Núcleo de Interoperabilidad de Datos (NID) - MINSAL, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/NID/ and changes regularly. See the Directory of published versions

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Resource Profile: MINSAL Situacion Discapacidad

Describe de manera simplificada la situacion de discapacidad de un paciente.

Usage:

• Examples for this Resource Profile: Observation/EjemploSituacionDiscapacidad

Formal Views of Profile Content

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

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

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
subject		0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
value[x]		1..1	boolean	Define si tiene o no Discapacidad
Slices for component		0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:OrigenDiscapacidad	S	0..1	BackboneElement	Define el origen de la discapacidad
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
value[x]		1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
component:ValoracionDiscapacidad	S	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
value[x]		1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
subject	SΣ	0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	1..1	boolean	Define si tiene o no Discapacidad
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
Slices for component	SΣ	0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
component:OrigenDiscapacidad	SΣ	0..1	BackboneElement	Define el origen de la discapacidad
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
component:ValoracionDiscapacidad	SΣ	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG
Observation.component:ValoracionDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	1..1	boolean	Define si tiene o no Discapacidad
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:OrigenDiscapacidad	SΣ	0..1	BackboneElement	Define el origen de la discapacidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:ValoracionDiscapacidad	SΣ	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:OrigenDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG
Observation.component:ValoracionDiscapacidad.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:ValoracionDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 2 elements(9 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

