Tiempos de Espera Interoperable, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/SIGTEv2-IG/ and changes regularly. See the Directory of published versions

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• XML
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Resource Profile: Condition Diagnostico LE

Condicion Diagnostico LE, recurso que se utiliza para indicar el diagnóstico

Usage:

• Use this Resource Profile: Bundle Atender LE and Bundle Iniciar LE
• Refer to this Resource Profile: Encounter Atender LE, Encounter Iniciar LE and ServiceRequest LE
• Examples for this Resource Profile: Condition/ConditionAtencionejemplo and Condition/ConditionInicialEjemplo

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 DiagnosticoCl

Name	Flags	Card.	Type	Description & Constraints
Condition			DiagnosticoCl
id	S	1..1	id	Id temporal necesario para identificar el recurso
clinicalStatus		0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
verificationStatus		0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	S	0..1	string	Representación visual definida por el sistema terminológico
text		0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
code		1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (required)
coding	S	1..*	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación definida por el sistema terminológico
text	S	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
subject		1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
encounter		0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
text	Σ	0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
code	SΣ	1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (required)
coding	SΣ	1..*	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación definida por el sistema terminológico
text	SΣ	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
subject	SΣ	1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
encounter	Σ	0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha para determinación Diagnóstica a definir entre fecha única o período
onsetDateTime			dateTime
onsetPeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	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()

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
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	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
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
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
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
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (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	Código definido por un sistema terminológico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (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..*	Coding	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha para determinación Diagnóstica a definir entre fecha única o período
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	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()

This structure is derived from DiagnosticoCl

Summary

Mandatory: 9 elements(8 nested mandatory elements)
Must-Support: 24 elements

Structures

This structure refers to these other structures:

• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PatientLE)
• Encounter Iniciar LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/EncounterIniciarLE)

