0.1.0 - ci-build

CardioIG, published by Example Publisher. 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/sguinezm/cardioCx-IG/ and changes regularly. See the Directory of published versions

Resource Profile: CompositionCardiocirugia - Detailed Descriptions

Draft as of 2026-05-22

Definitions for the CompositionCardiocirugia resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Composition
Definition

A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

ShortA set of resources composed into a single coherent clinical statement with clinical attestation
Comments

While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Composition.implicitRules
Definition

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

ShortA set of rules under which this content was created
Comments

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

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

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

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

ShortExtensions that cannot be ignored
Comments

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

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

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

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

The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

Shortpreliminary | final | amended | entered-in-error
Comments

If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

Control1..1
BindingThe codes SHALL be taken from CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

The workflow/clinical status of the composition.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

Need to be able to mark interim, amended, or withdrawn compositions or documents.

Pattern Valuefinal
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Composition.type
Definition

Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

ShortKind of composition (LOINC if possible)
Comments

For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

Control1..1
BindingThe codes SHOULD be taken from FHIRDocumentTypeCodeshttp://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1
(preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1)

Type of a composition.

TypeCodeableConcept
Is Modifierfalse
Summarytrue
Requirements

Key metadata element describing the composition, used in searching/filtering.

Pattern Value{
  "coding" : [{
    "code" : "67727-8"
  }]
}
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Composition.date
Definition

The composition editing time, when the composition was last logically changed by the author.

Shortfecha en la que se inicia e registro de la intervenciónComposition editing time
Comments

The Last Modified Date on the composition may be after the date of the document was attested without being changed.

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

dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.


dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Composition.author
Definition

Identifies who is responsible for the information in the composition, not necessarily who typed it in.

ShortProfesional encargado de registrar la intervenciónWho and/or what authored the composition
Control1..*
TypeReference(PractitionerCardio, Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
Is Modifierfalse
Summarytrue
Requirements

Identifies who is responsible for the content.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Composition.title
Definition

Official human-readable label for the composition.

ShortHuman Readable name/title
Comments

For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern ValueComposition Cardiocirugia
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Composition.section
Definition

Sección del documento que contiene los datos asociados a la atención clínica.


The root of the sections that make up the composition.

ShortSecciones del documento.Composition is broken into sections
Control10..10*
TypeBackboneElement
Is Modifierfalse
Must Supporttrue
Summaryfalse
Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • pattern @ code
  • 18. Composition.section.modifierExtension
    Definition

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

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

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

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

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

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

    A code identifying the kind of content contained within the section. This must be consistent with the section title.

    ShortClassification of section (recommended)
    Comments

    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

    Control10..1
    BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    Provides computable standardized labels to topics within the document.

    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. Composition.section:PatientSection
    Slice NamePatientSection
    Definition

    Información acerca del paciente


    The root of the sections that make up the composition.

    ShortSección del pacienteComposition is broken into sections
    Control10..1*
    TypeBackboneElement
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
    24. Composition.section:PatientSection.modifierExtension
    Definition

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

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

    ShortExtensions that cannot be ignored even if unrecognized
    Comments

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

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

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

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

    A code identifying the kind of content contained within the section. This must be consistent with the section title.

    ShortClassification of section (recommended)
    Comments

    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

    Control10..1
    BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
    (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
    TypeCodeableConcept
    Is Modifierfalse
    Must Supporttrue
    Summaryfalse
    Requirements

    Provides computable standardized labels to topics within the document.

    Pattern Value{
      "coding" : [{
        "code" : "1"
      }]
    }
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Composition.section:PatientSection.focus
    Definition

    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

    ShortWho/what the section is about, when it is not about the subject of composition
    Comments

    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

    Control0..1
    TypeReference(PatientCardio, Resource)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    30. Composition.section:PatientSection.entry
    Definition

    A reference to the actual resource from which the narrative in the section is derived.

    ShortA reference to data that supports this section
    Comments

    If there are no entries in the list, an emptyReason SHOULD be provided.

    Control130..*
    This element is affected by the following invariants: cmp-2
    TypeReference(Resource)
    Is Modifierfalse
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • profile @ resolve()
    • 32. Composition.section:PatientSection.entry:bodyheightObservation
      Slice NamebodyheightObservation
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortReferencia al recurso que contiene la observación de altura del pacienteA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(Observation Body Height Profile, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Composition.section:PatientSection.entry:bodyweightObservation
      Slice NamebodyweightObservation
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortReferencia al recurso que contiene la observación sobre el peso del pacienteA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(Observation Body Weight Profile, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Composition.section:PatientSection.entry:bloodTypeObservation
      Slice NamebloodTypeObservation
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortReferencia al recurso que contiene la observación que hace referencia al tipo de sangre del pacienteA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control0..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(BloodTypeObservation, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Composition.section:PatientSection.entry:emergencyContact
      Slice NameemergencyContact
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortSe referencia a las personas que pueden ser contactadas al momento de una emergenciaA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control0..*
      This element is affected by the following invariants: cmp-2
      TypeReference(RelatedPerson, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Composition.section:PatientSection.entry:DiabetesCondition
      Slice NameDiabetesCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de paciente con diabetesA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(DiabetesCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Composition.section:PatientSection.entry:HypertensionCondition
      Slice NameHypertensionCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de paciente con hipertensiónA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(HypertensionCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Composition.section:PatientSection.entry:HypercholesterolemiaCondition
      Slice NameHypercholesterolemiaCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de paciente con hipercolesterolemiaA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(HypercholesterolemiaCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Composition.section:PatientSection.entry:CarotidBruitCondition
      Slice NameCarotidBruitCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de paciente con soplos carotideosA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(CarotidBruitCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Composition.section:PatientSection.entry:neurologicDisfunction
      Slice NameneurologicDisfunction
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de paciente con disfunción neurológicaA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(NeurologicDisfunctionCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Composition.section:PatientSection.entry:ChronicLungDiseaseCondition
      Slice NameChronicLungDiseaseCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de enfermedad pulmonar crónicaA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(ChronicLungDiseaseCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Composition.section:PatientSection.entry:ExtraCardiacArteriopathyCondition
      Slice NameExtraCardiacArteriopathyCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortCondición de arteriopatía extra cardíacaA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(ExtraCardiacArteriopathyCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Composition.section:PatientSection.entry:NephropathyCondition
      Slice NameNephropathyCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortNefropatías del pacienteA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(NephropathyCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. Composition.section:PatientSection.entry:TypeOfDiseaseCondition
      Slice NameTypeOfDiseaseCondition
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortTipo de enfermedadA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(TypeOfDiseaseCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. Composition.section:PatientSection.entry:PacksPerYear
      Slice NamePacksPerYear
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortObservación de packs por añoA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(PacksPerYearObservation, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. Composition.section:PatientSection.entry:SmokingHistory
      Slice NameSmokingHistory
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortObservación de historial fumadorA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(SmokingCondition, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. Composition.section:QuestionnaireSection
      Slice NameQuestionnaireSection
      Definition

      Antecedentes de intervenciones previas para realizar el procedimiento al paciente.


      The root of the sections that make up the composition.

      ShortCuestionario realizado al paciente.Composition is broken into sections
      Control0..1*
      TypeBackboneElement
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
      64. Composition.section:QuestionnaireSection.modifierExtension
      Definition

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

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

      ShortExtensions that cannot be ignored even if unrecognized
      Comments

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

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

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

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

      A code identifying the kind of content contained within the section. This must be consistent with the section title.

      ShortClassification of section (recommended)
      Comments

      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

      Control10..1
      BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
      (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
      TypeCodeableConcept
      Is Modifierfalse
      Must Supporttrue
      Summaryfalse
      Requirements

      Provides computable standardized labels to topics within the document.

      Pattern Value{
        "coding" : [{
          "code" : "2"
        }]
      }
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      68. Composition.section:QuestionnaireSection.focus
      Definition

      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

      ShortWho/what the section is about, when it is not about the subject of composition
      Comments

      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

      Control0..1
      TypeReference(Procedure, Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      70. Composition.section:QuestionnaireSection.entry
      Definition

      A reference to the actual resource from which the narrative in the section is derived.

      ShortA reference to data that supports this section
      Comments

      If there are no entries in the list, an emptyReason SHOULD be provided.

      Control10..1*
      This element is affected by the following invariants: cmp-2
      TypeReference(Resource)
      Is Modifierfalse
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • profile @ resolve()
      • 72. Composition.section:QuestionnaireSection.entry:Questionnaire
        Slice NameQuestionnaire
        Definition

        A reference to the actual resource from which the narrative in the section is derived.

        ShortReferencia al recurso que contiene la información de antecedentes.A reference to data that supports this section
        Comments

        If there are no entries in the list, an emptyReason SHOULD be provided.

        Control10..1*
        This element is affected by the following invariants: cmp-2
        TypeReference(ProcedureQuestionnaire, Resource)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. Composition.section:PractitionerSection
        Slice NamePractitionerSection
        Definition

        Sección en la que se definen los profesionales involucrados en el procedimiento.


        The root of the sections that make up the composition.

        ShortProfesionales involucrados.Composition is broken into sections
        Control0..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
        76. Composition.section:PractitionerSection.modifierExtension
        Definition

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

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

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

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

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

        A code identifying the kind of content contained within the section. This must be consistent with the section title.

        ShortClassification of section (recommended)
        Comments

        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

        Control10..1
        BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
        (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Pattern Value{
          "coding" : [{
            "code" : "3"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        80. Composition.section:PractitionerSection.focus
        Definition

        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

        ShortWho/what the section is about, when it is not about the subject of composition
        Comments

        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

        Control0..1
        TypeReference(ProcedureCardio, Resource)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        82. Composition.section:PractitionerSection.entry
        Definition

        A reference to the actual resource from which the narrative in the section is derived.