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

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
category
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code		1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	S	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
subject		0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
value[x]		1..1	boolean	Define si tiene o no Discapacidad
Slices for component		0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:OrigenDiscapacidad	S	0..1	BackboneElement	Define el origen de la discapacidad
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
value[x]		1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
component:ValoracionDiscapacidad	S	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
code		1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
value[x]		1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
display	S	0..1	string	Representation defined by the system
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
subject	SΣ	0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	1..1	boolean	Define si tiene o no Discapacidad
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
Slices for component	SΣ	0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
component:OrigenDiscapacidad	SΣ	0..1	BackboneElement	Define el origen de la discapacidad
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
component:ValoracionDiscapacidad	SΣ	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG
Observation.component:ValoracionDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present mpi-obs-dis-01: Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	0..*	Identifier	Identificación para la observación
basedOn	Σ	0..*	Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest)	Fulfills plan, proposal or order
partOf	Σ	0..*	Reference(MedicationAdministration | MedicationDispense | MedicationStatement | Procedure | Immunization | ImagingStudy)	Part of referenced event
status	?!SΣ	1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required): Códigos provistos para el estado de una observación
category	S	0..*	CodeableConcept	Clasificación del tipo de observación Binding: ObservationCategoryCodes (preferred): Códigos de alto nivel para la categoría de una observación
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/observation-category
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: social-history
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Tipo de observación (code/type) Binding: Tipo de Observacion (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSTipoObservacion
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 03
display		1..1	string	Representation defined by the system Fixed Value: Situacion Discapacidad
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
subject	SΣ	0..1	Reference(MINSAL Paciente)	Sobre Quien o Que se esta realizando la observación
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(CL Encuentro Clínico)	Evento clínico durante el cual se hizo esta observación
effective[x]	SΣ	0..1		Tiempo/Tiempo-periodo de relevancia clínica para la observación
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
issued	Σ	0..1	instant	Date/Time this version was made available
performer	SΣ	0..*	Reference(CL Prestador | CL RolClinico | CL Organización | CareTeam | CL Paciente | RelatedPerson)	Quien es responsable por la observación
value[x]	SΣC	1..1	boolean	Define si tiene o no Discapacidad
dataAbsentReason	C	0..1	CodeableConcept	Why the result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
note	S	0..*	Annotation	Comentarios sobre la observación
bodySite		0..1	CodeableConcept	Observed body part Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
method		0..1	CodeableConcept	How it was done Binding: ObservationMethods (example): Methods for simple observations.
specimen	S	0..1	Reference(Specimen)	Muestra tomada para la observación
device		0..1	Reference(Device | DeviceMetric)	(Measurement) Device
referenceRange	C	0..*	BackboneElement	Provides guide for interpretation obs-3: Must have at least a low or a high or text
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
low	C	0..1	SimpleQuantity	Low Range, if relevant
high	C	0..1	SimpleQuantity	High Range, if relevant
type		0..1	CodeableConcept	Reference range qualifier Binding: ObservationReferenceRangeMeaningCodes (preferred): Code for the meaning of a reference range.
appliesTo		0..*	CodeableConcept	Reference range population Binding: ObservationReferenceRangeAppliesToCodes (example): Codes identifying the population the reference range applies to.
age		0..1	Range	Applicable age range, if relevant
text		0..1	string	Text based reference range in an observation
hasMember	SΣ	0..*	Reference(CL Observación | QuestionnaireResponse | MolecularSequence)	Grupo de recursos relacionados a la observación
derivedFrom	Σ	0..*	Reference(DocumentReference | ImagingStudy | Media | QuestionnaireResponse | Observation | MolecularSequence)	Related measurements the observation is made from
Slices for component	SΣ	0..2	BackboneElement	Componentes de los resultados Slice: Ordered, Closed by value:code
component:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: LOINCCodes (example): Códigos de identficación simple para el nombre de una observación
value[x]	SΣ	0..1		Actual Resultado del componente
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
valueBoolean			boolean
valueInteger			integer
valueRange			Range
valueRatio			Ratio
valueSampledData			SampledData
valueTime			time
valueDateTime			dateTime
valuePeriod			Period
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:OrigenDiscapacidad	SΣ	0..1	BackboneElement	Define el origen de la discapacidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 01
display		1..1	string	Representation defined by the system Fixed Value: Origen de la discapacidad
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Origen Discapacidad (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
component:ValoracionDiscapacidad	SΣ	0..1	BackboneElement	Define la valoracion del desempeño en la discapacidad
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	1..1	CodeableConcept	Tipo de componente de la observación (code/type) Binding: Componentes de Observación de Discapacidad (required) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: https://interoperabilidad.minsal.cl/fhir/ig/nid/CodeSystem/CSComponenteDiscapacidad
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 02
display		1..1	string	Representation defined by the system Fixed Value: Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value[x]	SΣ	1..1	CodeableConcept	Actual Resultado del componente Binding: Valoracion Desempeño (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system
display	SΣ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
dataAbsentReason	C	0..1	CodeableConcept	Why the component result is missing Binding: DataAbsentReason (extensible): Codes specifying why the result (Observation.value[x]) is missing.
interpretation	S	0..*	CodeableConcept	Alta, baja, normal, etc Binding: ObservationInterpretationCodes (extensible): Códigos de identificción para la interpretación de la observación
referenceRange		0..*	See referenceRange (Observation)	Provides guide for interpretation of component result
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Observation.status	required	ObservationStatus http://hl7.org/fhir/ValueSet/observation-status|4.0.1 from the FHIR Standard
Observation.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	required	VSTipoObservacion (a valid code from Tipo Observacion) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSTipoObservacion from this IG
Observation.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Observation.method	example	ObservationMethods http://hl7.org/fhir/ValueSet/observation-methods from the FHIR Standard
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning from the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto from the FHIR Standard
Observation.component.code	example	LOINCCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes from the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:OrigenDiscapacidad.code	required	Pattern: 01("Origen de la discapacidad") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.value[x]	required	VSOrigenDiscapacidad (a valid code from Origen Discapacidad) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSOrigenDiscapacidad from this IG
Observation.component:OrigenDiscapacidad.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:OrigenDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard
Observation.component:ValoracionDiscapacidad.code	required	Pattern: 02("Evaluación Valoración de Desempeño en Comunidad (IVADEC-DIF)") https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSComponenteDiscapacidad from this IG
Observation.component:ValoracionDiscapacidad.value[x]	required	VSValoracionDesempeno (a valid code from Valoracion Desempeno) https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSValoracionDesempeno from this IG
Observation.component:ValoracionDiscapacidad.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason from the FHIR Standard
Observation.component:ValoracionDiscapacidad.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Observation	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mpi-obs-dis-01	error	Observation	Si valueBoolean es verdadero entonces component[ValoracionDiscapacidad] y component[OrigenDiscapacidad] deben existir : value.ofType(boolean).where(true) implies component[0].exists() and component[1].exists()
obs-3	error	Observation.referenceRange	Must have at least a low or a high or text : low.exists() or high.exists() or text.exists()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from ObservacionCL

Summary

Mandatory: 2 elements(9 nested mandatory elements)
Must-Support: 12 elements

Structures

This structure refers to these other structures:

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

Slices

This structure defines the following Slices:

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