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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Resource Profile: Indice Comorbilidad LE

Observation Iniciar Indice Comorbilidad LE, recurso que se utiliza para indicar el riesgo de un paciente según su índice de comorbilidad

Usage:

• Use this Resource Profile: Bundle Iniciar LE
• Refer to this Resource Profile: ServiceRequest LE
• Examples for this Resource Profile: Observation/IndiceConmorbilidadEjemplo

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			ObservacionCL
id	S	1..1	id	Id temporal necesario para identificar el recurso
status		1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required) Required Pattern: final
category		0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (required)
coding	S	1..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: survey
display	S	0..1	string	Representación visual, definida por el sistema terminológico
text	S	0..1	string	Representación textual del concepto
code		1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
coding	S	0..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	Sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: ECICEP
display	S	0..1	string	Representación visual, definida por el sistema terminológico
text	S	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject		1..1	Reference(Patient LE)	Referencia al paciente
encounter		0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la observación
value[x]		1..1	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (required)
coding	S	1..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	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
text	S	0..1	string	Representación textual del concepto
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad from this IG

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	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
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) Required Pattern: final
category	S	0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (required)
coding	SΣ	1..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: survey
display	SΣ	0..1	string	Representación visual, definida por el sistema terminológico
text	SΣ	0..1	string	Representación textual del concepto
code	SΣ	1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
coding	SΣ	0..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	Sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: ECICEP
display	SΣ	0..1	string	Representación visual, definida por el sistema terminológico
text	SΣ	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente
encounter	SΣ	0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la 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	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (required)
coding	SΣ	1..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	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
text	SΣ	0..1	string	Representación textual del concepto
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
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad 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

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	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	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) Required Pattern: final
category	S	0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (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	Códigos definidos 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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-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: survey
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	SΣ	0..1	string	Representación textual del concepto
code	SΣ	1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
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	0..1	Coding	Códigos definidos 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	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 Required Pattern: ECICEP
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	SΣ	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la 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	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (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	Códigos definidos 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	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	SΣ	0..1	string	Representación textual del concepto
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
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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
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	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad 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

Constraints

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

This structure is derived from ObservacionCL

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 16 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)
• Encounter Atender LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/EncounterAtenderLE)

Maturity: 0

Differential View

This structure is derived from ObservacionCL

Name	Flags	Card.	Type	Description & Constraints
Observation			ObservacionCL
id	S	1..1	id	Id temporal necesario para identificar el recurso
status		1..1	code	registered|preliminary|final|amended|corrected|cancelled|entered-in-error|unknown Binding: ObservationStatus (required) Required Pattern: final
category		0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (required)
coding	S	1..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: survey
display	S	0..1	string	Representación visual, definida por el sistema terminológico
text	S	0..1	string	Representación textual del concepto
code		1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
coding	S	0..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	Sistema terminológico, url/uri/uuid
code	S	1..1	code	Código definido en un sistema terminológico Required Pattern: ECICEP
display	S	0..1	string	Representación visual, definida por el sistema terminológico
text	S	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject		1..1	Reference(Patient LE)	Referencia al paciente
encounter		0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la observación
value[x]		1..1	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (required)
coding	S	1..1	Coding	Códigos definidos por un sistema terminológico
system	S	0..1	uri	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
text	S	0..1	string	Representación textual del concepto
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad from this IG

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
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
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) Required Pattern: final
category	S	0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (required)
coding	SΣ	1..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-category
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: survey
display	SΣ	0..1	string	Representación visual, definida por el sistema terminológico
text	SΣ	0..1	string	Representación textual del concepto
code	SΣ	1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
coding	SΣ	0..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	Sistema terminológico, url/uri/uuid
code	SΣ	1..1	code	Código definido en un sistema terminológico Required Pattern: ECICEP
display	SΣ	0..1	string	Representación visual, definida por el sistema terminológico
text	SΣ	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente
encounter	SΣ	0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la 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	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (required)
coding	SΣ	1..1	Coding	Códigos definidos por un sistema terminológico
system	SΣ	0..1	uri	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
text	SΣ	0..1	string	Representación textual del concepto
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
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad 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

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Observation	C	0..*	ObservacionCL	Measurements and simple assertions obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
id	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	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) Required Pattern: final
category	S	0..1	CodeableConcept	Indica la categoría de esta observación, en este caso para indicar el Índice de comobilidad Binding: ObservationCategoryCodes (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	Códigos definidos 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	Sistema terminológico, url/uri/uuid Required Pattern: http://terminology.hl7.org/CodeSystem/observation-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: survey
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	SΣ	0..1	string	Representación textual del concepto
code	SΣ	1..1	CodeableConcept	Tipo de observación en este caso, el riesgo asociado al índice de comorbilidad Binding: Tipo de Observación (extensible)
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	0..1	Coding	Códigos definidos 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	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 Required Pattern: ECICEP
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	SΣ	0..1	string	Representación textual del concepto Required Pattern: Indice Comorbilidad
subject	SΣ	1..1	Reference(Patient LE)	Referencia al paciente
focus	Σ	0..*	Reference(Resource)	What the observation is about, when it is not about the subject of record
encounter	SΣ	0..1	Reference(Encounter Iniciar LE | Encounter Atender LE)	Encuentro del cual nace la 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	CodeableConcept	Riesgo asociado al Índice de comorbilidad Binding: Indice Comorbilidad (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	Códigos definidos 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	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	SΣ	0..1	string	Representación textual del concepto
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
component	SΣ	0..*	BackboneElement	Componentes de los resultados
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
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	Pattern: final http://hl7.org/fhir/ValueSet/observation-status from the FHIR Standard
Observation.category	required	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category from the FHIR Standard
Observation.code	extensible	TipoDeObservacion https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/TipoDeObservacion from this IG
Observation.value[x]	required	VSIndicecomorbilidad (a valid code from Indice Comorbilidad) https://interoperabilidad.minsal.cl/fhir/ig/tei/ValueSet/VSIndicecomorbilidad 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

Constraints

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

This structure is derived from ObservacionCL

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 16 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)
• Encounter Atender LE (https://interoperabilidad.minsal.cl/fhir/ig/tei/StructureDefinition/EncounterAtenderLE)

Maturity: 0

Other representations of profile: CSV, Excel, Schematron