        ShortA reference to data that supports this section
        Comments

        If there are no entries in the list, an emptyReason SHOULD be provided.

        Control30..5*
        This element is affected by the following invariants: cmp-2
        TypeReference(PractitionerRoleCardio, Resource)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        84. Composition.section:ProcedureCardio
        Slice NameProcedureCardio
        Definition

        Sección en la que se describe el historial cardiaco del paciente.


        The root of the sections that make up the composition.

        ShortHistorial cardíacoComposition is broken into sections
        Control0..1*
        TypeBackboneElement
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
        86. Composition.section:ProcedureCardio.modifierExtension
        Definition

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

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

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

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

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

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

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

        A code identifying the kind of content contained within the section. This must be consistent with the section title.

        ShortClassification of section (recommended)
        Comments

        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

        Control10..1
        BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
        (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summaryfalse
        Requirements

        Provides computable standardized labels to topics within the document.

        Pattern Value{
          "coding" : [{
            "code" : "4"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        90. Composition.section:ProcedureCardio.focus
        Definition

        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

        ShortWho/what the section is about, when it is not about the subject of composition
        Comments

        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

        Control0..1
        TypeReference(Procedure, Resource)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        92. Composition.section:ProcedureCardio.entry
        Definition

        A reference to the actual resource from which the narrative in the section is derived.

        ShortA reference to data that supports this section
        Comments

        If there are no entries in the list, an emptyReason SHOULD be provided.

        Control40..5*
        This element is affected by the following invariants: cmp-2
        TypeReference(Resource)
        Is Modifierfalse
        Summaryfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ resolve()
        • 94. Composition.section:ProcedureCardio.entry:AnginaObservation
          Slice NameAnginaObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortAngina de pecho reportada por el pacienteA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control10..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(AnginaObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          96. Composition.section:ProcedureCardio.entry:FunctionalCapacityObservation
          Slice NameFunctionalCapacityObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortCapacidad funcional del pacienteA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control10..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(FunctionalCapacityObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          98. Composition.section:ProcedureCardio.entry:PreviousMIObservation
          Slice NamePreviousMIObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortNúmero de infartos al miocardio previosA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control10..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(PreviousMIObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          100. Composition.section:ProcedureCardio.entry:MostRecentMIObservation
          Slice NameMostRecentMIObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortDías transcurridos desde el último infarto al miocardioA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control10..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(MostRecentMIObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          102. Composition.section:ProcedureCardio.entry:CongestiveHeartFailureObservation
          Slice NameCongestiveHeartFailureObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortSe indica que el paciente presenta falla cardíaca congestivaA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(CongestiveHeartFailureObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          104. Composition.section:ProcedureCardio.entry:LastCatheterizationObservation
          Slice NameLastCatheterizationObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortSe indica que la fecha en la que el paciente tuvo su última cateterizaciónA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(LastCatheterizationObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          106. Composition.section:ProcedureCardio.entry:DiseasedCoronarySegmentObservation
          Slice NameDiseasedCoronarySegmentObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación del número de vasos con problemas.A reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(DiseasedCoronarySegmentObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          108. Composition.section:ProcedureCardio.entry:EjectionFractionObservation
          Slice NameEjectionFractionObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación de la última fracción de eyección.A reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(EjectionFractionObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          110. Composition.section:ProcedureCardio.entry:EjectionFractionValueObservation
          Slice NameEjectionFractionValueObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación del valor de la última fracción de eyecciónA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(EjectionFractionValueObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          112. Composition.section:ProcedureCardio.entry:SystolicPressureObservation
          Slice NameSystolicPressureObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortPresión sistólica observaciónA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(SystolicPressureObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          114. Composition.section:ProcedureCardio.entry:AVGradient
          Slice NameAVGradient
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortGradiente AVA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(AVGradientObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          116. Composition.section:ProcedureCardio.entry:LVEDPObservation
          Slice NameLVEDPObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortPresión de Fin de Diástole del Ventrículo IzquierdoA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(LVEDPObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          118. Composition.section:ProcedureCardio.entry:PAWPObservation
          Slice NamePAWPObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortMedida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)A reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(PAWPObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          120. Composition.section:ProcedureCardio.entry:NumberOfDistalArterialAnastomoses
          Slice NameNumberOfDistalArterialAnastomoses
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación de número de arterias distalA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(NumberOfDistalArterialAnastomosesObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          122. Composition.section:ProcedureCardio.entry:NumberOfDistalVenousAnastomoses
          Slice NameNumberOfDistalVenousAnastomoses
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación de número de arterias venosasA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(NumberOfDistalVenousAnastomoses, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          124. Composition.section:ProcedureCardio.entry:ArteriesUsedAsConduitsObservation
          Slice NameArteriesUsedAsConduitsObservation
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortObservación de arterias usadas como conductosA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference( ArteriesUsedAsConduitsObservation, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          126. Composition.section:ProcedureCardio.entry:organization
          Slice Nameorganization
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortSe hace referencia a la organizaciónA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..1*
          This element is affected by the following invariants: cmp-2
          TypeReference(Organization, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          128. Composition.section:ValveProcedureSection
          Slice NameValveProcedureSection
          Definition

          Información acerca de vávula del paciente


          The root of the sections that make up the composition.

          ShortSección de válvulaComposition is broken into sections
          Control0..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
          130. Composition.section:ValveProcedureSection.modifierExtension
          Definition

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

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

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

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

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

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

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

          A code identifying the kind of content contained within the section. This must be consistent with the section title.

          ShortClassification of section (recommended)
          Comments

          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

          Control10..1
          BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
          (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Requirements

          Provides computable standardized labels to topics within the document.

          Pattern Value{
            "coding" : [{
              "code" : "5"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          134. Composition.section:ValveProcedureSection.focus
          Definition

          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

          ShortWho/what the section is about, when it is not about the subject of composition
          Comments

          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

          Control0..1
          TypeReference(ValveProcedure, Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          136. Composition.section:ValveProcedureSection.entry
          Definition

          A reference to the actual resource from which the narrative in the section is derived.

          ShortA reference to data that supports this section
          Comments

          If there are no entries in the list, an emptyReason SHOULD be provided.

          Control0..*
          This element is affected by the following invariants: cmp-2
          TypeReference(Resource)
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • profile @ resolve()
          • 138. Composition.section:ValveProcedureSection.entry:stenosis
            Slice Namestenosis
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica la presencia de stenosisA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(StenosisObservation, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            140. Composition.section:ValveProcedureSection.entry:valve
            Slice Namevalve
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica la presencia de stenosisA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            142. Composition.section:ValveProcedureSection.entry:insuficiency
            Slice Nameinsuficiency
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica la presencia de insuficienciaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            144. Composition.section:ValveProcedureSection.entry:valveName
            Slice NamevalveName
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica el nombre de la válvulaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveDevice, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            146. Composition.section:ValveProcedureSection.entry:valveSize
            Slice NamevalveSize
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica el tamaño de la válvulaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveDevice, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            148. Composition.section:ValveProcedureSection.entry:explantType
            Slice NameexplantType
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica tipo de explanteA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            150. Composition.section:ValveProcedureSection.entry:reoperationValveReason
            Slice NamereoperationValveReason
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica la razón de reoperaciónA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            152. Composition.section:ValveProcedureSection.entry:valveProcedure
            Slice NamevalveProcedure
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica el procedimiento de válvulaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            154. Composition.section:ValveProcedureSection.entry:implantType
            Slice NameimplantType
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortIndica el tipo de implanteA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(ValveProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            156. Composition.section:ValveProcedureSection.entry:endocarditisInfecciosa
            Slice NameendocarditisInfecciosa
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortEndocarditis infecciosaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(EndocarditisInfecciosaObservation, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            158. Composition.section:ValveProcedureSection.entry:nativeValvePathology
            Slice NamenativeValvePathology
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortObservación de válvula nativaA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..1*
            This element is affected by the following invariants: cmp-2
            TypeReference(NativeValvePathology, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            160. Composition.section:ProcedureEcocardio
            Slice NameProcedureEcocardio
            Definition

            Información acerca del ecocardiograma


            The root of the sections that make up the composition.

            ShortSección de ecocardiogramaComposition is broken into sections
            Control0..1*
            TypeBackboneElement
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
            162. Composition.section:ProcedureEcocardio.modifierExtension
            Definition

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

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

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

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

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

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

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

            A code identifying the kind of content contained within the section. This must be consistent with the section title.

            ShortClassification of section (recommended)
            Comments

            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

            Control10..1
            BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
            (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summaryfalse
            Requirements

            Provides computable standardized labels to topics within the document.

            Pattern Value{
              "coding" : [{
                "code" : "6"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            166. Composition.section:ProcedureEcocardio.focus
            Definition

            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

            ShortWho/what the section is about, when it is not about the subject of composition
            Comments

            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

            Control0..1
            TypeReference(EchocardiogramProcedure, Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            168. Composition.section:ProcedureEcocardio.entry
            Definition

            A reference to the actual resource from which the narrative in the section is derived.

            ShortA reference to data that supports this section
            Comments

            If there are no entries in the list, an emptyReason SHOULD be provided.

            Control0..*
            This element is affected by the following invariants: cmp-2
            TypeReference(Resource)
            Is Modifierfalse
            Summaryfalse
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • profile @ resolve()
            • 170. Composition.section:ProcedureEcocardio.entry:systolicPressureObservation
              Slice NamesystolicPressureObservation
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de PSAPA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              172. Composition.section:ProcedureEcocardio.entry:leftatrium
              Slice Nameleftatrium
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de arteria izquierdaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              174. Composition.section:ProcedureEcocardio.entry:aorticRoot
              Slice NameaorticRoot
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de arteria principalA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              176. Composition.section:ProcedureEcocardio.entry:rightCavities
              Slice NamerightCavities
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de cavidad derechaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              178. Composition.section:ProcedureEcocardio.entry:endocarditis
              Slice Nameendocarditis
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de endocarditisA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              180. Composition.section:ProcedureEcocardio.entry:valve
              Slice Namevalve
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de tipo de válvuaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              182. Composition.section:ProcedureEcocardio.entry:vegetable
              Slice Namevegetable
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de estado de vegetaciónA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              184. Composition.section:ProcedureEcocardio.entry:abscess
              Slice Nameabscess
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de presencia de abscesoA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              186. Composition.section:ProcedureEcocardio.entry:prosthesisDetachment
              Slice NameprosthesisDetachment
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de extracción de protesisA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              188. Composition.section:ProcedureEcocardio.entry:cardiacTumor
              Slice NamecardiacTumor
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de presencia de tumor cardíacoA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              190. Composition.section:ProcedureEcocardio.entry:other
              Slice Nameother
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              ShortOtra observaciónA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              192. Composition.section:ProcedureEcocardio.entry:leftVentricleDiastolicDiameter
              Slice NameleftVentricleDiastolicDiameter
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación diámetro diastólico de ventrículo izquierdoA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              194. Composition.section:ProcedureEcocardio.entry:leftVentricleSystolicDiameter
              Slice NameleftVentricleSystolicDiameter
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              ShortObservación diámetro sistólico de ventrículo izquierdoA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              196. Composition.section:ProcedureEcocardio.entry:aorticValvesMainGradient
              Slice NameaorticValvesMainGradient
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación del gradiente de a válvula principalA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              198. Composition.section:ProcedureEcocardio.entry:aorticValvesMediumGradient
              Slice NameaorticValvesMediumGradient
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación del gradiente de a válvula aorta mediaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              200. Composition.section:ProcedureEcocardio.entry:aorticValvesMaximumSpeed
              Slice NameaorticValvesMaximumSpeed
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la máxima velocidad de válvula aortaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              202. Composition.section:ProcedureEcocardio.entry:aorticValvesArea
              Slice NameaorticValvesArea
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación del área de válvula aortaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              204. Composition.section:ProcedureEcocardio.entry:aorticValvesInsufficiency
              Slice NameaorticValvesInsufficiency
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la insuficiencia de válvula aortaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              206. Composition.section:ProcedureEcocardio.entry:mitralValveMainGradient
              Slice NamemitralValveMainGradient
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la gradiente principal de la válvula mitralA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              208. Composition.section:ProcedureEcocardio.entry:mitralValveMediumGradient
              Slice NamemitralValveMediumGradient
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la gradiente media de la válvula mitralA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              210. Composition.section:ProcedureEcocardio.entry:mitralValveMaximumSpeed
              Slice NamemitralValveMaximumSpeed
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la velocidad máxima de válvula mitralA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              212. Composition.section:ProcedureEcocardio.entry:mitralValveArea
              Slice NamemitralValveArea
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación del área de válvula mitralA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              214. Composition.section:ProcedureEcocardio.entry:mitralValveInsufficiency
              Slice NamemitralValveInsufficiency
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la insuficiencia de válvula mitralA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              216. Composition.section:ProcedureEcocardio.entry:tricuspideValvesInsuficiency
              Slice NametricuspideValvesInsuficiency
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              Shortobservación de la insuficiencia de válvula tricúspideA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              218. Composition.section:ProcedureEcocardio.entry:diagnostics
              Slice Namediagnostics
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              ShortDiagnósticos de ecocardiogramaA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..1*
              This element is affected by the following invariants: cmp-2
              TypeReference(EchocardiogramsObservation, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              220. Composition.section:PerfusionProcedureSection
              Slice NamePerfusionProcedureSection
              Definition

              Información acerca de la perfusión


              The root of the sections that make up the composition.

              ShortSección de perfusiónComposition is broken into sections
              Control0..1*
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              cmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
              222. Composition.section:PerfusionProcedureSection.modifierExtension
              Definition

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

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

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

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

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

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

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

              A code identifying the kind of content contained within the section. This must be consistent with the section title.

              ShortClassification of section (recommended)
              Comments

              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

              Control10..1
              BindingThe codes SHALL be taken from For example codes, see Códigos para secciones de composition para cardio cirugías.http://hl7.org/fhir/ValueSet/doc-section-codes|4.0.1
              (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Requirements

              Provides computable standardized labels to topics within the document.

              Pattern Value{
                "coding" : [{
                  "code" : "7"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              226. Composition.section:PerfusionProcedureSection.focus
              Definition

              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

              ShortWho/what the section is about, when it is not about the subject of composition
              Comments

              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

              Control0..1
              TypeReference(PerfusionProcedure, Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              228. Composition.section:PerfusionProcedureSection.entry
              Definition

              A reference to the actual resource from which the narrative in the section is derived.

              ShortA reference to data that supports this section
              Comments

              If there are no entries in the list, an emptyReason SHOULD be provided.

              Control0..*
              This element is affected by the following invariants: cmp-2
              TypeReference(Resource)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • profile @ resolve()
              • 230. Composition.section:PerfusionProcedureSection.entry:perfusionTemperature
                Slice NameperfusionTemperature
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de temperatura de perfusiónA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(PerfusionTemperatureObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                232. Composition.section:PerfusionProcedureSection.entry:cardioplegiaSolution
                Slice NamecardioplegiaSolution
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de la soluciónA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(CardioplegiaSolution, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                234. Composition.section:PerfusionProcedureSection.entry:cardioplegiaTemperature
                Slice NamecardioplegiaTemperature
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de la temperatura de la soluciónA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(Cardioplegia temperature, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                236. Composition.section:PerfusionProcedureSection.entry:cardioplegiaInfusionMode
                Slice NamecardioplegiaInfusionMode
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación del modo de la infusión de la cardioplegíaA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(CardioplegiaInfusionModeObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                238. Composition.section:PerfusionProcedureSection.entry:cardioplegiaRhythm
                Slice NamecardioplegiaRhythm
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación del ritmo de cardioplegíaA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(CardioplegiaRhytmObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                240. Composition.section:PerfusionProcedureSection.entry:reasonForBallonUsage
                Slice NamereasonForBallonUsage
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de balón de la razón de uso de balón contrapulsaciónA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(ReasonBallonObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                242. Composition.section:PerfusionProcedureSection.entry:extracorporealCirculationTime
                Slice NameextracorporealCirculationTime
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación del tiempo de la perfusiónA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(ExtracorporealCirculationTimeObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                244. Composition.section:PerfusionProcedureSection.entry:cumulativeCrossClampTime
                Slice NamecumulativeCrossClampTime
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación del tiempo acumuladoA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(CumulativeCrossClampTimeObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                246. Composition.section:PerfusionProcedureSection.entry:totalCirculatoryArrestTime
                Slice NametotalCirculatoryArrestTime
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación del tiempo totalA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(TotalCirculatoryArrestTimeObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                248. Composition.section:PerfusionProcedureSection.entry:arterialCannulations
                Slice NamearterialCannulations
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de canulación arterialA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(ArterialCannulation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                250. Composition.section:PerfusionProcedureSection.entry:venousCannulations
                Slice NamevenousCannulations
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de canulación venosaA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(VenousCannulationsObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                252. Composition.section:PerfusionProcedureSection.entry:circulatoryAssistances
                Slice NamecirculatoryAssistances
                Definition

                A reference to the actual resource from which the narrative in the section is derived.

                ShortObservación de las asistencias circulatoriasA reference to data that supports this section
                Comments

                If there are no entries in the list, an emptyReason SHOULD be provided.

                Control0..1*
                This element is affected by the following invariants: cmp-2
                TypeReference(CirculatoryObservation, Resource)
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                Guidance on how to interpret the contents of this table can be foundhere

                0. Composition
                2. Composition.status
                Pattern Valuefinal
                4. Composition.type
                Pattern Value{
                  "coding" : [{
                    "code" : "67727-8"
                  }]
                }
                6. Composition.type.coding
                8. Composition.type.coding.system
                Pattern Valuehttp://snomed.info/sct
                10. Composition.date
                Shortfecha en la que se inicia e registro de la intervención
                12. Composition.author
                ShortProfesional encargado de registrar la intervención
                TypeReference(PractitionerCardio)
                14. Composition.title
                Pattern ValueComposition Cardiocirugia
                16. Composition.section
                Definition

                Sección del documento que contiene los datos asociados a la atención clínica.

                ShortSecciones del documento.
                Control1..10
                Must Supporttrue
                SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • pattern @ code
                • 18. Composition.section.code
                  Control1..?
                  BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                  (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                  Must Supporttrue
                  20. Composition.section:PatientSection
                  Slice NamePatientSection
                  Definition

                  Información acerca del paciente

                  ShortSección del paciente
                  Control1..1
                  Must Supporttrue
                  22. Composition.section:PatientSection.code
                  Pattern Value{
                    "coding" : [{
                      "code" : "1"
                    }]
                  }
                  24. Composition.section:PatientSection.focus
                  TypeReference(PatientCardio)
                  26. Composition.section:PatientSection.entry
                  Control13..?
                  SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • profile @ resolve()
                  • 28. Composition.section:PatientSection.entry:bodyheightObservation
                    Slice NamebodyheightObservation
                    ShortReferencia al recurso que contiene la observación de altura del paciente
                    Control1..1
                    TypeReference(Observation Body Height Profile)
                    30. Composition.section:PatientSection.entry:bodyweightObservation
                    Slice NamebodyweightObservation
                    ShortReferencia al recurso que contiene la observación sobre el peso del paciente
                    Control1..1
                    TypeReference(Observation Body Weight Profile)
                    32. Composition.section:PatientSection.entry:bloodTypeObservation
                    Slice NamebloodTypeObservation
                    ShortReferencia al recurso que contiene la observación que hace referencia al tipo de sangre del paciente
                    Control0..1
                    TypeReference(BloodTypeObservation)
                    34. Composition.section:PatientSection.entry:emergencyContact
                    Slice NameemergencyContact
                    ShortSe referencia a las personas que pueden ser contactadas al momento de una emergencia
                    Control0..*
                    TypeReference(RelatedPerson)
                    36. Composition.section:PatientSection.entry:DiabetesCondition
                    Slice NameDiabetesCondition
                    ShortCondición de paciente con diabetes
                    Control1..1
                    TypeReference(DiabetesCondition)
                    38. Composition.section:PatientSection.entry:HypertensionCondition
                    Slice NameHypertensionCondition
                    ShortCondición de paciente con hipertensión
                    Control1..1
                    TypeReference(HypertensionCondition)
                    40. Composition.section:PatientSection.entry:HypercholesterolemiaCondition
                    Slice NameHypercholesterolemiaCondition
                    ShortCondición de paciente con hipercolesterolemia
                    Control1..1
                    TypeReference(HypercholesterolemiaCondition)
                    42. Composition.section:PatientSection.entry:CarotidBruitCondition
                    Slice NameCarotidBruitCondition
                    ShortCondición de paciente con soplos carotideos
                    Control1..1
                    TypeReference(CarotidBruitCondition)
                    44. Composition.section:PatientSection.entry:neurologicDisfunction
                    Slice NameneurologicDisfunction
                    ShortCondición de paciente con disfunción neurológica
                    Control1..1
                    TypeReference(NeurologicDisfunctionCondition)
                    46. Composition.section:PatientSection.entry:ChronicLungDiseaseCondition
                    Slice NameChronicLungDiseaseCondition
                    ShortCondición de enfermedad pulmonar crónica
                    Control1..1
                    TypeReference(ChronicLungDiseaseCondition)
                    48. Composition.section:PatientSection.entry:ExtraCardiacArteriopathyCondition
                    Slice NameExtraCardiacArteriopathyCondition
                    ShortCondición de arteriopatía extra cardíaca
                    Control1..1
                    TypeReference(ExtraCardiacArteriopathyCondition)
                    50. Composition.section:PatientSection.entry:NephropathyCondition
                    Slice NameNephropathyCondition
                    ShortNefropatías del paciente
                    Control1..1
                    TypeReference(NephropathyCondition)
                    52. Composition.section:PatientSection.entry:TypeOfDiseaseCondition
                    Slice NameTypeOfDiseaseCondition
                    ShortTipo de enfermedad
                    Control1..1
                    TypeReference(TypeOfDiseaseCondition)
                    54. Composition.section:PatientSection.entry:PacksPerYear
                    Slice NamePacksPerYear
                    ShortObservación de packs por año
                    Control1..1
                    TypeReference(PacksPerYearObservation)
                    56. Composition.section:PatientSection.entry:SmokingHistory
                    Slice NameSmokingHistory
                    ShortObservación de historial fumador
                    Control1..1
                    TypeReference(SmokingCondition)
                    58. Composition.section:QuestionnaireSection
                    Slice NameQuestionnaireSection
                    Definition

                    Antecedentes de intervenciones previas para realizar el procedimiento al paciente.

                    ShortCuestionario realizado al paciente.
                    Control0..1
                    Must Supporttrue
                    60. Composition.section:QuestionnaireSection.code
                    Pattern Value{
                      "coding" : [{
                        "code" : "2"
                      }]
                    }
                    62. Composition.section:QuestionnaireSection.focus
                    TypeReference(Procedure)
                    64. Composition.section:QuestionnaireSection.entry
                    Control1..1
                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • profile @ resolve()
                    • 66. Composition.section:QuestionnaireSection.entry:Questionnaire
                      Slice NameQuestionnaire
                      ShortReferencia al recurso que contiene la información de antecedentes.
                      Control1..1
                      TypeReference(ProcedureQuestionnaire)
                      68. Composition.section:PractitionerSection
                      Slice NamePractitionerSection
                      Definition

                      Sección en la que se definen los profesionales involucrados en el procedimiento.

                      ShortProfesionales involucrados.
                      Control0..1
                      Must Supporttrue
                      70. Composition.section:PractitionerSection.code
                      Pattern Value{
                        "coding" : [{
                          "code" : "3"
                        }]
                      }
                      72. Composition.section:PractitionerSection.focus
                      TypeReference(ProcedureCardio)
                      74. Composition.section:PractitionerSection.entry
                      Control3..5
                      TypeReference(PractitionerRoleCardio)
                      76. Composition.section:ProcedureCardio
                      Slice NameProcedureCardio
                      Definition

                      Sección en la que se describe el historial cardiaco del paciente.

                      ShortHistorial cardíaco
                      Control0..1
                      Must Supporttrue
                      78. Composition.section:ProcedureCardio.code
                      Pattern Value{
                        "coding" : [{
                          "code" : "4"
                        }]
                      }
                      80. Composition.section:ProcedureCardio.focus
                      TypeReference(Procedure)
                      82. Composition.section:ProcedureCardio.entry
                      Control4..5
                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • profile @ resolve()
                      • 84. Composition.section:ProcedureCardio.entry:AnginaObservation
                        Slice NameAnginaObservation
                        ShortAngina de pecho reportada por el paciente
                        Control1..1
                        TypeReference(AnginaObservation)
                        86. Composition.section:ProcedureCardio.entry:FunctionalCapacityObservation
                        Slice NameFunctionalCapacityObservation
                        ShortCapacidad funcional del paciente
                        Control1..1
                        TypeReference(FunctionalCapacityObservation)
                        88. Composition.section:ProcedureCardio.entry:PreviousMIObservation
                        Slice NamePreviousMIObservation
                        ShortNúmero de infartos al miocardio previos
                        Control1..1
                        TypeReference(PreviousMIObservation)
                        90. Composition.section:ProcedureCardio.entry:MostRecentMIObservation
                        Slice NameMostRecentMIObservation
                        ShortDías transcurridos desde el último infarto al miocardio
                        Control1..1
                        TypeReference(MostRecentMIObservation)
                        92. Composition.section:ProcedureCardio.entry:CongestiveHeartFailureObservation
                        Slice NameCongestiveHeartFailureObservation
                        ShortSe indica que el paciente presenta falla cardíaca congestiva
                        Control0..1
                        TypeReference(CongestiveHeartFailureObservation)
                        94. Composition.section:ProcedureCardio.entry:LastCatheterizationObservation
                        Slice NameLastCatheterizationObservation
                        ShortSe indica que la fecha en la que el paciente tuvo su última cateterización
                        Control0..1
                        TypeReference(LastCatheterizationObservation)
                        96. Composition.section:ProcedureCardio.entry:DiseasedCoronarySegmentObservation
                        Slice NameDiseasedCoronarySegmentObservation
                        ShortObservación del número de vasos con problemas.
                        Control0..1
                        TypeReference(DiseasedCoronarySegmentObservation)
                        98. Composition.section:ProcedureCardio.entry:EjectionFractionObservation
                        Slice NameEjectionFractionObservation
                        ShortObservación de la última fracción de eyección.
                        Control0..1
                        TypeReference(EjectionFractionObservation)
                        100. Composition.section:ProcedureCardio.entry:EjectionFractionValueObservation
                        Slice NameEjectionFractionValueObservation
                        ShortObservación del valor de la última fracción de eyección
                        Control0..1
                        TypeReference(EjectionFractionValueObservation)
                        102. Composition.section:ProcedureCardio.entry:SystolicPressureObservation
                        Slice NameSystolicPressureObservation
                        ShortPresión sistólica observación
                        Control0..1
                        TypeReference(SystolicPressureObservation)
                        104. Composition.section:ProcedureCardio.entry:AVGradient
                        Slice NameAVGradient
                        ShortGradiente AV
                        Control0..1
                        TypeReference(AVGradientObservation)
                        106. Composition.section:ProcedureCardio.entry:LVEDPObservation
                        Slice NameLVEDPObservation
                        ShortPresión de Fin de Diástole del Ventrículo Izquierdo
                        Control0..1
                        TypeReference(LVEDPObservation)
                        108. Composition.section:ProcedureCardio.entry:PAWPObservation
                        Slice NamePAWPObservation
                        ShortMedida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)
                        Control0..1
                        TypeReference(PAWPObservation)
                        110. Composition.section:ProcedureCardio.entry:NumberOfDistalArterialAnastomoses
                        Slice NameNumberOfDistalArterialAnastomoses
                        ShortObservación de número de arterias distal
                        Control0..1
                        TypeReference(NumberOfDistalArterialAnastomosesObservation)
                        112. Composition.section:ProcedureCardio.entry:NumberOfDistalVenousAnastomoses
                        Slice NameNumberOfDistalVenousAnastomoses
                        ShortObservación de número de arterias venosas
                        Control0..1
                        TypeReference(NumberOfDistalVenousAnastomoses)
                        114. Composition.section:ProcedureCardio.entry:ArteriesUsedAsConduitsObservation
                        Slice NameArteriesUsedAsConduitsObservation
                        ShortObservación de arterias usadas como conductos
                        Control0..1
                        TypeReference( ArteriesUsedAsConduitsObservation)
                        116. Composition.section:ProcedureCardio.entry:organization
                        Slice Nameorganization
                        ShortSe hace referencia a la organización
                        Control0..1
                        TypeReference(Organization)
                        118. Composition.section:ValveProcedureSection
                        Slice NameValveProcedureSection
                        Definition

                        Información acerca de vávula del paciente

                        ShortSección de válvula
                        Control0..1
                        Must Supporttrue
                        120. Composition.section:ValveProcedureSection.code
                        Pattern Value{
                          "coding" : [{
                            "code" : "5"
                          }]
                        }
                        122. Composition.section:ValveProcedureSection.focus
                        TypeReference(ValveProcedure)
                        124. Composition.section:ValveProcedureSection.entry
                        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • profile @ resolve()
                        • 126. Composition.section:ValveProcedureSection.entry:stenosis
                          Slice Namestenosis
                          ShortIndica la presencia de stenosis
                          Control0..1
                          TypeReference(StenosisObservation)
                          128. Composition.section:ValveProcedureSection.entry:valve
                          Slice Namevalve
                          ShortIndica la presencia de stenosis
                          Control0..1
                          TypeReference(ValveProcedure)
                          130. Composition.section:ValveProcedureSection.entry:insuficiency
                          Slice Nameinsuficiency
                          ShortIndica la presencia de insuficiencia
                          Control0..1
                          TypeReference(ValveProcedure)
                          132. Composition.section:ValveProcedureSection.entry:valveName
                          Slice NamevalveName
                          ShortIndica el nombre de la válvula
                          Control0..1
                          TypeReference(ValveDevice)
                          134. Composition.section:ValveProcedureSection.entry:valveSize
                          Slice NamevalveSize
                          ShortIndica el tamaño de la válvula
                          Control0..1
                          TypeReference(ValveDevice)
                          136. Composition.section:ValveProcedureSection.entry:explantType
                          Slice NameexplantType
                          ShortIndica tipo de explante
                          Control0..1
                          TypeReference(ValveProcedure)
                          138. Composition.section:ValveProcedureSection.entry:reoperationValveReason
                          Slice NamereoperationValveReason
                          ShortIndica la razón de reoperación
                          Control0..1
                          TypeReference(ValveProcedure)
                          140. Composition.section:ValveProcedureSection.entry:valveProcedure
                          Slice NamevalveProcedure
                          ShortIndica el procedimiento de válvula
                          Control0..1
                          TypeReference(ValveProcedure)
                          142. Composition.section:ValveProcedureSection.entry:implantType
                          Slice NameimplantType
                          ShortIndica el tipo de implante
                          Control0..1
                          TypeReference(ValveProcedure)
                          144. Composition.section:ValveProcedureSection.entry:endocarditisInfecciosa
                          Slice NameendocarditisInfecciosa
                          ShortEndocarditis infecciosa
                          Control0..1
                          TypeReference(EndocarditisInfecciosaObservation)
                          146. Composition.section:ValveProcedureSection.entry:nativeValvePathology
                          Slice NamenativeValvePathology
                          ShortObservación de válvula nativa
                          Control0..1
                          TypeReference(NativeValvePathology)
                          148. Composition.section:ProcedureEcocardio
                          Slice NameProcedureEcocardio
                          Definition

                          Información acerca del ecocardiograma

                          ShortSección de ecocardiograma
                          Control0..1
                          Must Supporttrue
                          150. Composition.section:ProcedureEcocardio.code
                          Pattern Value{
                            "coding" : [{
                              "code" : "6"
                            }]
                          }
                          152. Composition.section:ProcedureEcocardio.focus
                          TypeReference(EchocardiogramProcedure)
                          154. Composition.section:ProcedureEcocardio.entry
                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                          • profile @ resolve()
                          • 156. Composition.section:ProcedureEcocardio.entry:systolicPressureObservation
                            Slice NamesystolicPressureObservation
                            Shortobservación de PSAP
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            158. Composition.section:ProcedureEcocardio.entry:leftatrium
                            Slice Nameleftatrium
                            Shortobservación de arteria izquierda
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            160. Composition.section:ProcedureEcocardio.entry:aorticRoot
                            Slice NameaorticRoot
                            Shortobservación de arteria principal
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            162. Composition.section:ProcedureEcocardio.entry:rightCavities
                            Slice NamerightCavities
                            Shortobservación de cavidad derecha
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            164. Composition.section:ProcedureEcocardio.entry:endocarditis
                            Slice Nameendocarditis
                            Shortobservación de endocarditis
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            166. Composition.section:ProcedureEcocardio.entry:valve
                            Slice Namevalve
                            Shortobservación de tipo de válvua
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            168. Composition.section:ProcedureEcocardio.entry:vegetable
                            Slice Namevegetable
                            Shortobservación de estado de vegetación
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            170. Composition.section:ProcedureEcocardio.entry:abscess
                            Slice Nameabscess
                            Shortobservación de presencia de absceso
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            172. Composition.section:ProcedureEcocardio.entry:prosthesisDetachment
                            Slice NameprosthesisDetachment
                            Shortobservación de extracción de protesis
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            174. Composition.section:ProcedureEcocardio.entry:cardiacTumor
                            Slice NamecardiacTumor
                            Shortobservación de presencia de tumor cardíaco
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            176. Composition.section:ProcedureEcocardio.entry:other
                            Slice Nameother
                            ShortOtra observación
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            178. Composition.section:ProcedureEcocardio.entry:leftVentricleDiastolicDiameter
                            Slice NameleftVentricleDiastolicDiameter
                            Shortobservación diámetro diastólico de ventrículo izquierdo
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            180. Composition.section:ProcedureEcocardio.entry:leftVentricleSystolicDiameter
                            Slice NameleftVentricleSystolicDiameter
                            ShortObservación diámetro sistólico de ventrículo izquierdo
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            182. Composition.section:ProcedureEcocardio.entry:aorticValvesMainGradient
                            Slice NameaorticValvesMainGradient
                            Shortobservación del gradiente de a válvula principal
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            184. Composition.section:ProcedureEcocardio.entry:aorticValvesMediumGradient
                            Slice NameaorticValvesMediumGradient
                            Shortobservación del gradiente de a válvula aorta media
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            186. Composition.section:ProcedureEcocardio.entry:aorticValvesMaximumSpeed
                            Slice NameaorticValvesMaximumSpeed
                            Shortobservación de la máxima velocidad de válvula aorta
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            188. Composition.section:ProcedureEcocardio.entry:aorticValvesArea
                            Slice NameaorticValvesArea
                            Shortobservación del área de válvula aorta
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            190. Composition.section:ProcedureEcocardio.entry:aorticValvesInsufficiency
                            Slice NameaorticValvesInsufficiency
                            Shortobservación de la insuficiencia de válvula aorta
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            192. Composition.section:ProcedureEcocardio.entry:mitralValveMainGradient
                            Slice NamemitralValveMainGradient
                            Shortobservación de la gradiente principal de la válvula mitral
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            194. Composition.section:ProcedureEcocardio.entry:mitralValveMediumGradient
                            Slice NamemitralValveMediumGradient
                            Shortobservación de la gradiente media de la válvula mitral
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            196. Composition.section:ProcedureEcocardio.entry:mitralValveMaximumSpeed
                            Slice NamemitralValveMaximumSpeed
                            Shortobservación de la velocidad máxima de válvula mitral
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            198. Composition.section:ProcedureEcocardio.entry:mitralValveArea
                            Slice NamemitralValveArea
                            Shortobservación del área de válvula mitral
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            200. Composition.section:ProcedureEcocardio.entry:mitralValveInsufficiency
                            Slice NamemitralValveInsufficiency
                            Shortobservación de la insuficiencia de válvula mitral
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            202. Composition.section:ProcedureEcocardio.entry:tricuspideValvesInsuficiency
                            Slice NametricuspideValvesInsuficiency
                            Shortobservación de la insuficiencia de válvula tricúspide
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            204. Composition.section:ProcedureEcocardio.entry:diagnostics
                            Slice Namediagnostics
                            ShortDiagnósticos de ecocardiograma
                            Control0..1
                            TypeReference(EchocardiogramsObservation)
                            206. Composition.section:PerfusionProcedureSection
                            Slice NamePerfusionProcedureSection
                            Definition

                            Información acerca de la perfusión

                            ShortSección de perfusión
                            Control0..1
                            Must Supporttrue
                            208. Composition.section:PerfusionProcedureSection.code
                            Pattern Value{
                              "coding" : [{
                                "code" : "7"
                              }]
                            }
                            210. Composition.section:PerfusionProcedureSection.focus
                            TypeReference(PerfusionProcedure)
                            212. Composition.section:PerfusionProcedureSection.entry
                            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                            • profile @ resolve()
                            • 214. Composition.section:PerfusionProcedureSection.entry:perfusionTemperature
                              Slice NameperfusionTemperature
                              ShortObservación de temperatura de perfusión
                              Control0..1
                              TypeReference(PerfusionTemperatureObservation)
                              216. Composition.section:PerfusionProcedureSection.entry:cardioplegiaSolution
                              Slice NamecardioplegiaSolution
                              ShortObservación de la solución
                              Control0..1
                              TypeReference(CardioplegiaSolution)
                              218. Composition.section:PerfusionProcedureSection.entry:cardioplegiaTemperature
                              Slice NamecardioplegiaTemperature
                              ShortObservación de la temperatura de la solución
                              Control0..1
                              TypeReference(Cardioplegia temperature)
                              220. Composition.section:PerfusionProcedureSection.entry:cardioplegiaInfusionMode
                              Slice NamecardioplegiaInfusionMode
                              ShortObservación del modo de la infusión de la cardioplegía
                              Control0..1
                              TypeReference(CardioplegiaInfusionModeObservation)
                              222. Composition.section:PerfusionProcedureSection.entry:cardioplegiaRhythm
                              Slice NamecardioplegiaRhythm
                              ShortObservación del ritmo de cardioplegía
                              Control0..1
                              TypeReference(CardioplegiaRhytmObservation)
                              224. Composition.section:PerfusionProcedureSection.entry:reasonForBallonUsage
                              Slice NamereasonForBallonUsage
                              ShortObservación de balón de la razón de uso de balón contrapulsación
                              Control0..1
                              TypeReference(ReasonBallonObservation)
                              226. Composition.section:PerfusionProcedureSection.entry:extracorporealCirculationTime
                              Slice NameextracorporealCirculationTime
                              ShortObservación del tiempo de la perfusión
                              Control0..1
                              TypeReference(ExtracorporealCirculationTimeObservation)
                              228. Composition.section:PerfusionProcedureSection.entry:cumulativeCrossClampTime
                              Slice NamecumulativeCrossClampTime
                              ShortObservación del tiempo acumulado
                              Control0..1
                              TypeReference(CumulativeCrossClampTimeObservation)
                              230. Composition.section:PerfusionProcedureSection.entry:totalCirculatoryArrestTime
                              Slice NametotalCirculatoryArrestTime
                              ShortObservación del tiempo total
                              Control0..1
                              TypeReference(TotalCirculatoryArrestTimeObservation)
                              232. Composition.section:PerfusionProcedureSection.entry:arterialCannulations
                              Slice NamearterialCannulations
                              ShortObservación de canulación arterial
                              Control0..1
                              TypeReference(ArterialCannulation)
                              234. Composition.section:PerfusionProcedureSection.entry:venousCannulations
                              Slice NamevenousCannulations
                              ShortObservación de canulación venosa
                              Control0..1
                              TypeReference(VenousCannulationsObservation)
                              236. Composition.section:PerfusionProcedureSection.entry:circulatoryAssistances
                              Slice NamecirculatoryAssistances
                              ShortObservación de las asistencias circulatorias
                              Control0..1
                              TypeReference(CirculatoryObservation)

                              Guidance on how to interpret the contents of this table can be foundhere

                              0. Composition
                              Definition

                              A set of healthcare-related information that is assembled together into a single logical package that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. A Composition defines the structure and narrative content necessary for a document. However, a Composition alone does not constitute a document. Rather, the Composition must be the first entry in a Bundle where Bundle.type=document, and any other resources referenced from Composition must be included as subsequent entries in the Bundle (for example Patient, Practitioner, Encounter, etc.).

                              ShortA set of resources composed into a single coherent clinical statement with clinical attestation
                              Comments

                              While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.

                              Control0..*
                              Is Modifierfalse
                              Summaryfalse
                              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                              dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
                              dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
                              dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                              dom-6: A resource should have narrative for robust management (text.`div`.exists())
                              2. Composition.id
                              Definition

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

                              ShortLogical id of this artifact
                              Comments

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

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

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

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

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

                              ShortA set of rules under which this content was created
                              Comments

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

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

                              The base language in which the resource is written.

                              ShortLanguage of the resource content
                              Comments

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

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

                              A human language.

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

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

                              ShortText summary of the resource, for human interpretation
                              Comments

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

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

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

                              ShortContained, inline Resources
                              Comments

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

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

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

                              ShortAdditional content defined by implementations
                              Comments

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

                              Control0..*
                              TypeExtension
                              Is Modifierfalse
                              Summaryfalse
                              Alternate Namesextensions, user content
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                              16. Composition.modifierExtension
                              Definition

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

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

                              ShortExtensions that cannot be ignored
                              Comments

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

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

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

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

                              A version-independent identifier for the Composition. This identifier stays constant as the composition is changed over time.

                              ShortVersion-independent identifier for the Composition
                              Comments

                              Similar to ClinicalDocument/setId in CDA. See discussion in resource definition for how these relate.

                              NoteThis is a business identifier, not a resource identifier (see discussion)
                              Control0..1
                              TypeIdentifier
                              Is Modifierfalse
                              Summarytrue
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              20. Composition.status
                              Definition

                              The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.

                              Shortpreliminary | final | amended | entered-in-error
                              Comments

                              If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag "entered-in-error" is why this element is labeled as a modifier of other elements.

                              Some reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.

                              Control1..1
                              BindingThe codes SHALL be taken from CompositionStatus
                              (required to http://hl7.org/fhir/ValueSet/composition-status|4.0.1)

                              The workflow/clinical status of the composition.

                              Typecode
                              Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                              Summarytrue
                              Requirements

                              Need to be able to mark interim, amended, or withdrawn compositions or documents.

                              Pattern Valuefinal
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              22. Composition.type
                              Definition

                              Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.

                              ShortKind of composition (LOINC if possible)
                              Comments

                              For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.

                              Control1..1
                              BindingThe codes SHOULD be taken from FHIRDocumentTypeCodes
                              (preferred to http://hl7.org/fhir/ValueSet/doc-typecodes|4.0.1)

                              Type of a composition.

                              TypeCodeableConcept
                              Is Modifierfalse
                              Summarytrue
                              Requirements

                              Key metadata element describing the composition, used in searching/filtering.

                              Pattern Value{
                                "coding" : [{
                                  "code" : "67727-8"
                                }]
                              }
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              24. Composition.type.id
                              Definition

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

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

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

                              ShortAdditional content defined by implementations
                              Comments

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

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

                                A reference to a code defined by a terminology system.

                                ShortCode defined by a terminology system
                                Comments

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

                                Control0..*
                                TypeCoding
                                Is Modifierfalse
                                Summarytrue
                                Requirements

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

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

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

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

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

                                ShortAdditional content defined by implementations
                                Comments

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

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

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

                                  ShortIdentity of the terminology system
                                  Comments

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

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

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

                                  Pattern Valuehttp://snomed.info/sct
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  36. Composition.type.coding.version
                                  Definition

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

                                  ShortVersion of the system - if relevant
                                  Comments

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

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

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

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

                                  Need to refer to a particular code in the system.

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

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

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

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

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

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

                                  ShortIf this coding was chosen directly by the user
                                  Comments

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

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

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

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

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

                                  ShortPlain text representation of the concept
                                  Comments

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

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

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

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  46. Composition.category
                                  Definition

                                  A categorization for the type of the composition - helps for indexing and searching. This may be implied by or derived from the code specified in the Composition Type.

                                  ShortCategorization of Composition
                                  Comments

                                  This is a metadata field from XDS/MHD.

                                  Control0..*
                                  BindingFor example codes, see DocumentClassValueSet
                                  (example to http://hl7.org/fhir/ValueSet/document-classcodes|4.0.1)

                                  High-level kind of a clinical document at a macro level.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  48. Composition.subject
                                  Definition

                                  Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (e.g. a machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).

                                  ShortWho and/or what the composition is about
                                  Comments

                                  For clinical documents, this is usually the patient.

                                  Control0..1
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Essential metadata for searching for the composition. Identifies who and/or what the composition/document is about.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  50. Composition.encounter
                                  Definition

                                  Describes the clinical encounter or type of care this documentation is associated with.

                                  ShortContext of the Composition
                                  Control0..1
                                  TypeReference(Encounter)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Provides context for the composition and supports searching.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  52. Composition.date
                                  Definition

                                  The composition editing time, when the composition was last logically changed by the author.

                                  Shortfecha en la que se inicia e registro de la intervención
                                  Comments

                                  The Last Modified Date on the composition may be after the date of the document was attested without being changed.

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

                                  dateTime is used for tracking, organizing versions and searching. Note that this is the time of authoring. When packaged in a document, Bundle.timestamp is the date of packaging.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  54. Composition.author
                                  Definition

                                  Identifies who is responsible for the information in the composition, not necessarily who typed it in.

                                  ShortProfesional encargado de registrar la intervención
                                  Control1..*
                                  TypeReference(PractitionerCardio)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Identifies who is responsible for the content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  56. Composition.title
                                  Definition

                                  Official human-readable label for the composition.

                                  ShortHuman Readable name/title
                                  Comments

                                  For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a "consultation" or "progress note"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.

                                  Control1..1
                                  Typestring
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summarytrue
                                  Pattern ValueComposition Cardiocirugia
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  58. Composition.confidentiality
                                  Definition

                                  The code specifying the level of confidentiality of the Composition.

                                  ShortAs defined by affinity domain
                                  Comments

                                  The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section). This element is labeled as a modifier because highly confidential documents must not be treated as if they are not.

                                  Control0..1
                                  BindingThe codes SHALL be taken from v3.ConfidentialityClassification (2014-03-26)
                                  (required to http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26)

                                  Codes specifying the level of confidentiality of the composition.

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

                                  A participant who has attested to the accuracy of the composition/document.

                                  ShortAttests to accuracy of composition
                                  Comments

                                  Only list each attester once.

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Identifies responsibility for the accuracy of the composition content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  62. Composition.attester.id
                                  Definition

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

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

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

                                  ShortAdditional content defined by implementations
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  66. Composition.attester.modifierExtension
                                  Definition

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

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

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

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

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

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

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

                                  The type of attestation the authenticator offers.

                                  Shortpersonal | professional | legal | official
                                  Control1..1
                                  BindingThe codes SHALL be taken from CompositionAttestationMode
                                  (required to http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1)

                                  The way in which a person authenticated a composition.

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

                                  Indicates the level of authority of the attestation.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  70. Composition.attester.time
                                  Definition

                                  When the composition was attested by the party.

                                  ShortWhen the composition was attested
                                  Control0..1
                                  TypedateTime
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Requirements

                                  Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  72. Composition.attester.party
                                  Definition

                                  Who attested the composition in the specified way.

                                  ShortWho attested the composition
                                  Control0..1
                                  TypeReference(Patient, RelatedPerson, Practitioner, PractitionerRole, Organization)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Requirements

                                  Identifies who has taken on the responsibility for accuracy of the composition content.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  74. Composition.custodian
                                  Definition

                                  Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.

                                  ShortOrganization which maintains the composition
                                  Comments

                                  This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However, it is important that this information be known when working with a derived document, so providing a custodian is encouraged.

                                  Control0..1
                                  TypeReference(Organization)
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Identifies where to go to find the current version, where to report issues, etc.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  76. Composition.relatesTo
                                  Definition

                                  Relationships that this composition has with other compositions or documents that already exist.

                                  ShortRelationships to other compositions/documents
                                  Comments

                                  A document is a version specific composition.

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  78. Composition.relatesTo.id
                                  Definition

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

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

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

                                  ShortAdditional content defined by implementations
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  82. Composition.relatesTo.modifierExtension
                                  Definition

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

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

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

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

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

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

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

                                  The type of relationship that this composition has with anther composition or document.

                                  Shortreplaces | transforms | signs | appends
                                  Comments

                                  If this document appends another document, then the document cannot be fully understood without also accessing the referenced document.

                                  Control1..1
                                  BindingThe codes SHALL be taken from DocumentRelationshipType
                                  (required to http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1)

                                  The type of relationship between documents.

                                  Typecode
                                  Is Modifierfalse
                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  86. Composition.relatesTo.target[x]
                                  Definition

                                  The target composition/document of this relationship.

                                  ShortTarget of the relationship
                                  Control1..1
                                  TypeChoice of: Identifier, Reference(Composition)
                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  88. Composition.event
                                  Definition

                                  The clinical service, such as a colonoscopy or an appendectomy, being documented.

                                  ShortThe clinical service(s) being documented
                                  Comments

                                  The event needs to be consistent with the type element, though can provide further information if desired.

                                  Control0..*
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summarytrue
                                  Requirements

                                  Provides context for the composition and creates a linkage between a resource describing an event and the composition created describing the event.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  90. Composition.event.id
                                  Definition

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

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

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

                                  ShortAdditional content defined by implementations
                                  Comments

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

                                  Control0..*
                                  TypeExtension
                                  Is Modifierfalse
                                  Summaryfalse
                                  Alternate Namesextensions, user content
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  94. Composition.event.modifierExtension
                                  Definition

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

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

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

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

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

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

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

                                  This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a "History and Physical Report" in which the procedure being documented is necessarily a "History and Physical" act.

                                  ShortCode(s) that apply to the event being documented
                                  Comments

                                  An event can further specialize the act inherent in the typeCode, such as where it is simply "Procedure Report" and the procedure was a "colonoscopy". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.

                                  Control0..*
                                  BindingFor example codes, see v3 Code System ActCode
                                  (example to http://terminology.hl7.org/ValueSet/v3-ActCode)

                                  This list of codes represents the main clinical acts being documented.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  98. Composition.event.period
                                  Definition

                                  The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.

                                  ShortThe period covered by the documentation
                                  Control0..1
                                  TypePeriod
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  100. Composition.event.detail
                                  Definition

                                  The description and/or reference of the event(s) being documented. For example, this could be used to document such a colonoscopy or an appendectomy.

                                  ShortThe event(s) being documented
                                  Control0..*
                                  TypeReference(Resource)
                                  Is Modifierfalse
                                  Summarytrue
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  102. Composition.section
                                  Definition

                                  Sección del documento que contiene los datos asociados a la atención clínica.

                                  ShortSecciones del documento.
                                  Control1..10
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Summaryfalse
                                  Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                  cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                  ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  SlicingThis element introduces a set of slices on Composition.section. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                  • pattern @ code
                                  • 104. Composition.section.id
                                    Definition

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

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

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

                                    ShortAdditional content defined by implementations
                                    Comments

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

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    108. Composition.section.modifierExtension
                                    Definition

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

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

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

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

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

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

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

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    ShortLabel for section (e.g. for ToC)
                                    Comments

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Alternate Namesheader, label, caption
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    112. Composition.section.code
                                    Definition

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    ShortClassification of section (recommended)
                                    Comments

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Control1..1
                                    BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                    (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Requirements

                                    Provides computable standardized labels to topics within the document.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    114. Composition.section.author
                                    Definition

                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                    ShortWho and/or what authored the section
                                    Control0..*
                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Identifies who is responsible for the content.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    116. Composition.section.focus
                                    Definition

                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                    ShortWho/what the section is about, when it is not about the subject of composition
                                    Comments

                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                    Control0..1
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    118. Composition.section.text
                                    Definition

                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                    ShortText summary of the section, for human interpretation
                                    Comments

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-1
                                    TypeNarrative
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    120. Composition.section.mode
                                    Definition

                                    How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                    Shortworking | snapshot | changes
                                    Comments

                                    This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                    Control0..1
                                    BindingThe codes SHALL be taken from ListMode
                                    (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                    The processing mode that applies to this section.

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

                                    Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    122. Composition.section.orderedBy
                                    Definition

                                    Specifies the order applied to the items in the section entries.

                                    ShortOrder of section entries
                                    Comments

                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                    Control0..1
                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                    What order applies to the items in the entry.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    124. Composition.section.entry
                                    Definition

                                    A reference to the actual resource from which the narrative in the section is derived.

                                    ShortA reference to data that supports this section
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    126. Composition.section.emptyReason
                                    Definition

                                    If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                    ShortWhy the section is empty
                                    Comments

                                    The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-2
                                    BindingThe codes SHOULD be taken from ListEmptyReasons
                                    (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                    If a section is empty, why it is empty.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    128. Composition.section.section
                                    Definition

                                    A nested sub-section within this section.

                                    ShortNested Section
                                    Comments

                                    Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                    Control0..*
                                    This element is affected by the following invariants: cmp-1
                                    TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    130. Composition.section:PatientSection
                                    Slice NamePatientSection
                                    Definition

                                    Información acerca del paciente

                                    ShortSección del paciente
                                    Control1..1
                                    TypeBackboneElement
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                    cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    132. Composition.section:PatientSection.id
                                    Definition

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

                                    ShortUnique id for inter-element referencing
                                    Control0..1
                                    Typestring
                                    Is Modifierfalse
                                    XML FormatIn the XML format, this property is represented as an attribute.
                                    Summaryfalse
                                    134. Composition.section:PatientSection.extension
                                    Definition

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

                                    ShortAdditional content defined by implementations
                                    Comments

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

                                    Control0..*
                                    TypeExtension
                                    Is Modifierfalse
                                    Summaryfalse
                                    Alternate Namesextensions, user content
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                    136. Composition.section:PatientSection.modifierExtension
                                    Definition

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

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

                                    ShortExtensions that cannot be ignored even if unrecognized
                                    Comments

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

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

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

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

                                    The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                    ShortLabel for section (e.g. for ToC)
                                    Comments

                                    The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                    Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                    Alternate Namesheader, label, caption
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    140. Composition.section:PatientSection.code
                                    Definition

                                    A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                    ShortClassification of section (recommended)
                                    Comments

                                    The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                    If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                    Control1..1
                                    BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                    (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Summaryfalse
                                    Requirements

                                    Provides computable standardized labels to topics within the document.

                                    Pattern Value{
                                      "coding" : [{
                                        "code" : "1"
                                      }]
                                    }
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    142. Composition.section:PatientSection.author
                                    Definition

                                    Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                    ShortWho and/or what authored the section
                                    Control0..*
                                    TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Identifies who is responsible for the content.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    144. Composition.section:PatientSection.focus
                                    Definition

                                    The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                    ShortWho/what the section is about, when it is not about the subject of composition
                                    Comments

                                    Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                    Control0..1
                                    TypeReference(PatientCardio)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    146. Composition.section:PatientSection.text
                                    Definition

                                    A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                    ShortText summary of the section, for human interpretation
                                    Comments

                                    Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                    Control0..1
                                    This element is affected by the following invariants: cmp-1
                                    TypeNarrative
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    148. Composition.section:PatientSection.mode
                                    Definition

                                    How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                    Shortworking | snapshot | changes
                                    Comments

                                    This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                    Control0..1
                                    BindingThe codes SHALL be taken from ListMode
                                    (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                    The processing mode that applies to this section.

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

                                    Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    150. Composition.section:PatientSection.orderedBy
                                    Definition

                                    Specifies the order applied to the items in the section entries.

                                    ShortOrder of section entries
                                    Comments

                                    Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                    Control0..1
                                    BindingThe codes SHOULD be taken from ListOrderCodes
                                    (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                    What order applies to the items in the entry.

                                    TypeCodeableConcept
                                    Is Modifierfalse
                                    Summaryfalse
                                    Requirements

                                    Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    152. Composition.section:PatientSection.entry
                                    Definition

                                    A reference to the actual resource from which the narrative in the section is derived.

                                    ShortA reference to data that supports this section
                                    Comments

                                    If there are no entries in the list, an emptyReason SHOULD be provided.

