreSocial.suffix
                                                                                                Definition

                                                                                                Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                                ShortParts that come after the name
                                                                                                Control0..0
                                                                                                Typestring
                                                                                                Is Modifierfalse
                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                Summarytrue
                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                436. Patient.name:NombreSocial.period
                                                                                                Definition

                                                                                                Indicates the period of time when this name was valid for the named person.

                                                                                                ShortTime period when name was/is in use
                                                                                                Control0..0
                                                                                                TypePeriod
                                                                                                Is Modifierfalse
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                Allows names to be placed in historical context.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                438. Patient.telecom
                                                                                                Definition

                                                                                                Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

                                                                                                ShortDetalles de contacto del Paciente
                                                                                                Comments

                                                                                                A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                Control2..*
                                                                                                TypeContactPoint
                                                                                                Is Modifierfalse
                                                                                                Must Supporttrue
                                                                                                Summarytrue
                                                                                                Requirements

                                                                                                People have (primary) ways to contact them in some way such as phone, email.

                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                SlicingThis element introduces a set of slices on Patient.telecom. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                • value @ system
                                                                                                • value @ use
                                                                                                • Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

                                                                                                  440. Patient.telecom.id
                                                                                                  Definition

                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                  ShortUnique id for inter-element referencing
                                                                                                  Control0..1
                                                                                                  Typestring
                                                                                                  Is Modifierfalse
                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                  Summaryfalse
                                                                                                  442. Patient.telecom.extension
                                                                                                  Definition

                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                  ShortAdditional content defined by implementations
                                                                                                  Comments

                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                  Control0..*
                                                                                                  TypeExtension
                                                                                                  Is Modifierfalse
                                                                                                  Summaryfalse
                                                                                                  Alternate Namesextensions, user content
                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                  SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                  • value @ url
                                                                                                  • 444. Patient.telecom.system
                                                                                                    Definition

                                                                                                    Sistema de contacto

                                                                                                    Shortphone | email
                                                                                                    Control1..1
                                                                                                    This element is affected by the following invariants: cpt-2
                                                                                                    BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                    (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                                                                                    Tipo de contacto para HL7 FHIR

                                                                                                    Typecode
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    446. Patient.telecom.value
                                                                                                    Definition

                                                                                                    Valor del contacto como por ejemplo el número de teléfono fijo o de móvil o el email del Paciente

                                                                                                    ShortValor de contacto
                                                                                                    Comments

                                                                                                    Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                    Control1..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    448. Patient.telecom.use
                                                                                                    Definition

                                                                                                    Propósito para el contacto que se ha definido

                                                                                                    Shorthome | work | temp | old | mobile
                                                                                                    Comments

                                                                                                    Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                    Control0..1
                                                                                                    BindingThe codes SHALL be taken from ContactPointUse
                                                                                                    (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                                                                                    Typecode
                                                                                                    Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    450. Patient.telecom.rank
                                                                                                    Definition

                                                                                                    Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                    ShortOrden de uso del método de contacto, siendo 1 = prioritario
                                                                                                    Comments

                                                                                                    Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                    Control0..1
                                                                                                    TypepositiveInt
                                                                                                    Is Modifierfalse
                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    452. Patient.telecom.period
                                                                                                    Definition

                                                                                                    Time period when the contact point was/is in use.

                                                                                                    ShortPeriodo de tiempo durante el cual es válido el contacto del paciente
                                                                                                    Control0..1
                                                                                                    TypePeriod
                                                                                                    Is Modifierfalse
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    454. Patient.telecom:telefonoFijo
                                                                                                    Slice NametelefonoFijo
                                                                                                    Definition

                                                                                                    Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

                                                                                                    ShortTeléfono fijo del paciente
                                                                                                    Comments

                                                                                                    A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                    Control0..*
                                                                                                    TypeContactPoint
                                                                                                    Is Modifierfalse
                                                                                                    Must Supporttrue
                                                                                                    Summarytrue
                                                                                                    Requirements

                                                                                                    People have (primary) ways to contact them in some way such as phone, email.

                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    456. Patient.telecom:telefonoFijo.id
                                                                                                    Definition

                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                    ShortUnique id for inter-element referencing
                                                                                                    Control0..1
                                                                                                    Typestring
                                                                                                    Is Modifierfalse
                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                    Summaryfalse
                                                                                                    458. Patient.telecom:telefonoFijo.extension
                                                                                                    Definition

                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                    ShortAdditional content defined by implementations
                                                                                                    Comments

                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                    Control0..*
                                                                                                    TypeExtension
                                                                                                    Is Modifierfalse
                                                                                                    Summaryfalse
                                                                                                    Alternate Namesextensions, user content
                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                    SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                    • value @ url
                                                                                                    • 460. Patient.telecom:telefonoFijo.system
                                                                                                      Definition

                                                                                                      Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.

                                                                                                      Shortphone | fax | email | pager | url | sms | other
                                                                                                      Control0..1
                                                                                                      This element is affected by the following invariants: cpt-2
                                                                                                      BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                      (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                                                                                      Tipo de contacto para HL7 FHIR

                                                                                                      Typecode
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Pattern Valuephone
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      462. Patient.telecom:telefonoFijo.value
                                                                                                      Definition

                                                                                                      Formato numérico "YXXXXXXX" (8 dígitos), donde Y corresponde al código de área

                                                                                                      ShortNúmero de teléfono fijo
                                                                                                      Comments

                                                                                                      Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      464. Patient.telecom:telefonoFijo.use
                                                                                                      Definition

                                                                                                      Propósito para el contacto que se ha definido

                                                                                                      Shorthome | work | temp | old | mobile
                                                                                                      Comments

                                                                                                      Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                      Control1..1
                                                                                                      BindingThe codes SHALL be taken from ContactPointUse
                                                                                                      (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                                                                                      Typecode
                                                                                                      Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                      Pattern Valuehome
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      466. Patient.telecom:telefonoFijo.rank
                                                                                                      Definition

                                                                                                      Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                      ShortSpecify preferred order of use (1 = highest)
                                                                                                      Comments

                                                                                                      Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                      Control0..1
                                                                                                      TypepositiveInt
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      468. Patient.telecom:telefonoFijo.period
                                                                                                      Definition

                                                                                                      Time period when the contact point was/is in use.

                                                                                                      ShortTime period when the contact point was/is in use
                                                                                                      Control0..1
                                                                                                      TypePeriod
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      470. Patient.telecom:telefonoMovil
                                                                                                      Slice NametelefonoMovil
                                                                                                      Definition

                                                                                                      Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

                                                                                                      ShortTeléfono móvil del paciente
                                                                                                      Comments

                                                                                                      A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                      Control1..*
                                                                                                      TypeContactPoint
                                                                                                      Is Modifierfalse
                                                                                                      Must Supporttrue
                                                                                                      Summarytrue
                                                                                                      Requirements

                                                                                                      People have (primary) ways to contact them in some way such as phone, email.

                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      472. Patient.telecom:telefonoMovil.id
                                                                                                      Definition

                                                                                                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                      ShortUnique id for inter-element referencing
                                                                                                      Control0..1
                                                                                                      Typestring
                                                                                                      Is Modifierfalse
                                                                                                      XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                      Summaryfalse
                                                                                                      474. Patient.telecom:telefonoMovil.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                      • value @ url
                                                                                                      • 476. Patient.telecom:telefonoMovil.system
                                                                                                        Definition

                                                                                                        Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.

                                                                                                        Shortphone | fax | email | pager | url | sms | other
                                                                                                        Control0..1
                                                                                                        This element is affected by the following invariants: cpt-2
                                                                                                        BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                        (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                                                                                        Tipo de contacto para HL7 FHIR

                                                                                                        Typecode
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Pattern Valuephone
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        478. Patient.telecom:telefonoMovil.value
                                                                                                        Definition

                                                                                                        Formato numérico "ZZXXXXXXX" (9 dígitos), donde Z corresponde al dígito del código de país

                                                                                                        ShortNúmero de teléfono móvil
                                                                                                        Comments

                                                                                                        Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        480. Patient.telecom:telefonoMovil.use
                                                                                                        Definition