Maturity: 0

Differential View

This structure is derived from DiagnosticoCl

Name	Flags	Card.	Type	Description & Constraints
Condition			DiagnosticoCl
id	S	1..1	id	Id temporal necesario para identificar el recurso
clinicalStatus		0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
verificationStatus		0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	S	0..1	string	Representación visual definida por el sistema terminológico
text		0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (required)
coding	S	1..1	Coding	Código definido por un sistema terminológico
system	S	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación visual definida por el sistema terminológico
code		1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (required)
coding	S	1..*	Coding	Código definido por un sistema terminológico
system	S	1..1	uri	Sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico
display	S	0..1	string	Representación definida por el sistema terminológico
text	S	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
subject		1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
encounter		0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
text	Σ	0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (required)
coding	SΣ	1..1	Coding	Código definido por un sistema terminológico
system	SΣ	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
code	SΣ	1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (required)
coding	SΣ	1..*	Coding	Código definido por un sistema terminológico
system	SΣ	1..1	uri	Sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación definida por el sistema terminológico
text	SΣ	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
subject	SΣ	1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
encounter	Σ	0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha para determinación Diagnóstica a definir entre fecha única o período
onsetDateTime			dateTime
onsetPeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Condition	C	0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses con-3: Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item con-4: If condition is abated, then clinicalStatus must be either inactive, resolved, or remission con-5: Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error
id	SΣ	1..1	id	Id temporal necesario para identificar el recurso
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	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	Estado clinico del diagnostico, general (active | inactive) o detallado (recurrence | relapse | remission | resolved) Binding: ConditionClinicalStatusCodes (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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-clinical
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
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
verificationStatus	?!SΣC	0..1	CodeableConcept	Estado de verificación del diagnóstico por parte del médico solicitante. Puede ser unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-ver-status
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
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
category	S	1..1	CodeableConcept	Categoría del diagnóstico de origen. Se refiere a un diagnostico identificado durante el encuentro médico o un problema de salud previamente hablado Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
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	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/condition-category
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: encounter-diagnosis
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Representación en texto plano del concepto
severity	S	0..1	CodeableConcept	Severidad del diagnóstico, indicada por el médico solicitante Binding: Condition/DiagnosisSeverity (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	Código definido por un sistema terminológico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	0..1	uri	Identidad del sistema terminológico, url/uri/uuid
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación visual definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
code	SΣ	1..1	CodeableConcept	Código correspondiente al diagnóstico realizado por el médico solicitante Binding: TerminologiasDiag (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..*	Coding	Código definido por un sistema terminológico
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	Sistema terminológico, url/uri/uuid
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código definido en un sistema terminológico
display	SΣ	0..1	string	Representación definida por el sistema terminológico
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	Descripcion en texto libre correspondiente al diagnóstico realizado por el médico solicitante
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(Patient LE)	Paciente que tiene este diagnóstico
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
encounter	Σ	0..1	Reference(Encounter Iniciar LE)	Encounter created as part of
onset[x]	SΣ	0..1		Fecha para determinación Diagnóstica a definir entre fecha única o período
onsetDateTime			dateTime S
onsetPeriod			Period S
abatement[x]	C	0..1		When in resolution/remission
abatementDateTime			dateTime
abatementAge			Age
abatementPeriod			Period
abatementRange			Range
abatementString			string
recordedDate	Σ	0..1	dateTime	Date record was first recorded
recorder	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the condition
asserter	Σ	0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Person who asserts this condition
stage	C	0..*	BackboneElement	Stage/grade, usually assessed formally con-1: Stage SHALL have summary or assessment
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
summary	C	0..1	CodeableConcept	Simple summary (disease specific) Binding: ConditionStage (example): Codes describing condition stages (e.g. Cancer stages).
assessment	C	0..*	Reference(ClinicalImpression | DiagnosticReport | Observation)	Formal record of assessment
type		0..1	CodeableConcept	Kind of staging Binding: ConditionStageType (example): Codes describing the kind of condition staging (e.g. clinical or pathological).
evidence	C	0..*	BackboneElement	Supporting evidence con-2: evidence SHALL have code or details
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	ΣC	0..*	CodeableConcept	Manifestation/symptom Binding: ManifestationAndSymptomCodes (example): Codes that describe the manifestation or symptoms of a condition.
detail	ΣC	0..*	Reference(Resource)	Supporting information found elsewhere
note		0..*	Annotation	Additional information about the Condition
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Condition.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Condition.clinicalStatus	required	ConditionClinicalStatusCodes http://hl7.org/fhir/ValueSet/condition-clinical from the FHIR Standard
Condition.verificationStatus	required	ConditionVerificationStatus http://hl7.org/fhir/ValueSet/condition-ver-status from the FHIR Standard
Condition.category	extensible	ConditionCategoryCodes http://hl7.org/fhir/ValueSet/condition-category from the FHIR Standard
Condition.severity	required	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	required	VSTerminologiasDiag https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSTerminologiasDiag from this IG
Condition.bodySite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
Condition.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Condition.stage.summary	example	ConditionStage http://hl7.org/fhir/ValueSet/condition-stage from the FHIR Standard
Condition.stage.type	example	ConditionStageType http://hl7.org/fhir/ValueSet/condition-stage-type from the FHIR Standard
Condition.evidence.code	example	ManifestationAndSymptomCodes http://hl7.org/fhir/ValueSet/manifestation-or-symptom from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
con-1	error	Condition.stage	Stage SHALL have summary or assessment : summary.exists() or assessment.exists()
con-2	error	Condition.evidence	evidence SHALL have code or details : code.exists() or detail.exists()
con-3	best practice	Condition	Condition.clinicalStatus SHALL be present if verificationStatus is not entered-in-error and category is problem-list-item : clinicalStatus.exists() or verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code = 'entered-in-error').exists() or category.select($this='problem-list-item').empty()
con-4	error	Condition	If condition is abated, then clinicalStatus must be either inactive, resolved, or remission : abatement.empty() or clinicalStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-clinical' and (code='resolved' or code='remission' or code='inactive')).exists()
con-5	error	Condition	Condition.clinicalStatus SHALL NOT be present if verification Status is entered-in-error : verificationStatus.coding.where(system='http://terminology.hl7.org/CodeSystem/condition-ver-status' and code='entered-in-error').empty() or clinicalStatus.empty()
dom-2	error	Condition	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Condition	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	Condition	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	Condition	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Condition	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()

This structure is derived from DiagnosticoCl

Summary

Mandatory: 9 elements(8 nested mandatory elements)
Must-Support: 24 elements

Structures

This structure refers to these other structures:

• Patient LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/PatientLE)
• Encounter Iniciar LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/EncounterIniciarLE)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron