IPS_Falp, published by EstebanFredes. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SIMSADIs/GI_IPS_FALP/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: Historial Clínico

Historia clinica respecto a diagnóstico previos si posee el Paciente

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

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		0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
extension		0..0
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
Documentation for this format

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
extension		0..0
url		1..1	uri	"https://IPSFalp.cl/StructureDefinition/FechaDiagnostica"
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!ΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
code	SΣ	0..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (example): Diagósticos en SNOMED-CT. El ValueSet trae toda la terminología + Problema Ausente o Desconocido
subject	SΣ	1..1	Reference(CL Paciente)	Paciente sobre al que corresponde la condición.
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
identifier	SΣ	0..1	Identifier	Identificador del paciente
display	SΣ	0..1	string	Texto alternativo para el recurso
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.code	example	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT

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	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://IPSFalp.cl/StructureDefinition/FechaDiagnostica"
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!ΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	0..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (example): Diagósticos en SNOMED-CT. El ValueSet trae toda la terminología + Problema Ausente o Desconocido
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(CL Paciente)	Paciente sobre al que corresponde la condición.
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	SΣ	0..1	Identifier	Identificador del paciente
display	SΣ	0..1	string	Texto alternativo para el recurso
encounter	Σ	0..1	Reference(Encounter)	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	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
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: 5 elements
Must-Support: 1 element
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
• https://IPSFalp.cl/StructureDefinition/TerminoClinico
• https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico
• https://IPSFalp.cl/StructureDefinition/Observacion
• https://IPSFalp.cl/StructureDefinition/Referencia

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.extension.value[x]

Differential View

This structure is derived from DiagnosticoCl

Name	Flags	Card.	Type	Description & Constraints
Condition		0..*	DiagnosticoCl	Detailed information about conditions, problems or diagnoses
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
extension		0..0
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Open by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
Documentation for this format

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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
extension		0..0
url		1..1	uri	"https://IPSFalp.cl/StructureDefinition/FechaDiagnostica"
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!ΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
code	SΣ	0..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (example): Diagósticos en SNOMED-CT. El ValueSet trae toda la terminología + Problema Ausente o Desconocido
subject	SΣ	1..1	Reference(CL Paciente)	Paciente sobre al que corresponde la condición.
reference	SΣC	0..1	string	Referencia al recurso del Paciente al cual se indica el diagnóstico o condicón
identifier	SΣ	0..1	Identifier	Identificador del paciente
display	SΣ	0..1	string	Texto alternativo para el recurso
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.code	example	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT

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	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		3..*	Extension	Extension Slice: Unordered, Open by value:url
FechaDiagnostica		1..1	(Complex)	Fecha de Diagnóstico URL: https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"https://IPSFalp.cl/StructureDefinition/FechaDiagnostica"
Slices for value[x]		1..1	dateTime	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueDateTime	S	1..1	dateTime	Fecha en que se realizó el diagnóstico
TerminoClinico		1..*	string	Termino Clinico URL: https://IPSFalp.cl/StructureDefinition/TerminoClinico
SeveridadDiagnostico		0..1	CodeableConcept	Severidad Diagnóstica URL: https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico Binding: Severidad Diagnostica (required): Valoración subjetiva de la gravedad de la enfermedad evaluada por el clínico
Observacion		0..1	string	Observación URL: https://IPSFalp.cl/StructureDefinition/Observacion
Referencia		1..1	Reference(Paciente)	Referencia URL: https://IPSFalp.cl/StructureDefinition/Referencia
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External Ids for this condition
clinicalStatus	?!SΣC	0..1	CodeableConcept	El estatus en el cual se encuentra la condición: active| recurrece | relapse | inactive | remission | resolved Binding: ConditionClinicalStatusCodes (required): Códigos definidos por estándar
verificationStatus	?!ΣC	0..1	CodeableConcept	Estado de verificación de la condición o diagnóstico: unconfirmed | provisional | differential | confirmed | refuted | entered-in-error Binding: ConditionVerificationStatus (required): Códigos definidos por estándar
category		0..*	CodeableConcept	problem-list-item | encounter-diagnosis Binding: ConditionCategoryCodes (extensible): A category assigned to the condition.
severity		0..1	CodeableConcept	Subjective severity of condition Binding: Condition/DiagnosisSeverity (preferred): A subjective assessment of the severity of the condition as evaluated by the clinician.
code	SΣ	0..1	CodeableConcept	Códigos de SOMED-CT y adicionales de ausente o desconocido Binding: Diagnósticos SNOMED y Ausente o Desconocido (example): Diagósticos en SNOMED-CT. El ValueSet trae toda la terminología + Problema Ausente o Desconocido
bodySite	Σ	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
subject	SΣ	1..1	Reference(CL Paciente)	Paciente sobre al que corresponde la condición.
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	SΣ	0..1	Identifier	Identificador del paciente
display	SΣ	0..1	string	Texto alternativo para el recurso
encounter	Σ	0..1	Reference(Encounter)	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	preferred	Condition/DiagnosisSeverity http://hl7.org/fhir/ValueSet/condition-severity from the FHIR Standard
Condition.code	example	VSDiagnosticosSCT https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSDiagnosticosSCT
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: 5 elements
Must-Support: 1 element
Prohibited: 1 element

Extensions

This structure refers to these extensions:

• https://IPSFalp.cl/StructureDefinition/FechaDiagnostica
• https://IPSFalp.cl/StructureDefinition/TerminoClinico
• https://IPSFalp.cl/StructureDefinition/SeveridadDiagnostico
• https://IPSFalp.cl/StructureDefinition/Observacion
• https://IPSFalp.cl/StructureDefinition/Referencia

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Condition.extension.value[x]

Other representations of profile: CSV, Excel, Schematron