                                                                                                        Propósito para el contacto que se ha definido

                                                                                                        Shorthome | work | temp | old | mobile
                                                                                                        Comments

                                                                                                        Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                        Control1..1
                                                                                                        BindingThe codes SHALL be taken from ContactPointUse
                                                                                                        (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                                                                                        Typecode
                                                                                                        Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                        Pattern Valuemobile
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        482. Patient.telecom:telefonoMovil.rank
                                                                                                        Definition

                                                                                                        Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                        ShortSpecify preferred order of use (1 = highest)
                                                                                                        Comments

                                                                                                        Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                        Control0..1
                                                                                                        TypepositiveInt
                                                                                                        Is Modifierfalse
                                                                                                        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        484. Patient.telecom:telefonoMovil.period
                                                                                                        Definition

                                                                                                        Time period when the contact point was/is in use.

                                                                                                        ShortTime period when the contact point was/is in use
                                                                                                        Control0..1
                                                                                                        TypePeriod
                                                                                                        Is Modifierfalse
                                                                                                        Summarytrue
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        486. Patient.telecom:correoElectronico
                                                                                                        Slice NamecorreoElectronico
                                                                                                        Definition

                                                                                                        Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

                                                                                                        ShortCorreo electrónico del paciente
                                                                                                        Comments

                                                                                                        A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

                                                                                                        Control1..*
                                                                                                        TypeContactPoint
                                                                                                        Is Modifierfalse
                                                                                                        Must Supporttrue
                                                                                                        Summarytrue
                                                                                                        Requirements

                                                                                                        People have (primary) ways to contact them in some way such as phone, email.

                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        488. Patient.telecom:correoElectronico.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        490. Patient.telecom:correoElectronico.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on Patient.telecom.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 492. Patient.telecom:correoElectronico.system
                                                                                                          Definition

                                                                                                          Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.

                                                                                                          Shortphone | fax | email | pager | url | sms | other
                                                                                                          Control0..1
                                                                                                          This element is affected by the following invariants: cpt-2
                                                                                                          BindingThe codes SHALL be taken from ContactPointSystem
                                                                                                          (required to http://hl7.org/fhir/ValueSet/contact-point-system)

                                                                                                          Tipo de contacto para HL7 FHIR

                                                                                                          Typecode
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Pattern Valueemail
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          494. Patient.telecom:correoElectronico.value
                                                                                                          Definition

                                                                                                          Formato "texto@dominio"

                                                                                                          ShortDirección de correo electrónico
                                                                                                          Comments

                                                                                                          Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Need to support legacy numbers that are not in a tightly controlled format.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          496. Patient.telecom:correoElectronico.use
                                                                                                          Definition

                                                                                                          Propósito para el contacto que se ha definido

                                                                                                          Shorthome | work | temp | old | mobile
                                                                                                          Comments

                                                                                                          Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

                                                                                                          Control1..1
                                                                                                          BindingThe codes SHALL be taken from ContactPointUse
                                                                                                          (required to http://hl7.org/fhir/ValueSet/contact-point-use)
                                                                                                          Typecode
                                                                                                          Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old contact etc.for a current/permanent one
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

                                                                                                          Pattern Valuehome
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          498. Patient.telecom:correoElectronico.rank
                                                                                                          Definition

                                                                                                          Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.

                                                                                                          ShortSpecify preferred order of use (1 = highest)
                                                                                                          Comments

                                                                                                          Note that rank does not necessarily follow the order in which the contacts are represented in the instance.

                                                                                                          Control0..1
                                                                                                          TypepositiveInt
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          500. Patient.telecom:correoElectronico.period
                                                                                                          Definition

                                                                                                          Time period when the contact point was/is in use.

                                                                                                          ShortTime period when the contact point was/is in use
                                                                                                          Control0..1
                                                                                                          TypePeriod
                                                                                                          Is Modifierfalse
                                                                                                          Summarytrue
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          502. Patient.gender
                                                                                                          Definition

                                                                                                          Sexo Registrado

                                                                                                          ShortSexo Registral del paciente
                                                                                                          Comments

                                                                                                          The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

                                                                                                          Control1..1
                                                                                                          BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                          (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                                                                          The gender of a person used for administrative purposes.

                                                                                                          Typecode
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Needed for identification of the individual, in combination with (at least) name and birth date.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          504. Patient.birthDate
                                                                                                          Definition

                                                                                                          Fecha de nacimiento del Paciente.

                                                                                                          ShortFecha de nacimiento del Paciente.
                                                                                                          Comments

                                                                                                          At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

                                                                                                          Control1..1
                                                                                                          Typedate
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          Age of the individual drives many clinical processes.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          LOINC Code21112-8
                                                                                                          506. Patient.deceased[x]
                                                                                                          Definition

                                                                                                          Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.

                                                                                                          ShortPuede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.
                                                                                                          Comments

                                                                                                          If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

                                                                                                          Control1..1
                                                                                                          TypeChoice of: boolean, dateTime
                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                          Is Modifiertrue because This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Must Supporttrue
                                                                                                          Must Support TypesNo must-support rules about the choice of types/profiles
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          508. Patient.address
                                                                                                          Definition

                                                                                                          An address for the individual.

                                                                                                          ShortAn address for the individual
                                                                                                          Comments

                                                                                                          Patient may have multiple addresses with different uses or applicable periods.

                                                                                                          Control0..*
                                                                                                          TypeAddress(Dirección del Paciente)
                                                                                                          Is Modifierfalse
                                                                                                          Must Supporttrue
                                                                                                          Summarytrue
                                                                                                          Requirements

                                                                                                          May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          510. Patient.maritalStatus
                                                                                                          Definition

                                                                                                          This field contains a patient's most recent marital (civil) status.

                                                                                                          ShortMarital (civil) status of a patient
                                                                                                          Control0..1
                                                                                                          BindingThe codes SHALL be taken from Estado Civil
                                                                                                          (required to https://interoperabilidad.minsal.cl/fhir/ig/eis/ValueSet/eis-EstadoCivil-VS)
                                                                                                          TypeCodeableConcept
                                                                                                          Is Modifierfalse
                                                                                                          Must Supporttrue
                                                                                                          Summaryfalse
                                                                                                          Requirements

                                                                                                          Most, if not all systems capture it.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          512. Patient.multipleBirth[x]
                                                                                                          Definition

                                                                                                          Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).

                                                                                                          ShortWhether patient is part of a multiple birth
                                                                                                          Comments

                                                                                                          Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).

                                                                                                          Control0..1
                                                                                                          TypeChoice of: boolean, integer
                                                                                                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                          Is Modifierfalse
                                                                                                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                          Summaryfalse
                                                                                                          Requirements

                                                                                                          For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          514. Patient.photo
                                                                                                          Definition

                                                                                                          Image of the patient.

                                                                                                          ShortImage of the patient
                                                                                                          Comments

                                                                                                          Guidelines:

                                                                                                          • Use id photos, not clinical photos.
                                                                                                          • Limit dimensions to thumbnail.
                                                                                                          • Keep byte count low to ease resource updates.
                                                                                                          Control0..*
                                                                                                          TypeAttachment
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Requirements

                                                                                                          Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          516. Patient.contact
                                                                                                          Definition

                                                                                                          Contacto, tutor legal o representante del Paciente

                                                                                                          ShortContacto, tutor legal o representante del Paciente
                                                                                                          Comments

                                                                                                          Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

                                                                                                          Control0..*
                                                                                                          TypeBackboneElement
                                                                                                          Is Modifierfalse
                                                                                                          Must Supporttrue
                                                                                                          Summaryfalse
                                                                                                          Requirements

                                                                                                          Need to track people you can contact about the patient.

                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          pat-1: SHALL at least contain a contact's details or a reference to an organization (name.exists() or telecom.exists() or address.exists() or organization.exists())
                                                                                                          518. Patient.contact.id
                                                                                                          Definition

                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                          ShortUnique id for inter-element referencing
                                                                                                          Control0..1
                                                                                                          Typestring
                                                                                                          Is Modifierfalse
                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                          Summaryfalse
                                                                                                          520. Patient.contact.extension
                                                                                                          Definition

                                                                                                          An Extension

                                                                                                          ShortExtension
                                                                                                          Control0..*
                                                                                                          TypeExtension
                                                                                                          Is Modifierfalse
                                                                                                          Summaryfalse
                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                          SlicingThis element introduces a set of slices on Patient.contact.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                          • value @ url
                                                                                                          • 522. Patient.contact.extension:IdContacto
                                                                                                            Slice NameIdContacto
                                                                                                            Definition

                                                                                                            Extensión para declarar identificación del contacto y la procedencia de esta

                                                                                                            ShortIdentificación del Contacto
                                                                                                            Control0..*
                                                                                                            This element is affected by the following invariants: ele-1
                                                                                                            TypeExtension(Identificación del Contacto de un Paciente) (Complex Extension)
                                                                                                            Is Modifierfalse
                                                                                                            Must Supporttrue
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            524. Patient.contact.modifierExtension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                            ShortExtensions that cannot be ignored even if unrecognized
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                            Alternate Namesextensions, user content, modifiers
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            526. Patient.contact.relationship
                                                                                                            Definition

                                                                                                            The nature of the relationship between the patient and the contact person.

                                                                                                            ShortRelación legal o de parentesco entre el contacto y el paciente
                                                                                                            Control0..*
                                                                                                            BindingUnless not suitable, these codes SHALL be taken from Códigos de relación del contacto con el paciente
                                                                                                            (extensible to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSContactoRelacion)

                                                                                                            VS FHIR para relación del contacto con el Paciente

                                                                                                            TypeCodeableConcept
                                                                                                            Is Modifierfalse
                                                                                                            Must Supporttrue
                                                                                                            Summaryfalse
                                                                                                            Requirements

                                                                                                            Used to determine which contact person is the most relevant to approach, depending on circumstances.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            528. Patient.contact.relationship.id
                                                                                                            Definition

                                                                                                            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                            ShortUnique id for inter-element referencing
                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                            Summaryfalse
                                                                                                            530. Patient.contact.relationship.extension
                                                                                                            Definition

                                                                                                            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                            ShortAdditional content defined by implementations
                                                                                                            Comments

                                                                                                            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                            Control0..*
                                                                                                            TypeExtension
                                                                                                            Is Modifierfalse
                                                                                                            Summaryfalse
                                                                                                            Alternate Namesextensions, user content
                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                            SlicingThis element introduces a set of slices on Patient.contact.relationship.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                            • value @ url
                                                                                                            • 532. Patient.contact.relationship.coding
                                                                                                              Definition

                                                                                                              A reference to a code defined by a terminology system.

                                                                                                              ShortCode defined by a terminology system
                                                                                                              Comments

                                                                                                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                              Control0..*
                                                                                                              TypeCoding
                                                                                                              Is Modifierfalse
                                                                                                              Must Supporttrue
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              534. Patient.contact.relationship.text
                                                                                                              Definition

                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                              ShortPlain text representation of the concept
                                                                                                              Comments

                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              536. Patient.contact.name
                                                                                                              Definition

                                                                                                              Nombre del contacto asociado al paciente

                                                                                                              ShortNombre del Contacto
                                                                                                              Control0..1
                                                                                                              TypeHumanName
                                                                                                              Is Modifierfalse
                                                                                                              Must Supporttrue
                                                                                                              Summaryfalse
                                                                                                              Requirements

                                                                                                              Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              538. Patient.contact.name.id
                                                                                                              Definition

                                                                                                              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                              ShortUnique id for inter-element referencing
                                                                                                              Control0..1
                                                                                                              Typestring
                                                                                                              Is Modifierfalse
                                                                                                              XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                              Summaryfalse
                                                                                                              540. Patient.contact.name.extension
                                                                                                              Definition

                                                                                                              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                              ShortAdditional content defined by implementations
                                                                                                              Comments

                                                                                                              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                              Control0..*
                                                                                                              TypeExtension
                                                                                                              Is Modifierfalse
                                                                                                              Summaryfalse
                                                                                                              Alternate Namesextensions, user content
                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                              SlicingThis element introduces a set of slices on Patient.contact.name.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                              • value @ url
                                                                                                              • 542. Patient.contact.name.use
                                                                                                                Definition

                                                                                                                Nombre registrado oficialmente en el Registro Civil

                                                                                                                Shortuso del nombre del paciente
                                                                                                                Comments

                                                                                                                El use DEBE ser de valor de código "official"

                                                                                                                Control0..1
                                                                                                                BindingThe codes SHALL be taken from NameUse
                                                                                                                (required to http://hl7.org/fhir/ValueSet/name-use|4.0.1)

                                                                                                                The use of a human name.

                                                                                                                Typecode
                                                                                                                Is Modifiertrue because This is labeled as "Is Modifier" because applications should not mistake a temporary or old name etc.for a current/permanent one
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Must Supporttrue
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                Allows the appropriate name for a particular context of use to be selected from among a set of names.

                                                                                                                Pattern Valueofficial
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                544. Patient.contact.name.text
                                                                                                                Definition

                                                                                                                Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

                                                                                                                ShortText representation of the full name
                                                                                                                Comments

                                                                                                                Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Summarytrue
                                                                                                                Requirements

                                                                                                                A renderable, unencoded form.

                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                546. Patient.contact.name.family
                                                                                                                Definition

                                                                                                                Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

                                                                                                                Short1er Apellido
                                                                                                                Comments

                                                                                                                Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                Must Supporttrue
                                                                                                                Summarytrue
                                                                                                                Alternate Namessurname
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                548. Patient.contact.name.family.id
                                                                                                                Definition

                                                                                                                unique id for the element within a resource (for internal references)

                                                                                                                Shortxml:id (or equivalent in JSON)
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                550. Patient.contact.name.family.extension
                                                                                                                Definition

                                                                                                                Extensión para la declaración de un segundo apellido

                                                                                                                ShortExtensión para 2o apellido
                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on Patient.contact.name.family.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 552. Patient.contact.name.family.extension:segundoApellido
                                                                                                                  Slice NamesegundoApellido
                                                                                                                  Definition

                                                                                                                  Segundo Apellido

                                                                                                                  ShortSegundo Apellido
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: ele-1
                                                                                                                  TypeExtension(Segundo Apellido) (Extension Type: string)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  554. Patient.contact.name.family.value
                                                                                                                  Definition

                                                                                                                  The actual value

                                                                                                                  ShortPrimitive value for string
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  Max Length:1048576
                                                                                                                  556. Patient.contact.name.given
                                                                                                                  Definition

                                                                                                                  Todos los nombres no necesariamente solo el Primero

                                                                                                                  ShortPrimer nombre y nombres del Contacto o Representante Legal
                                                                                                                  Comments

                                                                                                                  If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

                                                                                                                  Control0..*
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Must Supporttrue
                                                                                                                  Summarytrue
                                                                                                                  Alternate Namesfirst name, middle name
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  558. Patient.contact.name.prefix
                                                                                                                  Definition

                                                                                                                  Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

                                                                                                                  ShortParts that come before the name
                                                                                                                  Control0..*
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  560. Patient.contact.name.suffix
                                                                                                                  Definition

                                                                                                                  Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

                                                                                                                  ShortParts that come after the name
                                                                                                                  Control0..*
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summarytrue
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  562. Patient.contact.name.period
                                                                                                                  Definition

                                                                                                                  Indicates the period of time when this name was valid for the named person.

                                                                                                                  ShortTime period when name was/is in use
                                                                                                                  Control0..1
                                                                                                                  TypePeriod
                                                                                                                  Is Modifierfalse
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Allows names to be placed in historical context.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  564. Patient.contact.telecom
                                                                                                                  Definition

                                                                                                                  A contact detail for the person, e.g. a telephone number or an email address.

                                                                                                                  ShortA contact detail for the person
                                                                                                                  Comments

                                                                                                                  Contact may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently, and also to help with identification.

                                                                                                                  Control0..*
                                                                                                                  TypeContactPoint
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  People have (primary) ways to contact them in some way such as phone, email.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  566. Patient.contact.address
                                                                                                                  Definition

                                                                                                                  Address for the contact person.

                                                                                                                  ShortAddress for the contact person
                                                                                                                  Control0..1
                                                                                                                  TypeAddress
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Need to keep track where the contact person can be contacted per postal mail or visited.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  568. Patient.contact.gender
                                                                                                                  Definition

                                                                                                                  Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.

                                                                                                                  Shortmale | female | other | unknown
                                                                                                                  Control0..1
                                                                                                                  BindingThe codes SHALL be taken from AdministrativeGender
                                                                                                                  (required to http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1)

                                                                                                                  The gender of a person used for administrative purposes.

                                                                                                                  Typecode
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Needed to address the person correctly.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  570. Patient.contact.organization
                                                                                                                  Definition

                                                                                                                  Organization on behalf of which the contact is acting or for which the contact is working.

                                                                                                                  ShortOrganization that is associated with the contact
                                                                                                                  Control0..1
                                                                                                                  This element is affected by the following invariants: pat-1
                                                                                                                  TypeReference(Organization)
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  For guardians or business related contacts, the organization is relevant.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  572. Patient.contact.period
                                                                                                                  Definition

                                                                                                                  The period during which this contact person or organization is valid to be contacted relating to this patient.

                                                                                                                  ShortThe period during which this contact person or organization is valid to be contacted relating to this patient
                                                                                                                  Control0..1
                                                                                                                  TypePeriod
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  574. Patient.communication
                                                                                                                  Definition

                                                                                                                  Lenguaje en el cual se puede comunicar con el paciente

                                                                                                                  ShortLenguaje en el cual se puede comunicar con el paciente
                                                                                                                  Comments

                                                                                                                  If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

                                                                                                                  Control0..*
                                                                                                                  TypeBackboneElement
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  576. Patient.communication.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  578. Patient.communication.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  580. Patient.communication.modifierExtension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                  ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                  Summarytrue
                                                                                                                  Requirements

                                                                                                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                  Alternate Namesextensions, user content, modifiers
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  582. Patient.communication.language
                                                                                                                  Definition

                                                                                                                  Código del lenguaje específico

                                                                                                                  ShortLenguaje específico
                                                                                                                  Comments

                                                                                                                  The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

                                                                                                                  Control1..1
                                                                                                                  BindingThe codes SHALL be taken from Codigos Lenguaje
                                                                                                                  (required to https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje)

                                                                                                                  Value Set de HL7, # de elementos es muy grande para poder visualizarlo

                                                                                                                  TypeCodeableConcept
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  584. Patient.communication.preferred
                                                                                                                  Definition

                                                                                                                  Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).

                                                                                                                  ShortLanguage preference indicator
                                                                                                                  Comments

                                                                                                                  This language is specifically identified for communicating healthcare information.

                                                                                                                  Control0..1
                                                                                                                  Typeboolean
                                                                                                                  Is Modifierfalse
                                                                                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                  Summaryfalse
                                                                                                                  Requirements

                                                                                                                  People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.

                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  586. Patient.generalPractitioner
                                                                                                                  Definition

                                                                                                                  Proveedor de Salud designado como principal

                                                                                                                  ShortProveedor de Salud designado como principal
                                                                                                                  Comments

                                                                                                                  This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

                                                                                                                  Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

                                                                                                                  Control0..*
                                                                                                                  TypeReference(CL Organización, CL Prestador, CL RolClinico)
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Must Support TypesNo must-support rules about the choice of types/profiles
                                                                                                                  Summaryfalse
                                                                                                                  Alternate NamescareProvider
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  588. Patient.generalPractitioner.id
                                                                                                                  Definition

                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                  Control0..1
                                                                                                                  Typestring
                                                                                                                  Is Modifierfalse
                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                  Summaryfalse
                                                                                                                  590. Patient.generalPractitioner.extension
                                                                                                                  Definition

                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                  Comments

                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                  Control0..*
                                                                                                                  TypeExtension
                                                                                                                  Is Modifierfalse
                                                                                                                  Summaryfalse
                                                                                                                  Alternate Namesextensions, user content
                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                  SlicingThis element introduces a set of slices on Patient.generalPractitioner.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                  • value @ url
                                                                                                                  • 592. Patient.generalPractitioner.reference
                                                                                                                    Definition

                                                                                                                    URI de referencia a la Organización o a un Médico

                                                                                                                    ShortURI de referencia a la Organización o a un Médico
                                                                                                                    Comments

                                                                                                                    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                                                                                                                    Control0..1
                                                                                                                    This element is affected by the following invariants: ref-1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    594. Patient.generalPractitioner.type
                                                                                                                    Definition

                                                                                                                    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                                                                                                                    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                                                                                                                    ShortType the reference refers to (e.g. "Patient")
                                                                                                                    Comments

                                                                                                                    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                                                                                                                    Control0..1
                                                                                                                    BindingUnless not suitable, these codes SHALL be taken from ResourceType
                                                                                                                    (extensible to http://hl7.org/fhir/ValueSet/resource-types|4.0.1)

                                                                                                                    Aa resource (or, for logical models, the URI of the logical model).

                                                                                                                    Typeuri
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    596. Patient.generalPractitioner.identifier
                                                                                                                    Definition

                                                                                                                    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                                                                                                                    ShortLogical reference, when literal reference is not known
                                                                                                                    Comments

                                                                                                                    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                                                                                                                    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                                                                                                                    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                                                                                                                    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                                                                                                                    NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                                    Control0..1
                                                                                                                    TypeIdentifier
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    598. Patient.generalPractitioner.display
                                                                                                                    Definition

                                                                                                                    Texto alternativo a la referencia.

                                                                                                                    ShortTexto alternativo a la referencia.
                                                                                                                    Comments

                                                                                                                    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    600. Patient.managingOrganization
                                                                                                                    Definition

                                                                                                                    Organization that is the custodian of the patient record.

                                                                                                                    ShortOrganization that is the custodian of the patient record
                                                                                                                    Comments

                                                                                                                    There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).

                                                                                                                    Control0..1
                                                                                                                    TypeReference(Organization)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Need to know who recognizes this patient record, manages and updates it.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    602. Patient.link
                                                                                                                    Definition

                                                                                                                    Link to another patient resource that concerns the same actual patient.

                                                                                                                    ShortLink to another patient resource that concerns the same actual person
                                                                                                                    Comments

                                                                                                                    There is no assumption that linked patient records have mutual links.

                                                                                                                    Control0..*
                                                                                                                    TypeBackboneElement
                                                                                                                    Is Modifiertrue because This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    There are multiple use cases:

                                                                                                                    • Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
                                                                                                                    • Distribution of patient information across multiple servers.
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    604. Patient.link.id
                                                                                                                    Definition

                                                                                                                    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                    ShortUnique id for inter-element referencing
                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                    Summaryfalse
                                                                                                                    606. Patient.link.extension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                    ShortAdditional content defined by implementations
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifierfalse
                                                                                                                    Summaryfalse
                                                                                                                    Alternate Namesextensions, user content
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    608. Patient.link.modifierExtension
                                                                                                                    Definition

                                                                                                                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                    ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                    Comments

                                                                                                                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                    Control0..*
                                                                                                                    TypeExtension
                                                                                                                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                    Alternate Namesextensions, user content, modifiers
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                    610. Patient.link.other
                                                                                                                    Definition

                                                                                                                    The other patient resource that the link refers to.

                                                                                                                    ShortThe other patient or related person resource that the link refers to
                                                                                                                    Comments

                                                                                                                    Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

                                                                                                                    Control1..1
                                                                                                                    TypeReference(Patient, RelatedPerson)
                                                                                                                    Is Modifierfalse
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    612. Patient.link.type
                                                                                                                    Definition

                                                                                                                    The type of link between this patient resource and another patient resource.

                                                                                                                    Shortreplaced-by | replaces | refer | seealso
                                                                                                                    Control1..1
                                                                                                                    BindingThe codes SHALL be taken from LinkType
                                                                                                                    (required to http://hl7.org/fhir/ValueSet/link-type|4.0.1)

                                                                                                                    The type of link between this patient resource and another patient resource.

                                                                                                                    Typecode
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Summarytrue
                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))