                                    Control13..*
                                    This element is affected by the following invariants: cmp-2
                                    TypeReference(Resource)
                                    Is Modifierfalse
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                    • profile @ resolve()
                                    • 154. Composition.section:PatientSection.entry:bodyheightObservation
                                      Slice NamebodyheightObservation
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortReferencia al recurso que contiene la observación de altura del paciente
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation Body Height Profile)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      156. Composition.section:PatientSection.entry:bodyweightObservation
                                      Slice NamebodyweightObservation
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortReferencia al recurso que contiene la observación sobre el peso del paciente
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Observation Body Weight Profile)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      158. Composition.section:PatientSection.entry:bloodTypeObservation
                                      Slice NamebloodTypeObservation
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortReferencia al recurso que contiene la observación que hace referencia al tipo de sangre del paciente
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(BloodTypeObservation)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      160. Composition.section:PatientSection.entry:emergencyContact
                                      Slice NameemergencyContact
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortSe referencia a las personas que pueden ser contactadas al momento de una emergencia
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(RelatedPerson)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      162. Composition.section:PatientSection.entry:DiabetesCondition
                                      Slice NameDiabetesCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de paciente con diabetes
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(DiabetesCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      164. Composition.section:PatientSection.entry:HypertensionCondition
                                      Slice NameHypertensionCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de paciente con hipertensión
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(HypertensionCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      166. Composition.section:PatientSection.entry:HypercholesterolemiaCondition
                                      Slice NameHypercholesterolemiaCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de paciente con hipercolesterolemia
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(HypercholesterolemiaCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      168. Composition.section:PatientSection.entry:CarotidBruitCondition
                                      Slice NameCarotidBruitCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de paciente con soplos carotideos
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(CarotidBruitCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      170. Composition.section:PatientSection.entry:neurologicDisfunction
                                      Slice NameneurologicDisfunction
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de paciente con disfunción neurológica
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(NeurologicDisfunctionCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      172. Composition.section:PatientSection.entry:ChronicLungDiseaseCondition
                                      Slice NameChronicLungDiseaseCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de enfermedad pulmonar crónica
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(ChronicLungDiseaseCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      174. Composition.section:PatientSection.entry:ExtraCardiacArteriopathyCondition
                                      Slice NameExtraCardiacArteriopathyCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortCondición de arteriopatía extra cardíaca
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(ExtraCardiacArteriopathyCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      176. Composition.section:PatientSection.entry:NephropathyCondition
                                      Slice NameNephropathyCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortNefropatías del paciente
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(NephropathyCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      178. Composition.section:PatientSection.entry:TypeOfDiseaseCondition
                                      Slice NameTypeOfDiseaseCondition
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortTipo de enfermedad
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(TypeOfDiseaseCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      180. Composition.section:PatientSection.entry:PacksPerYear
                                      Slice NamePacksPerYear
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortObservación de packs por año
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(PacksPerYearObservation)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      182. Composition.section:PatientSection.entry:SmokingHistory
                                      Slice NameSmokingHistory
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortObservación de historial fumador
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(SmokingCondition)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      184. Composition.section:PatientSection.emptyReason
                                      Definition

                                      If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                      ShortWhy the section is empty
                                      Comments

                                      The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-2
                                      BindingThe codes SHOULD be taken from ListEmptyReasons
                                      (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                      If a section is empty, why it is empty.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      186. Composition.section:PatientSection.section
                                      Definition

                                      A nested sub-section within this section.

                                      ShortNested Section
                                      Comments

                                      Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                      Control0..*
                                      This element is affected by the following invariants: cmp-1
                                      TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      188. Composition.section:QuestionnaireSection
                                      Slice NameQuestionnaireSection
                                      Definition

                                      Antecedentes de intervenciones previas para realizar el procedimiento al paciente.

                                      ShortCuestionario realizado al paciente.
                                      Control0..1
                                      TypeBackboneElement
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summaryfalse
                                      Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                      cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      190. Composition.section:QuestionnaireSection.id
                                      Definition

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

                                      ShortUnique id for inter-element referencing
                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      XML FormatIn the XML format, this property is represented as an attribute.
                                      Summaryfalse
                                      192. Composition.section:QuestionnaireSection.extension
                                      Definition

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

                                      ShortAdditional content defined by implementations
                                      Comments

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

                                      Control0..*
                                      TypeExtension
                                      Is Modifierfalse
                                      Summaryfalse
                                      Alternate Namesextensions, user content
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                      194. Composition.section:QuestionnaireSection.modifierExtension
                                      Definition

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

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

                                      ShortExtensions that cannot be ignored even if unrecognized
                                      Comments

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

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

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

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

                                      The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                      ShortLabel for section (e.g. for ToC)
                                      Comments

                                      The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                      Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                      Alternate Namesheader, label, caption
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      198. Composition.section:QuestionnaireSection.code
                                      Definition

                                      A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                      ShortClassification of section (recommended)
                                      Comments

                                      The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                      If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                      Control1..1
                                      BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                      (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Must Supporttrue
                                      Summaryfalse
                                      Requirements

                                      Provides computable standardized labels to topics within the document.

                                      Pattern Value{
                                        "coding" : [{
                                          "code" : "2"
                                        }]
                                      }
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      200. Composition.section:QuestionnaireSection.author
                                      Definition

                                      Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                      ShortWho and/or what authored the section
                                      Control0..*
                                      TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Identifies who is responsible for the content.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      202. Composition.section:QuestionnaireSection.focus
                                      Definition

                                      The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                      ShortWho/what the section is about, when it is not about the subject of composition
                                      Comments

                                      Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                      Control0..1
                                      TypeReference(Procedure)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      204. Composition.section:QuestionnaireSection.text
                                      Definition

                                      A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                      ShortText summary of the section, for human interpretation
                                      Comments

                                      Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                      Control0..1
                                      This element is affected by the following invariants: cmp-1
                                      TypeNarrative
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      206. Composition.section:QuestionnaireSection.mode
                                      Definition

                                      How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                      Shortworking | snapshot | changes
                                      Comments

                                      This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                      Control0..1
                                      BindingThe codes SHALL be taken from ListMode
                                      (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                      The processing mode that applies to this section.

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

                                      Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      208. Composition.section:QuestionnaireSection.orderedBy
                                      Definition

                                      Specifies the order applied to the items in the section entries.

                                      ShortOrder of section entries
                                      Comments

                                      Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                      Control0..1
                                      BindingThe codes SHOULD be taken from ListOrderCodes
                                      (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                      What order applies to the items in the entry.

                                      TypeCodeableConcept
                                      Is Modifierfalse
                                      Summaryfalse
                                      Requirements

                                      Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      210. Composition.section:QuestionnaireSection.entry
                                      Definition

                                      A reference to the actual resource from which the narrative in the section is derived.

                                      ShortA reference to data that supports this section
                                      Comments

                                      If there are no entries in the list, an emptyReason SHOULD be provided.

                                      Control1..1
                                      This element is affected by the following invariants: cmp-2
                                      TypeReference(Resource)
                                      Is Modifierfalse
                                      Summaryfalse
                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                      • profile @ resolve()
                                      • 212. Composition.section:QuestionnaireSection.entry:Questionnaire
                                        Slice NameQuestionnaire
                                        Definition

                                        A reference to the actual resource from which the narrative in the section is derived.

                                        ShortReferencia al recurso que contiene la información de antecedentes.
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control1..1
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(ProcedureQuestionnaire)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        214. Composition.section:QuestionnaireSection.emptyReason
                                        Definition

                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                        ShortWhy the section is empty
                                        Comments

                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                        If a section is empty, why it is empty.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        216. Composition.section:QuestionnaireSection.section
                                        Definition

                                        A nested sub-section within this section.

                                        ShortNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control0..*
                                        This element is affected by the following invariants: cmp-1
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        218. Composition.section:PractitionerSection
                                        Slice NamePractitionerSection
                                        Definition

                                        Sección en la que se definen los profesionales involucrados en el procedimiento.

                                        ShortProfesionales involucrados.
                                        Control0..1
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        220. Composition.section:PractitionerSection.id
                                        Definition

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

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        222. Composition.section:PractitionerSection.extension
                                        Definition

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

                                        ShortAdditional content defined by implementations
                                        Comments

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

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        224. Composition.section:PractitionerSection.modifierExtension
                                        Definition

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

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

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

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

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

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

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

                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                        ShortLabel for section (e.g. for ToC)
                                        Comments

                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Alternate Namesheader, label, caption
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        228. Composition.section:PractitionerSection.code
                                        Definition

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        ShortClassification of section (recommended)
                                        Comments

                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                        Control1..1
                                        BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                        (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        Provides computable standardized labels to topics within the document.

                                        Pattern Value{
                                          "coding" : [{
                                            "code" : "3"
                                          }]
                                        }
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        230. Composition.section:PractitionerSection.author
                                        Definition

                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                        ShortWho and/or what authored the section
                                        Control0..*
                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Identifies who is responsible for the content.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        232. Composition.section:PractitionerSection.focus
                                        Definition

                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                        ShortWho/what the section is about, when it is not about the subject of composition
                                        Comments

                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                        Control0..1
                                        TypeReference(ProcedureCardio)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        234. Composition.section:PractitionerSection.text
                                        Definition

                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                        ShortText summary of the section, for human interpretation
                                        Comments

                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-1
                                        TypeNarrative
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        236. Composition.section:PractitionerSection.mode
                                        Definition

                                        How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                        Shortworking | snapshot | changes
                                        Comments

                                        This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                        Control0..1
                                        BindingThe codes SHALL be taken from ListMode
                                        (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                        The processing mode that applies to this section.

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

                                        Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        238. Composition.section:PractitionerSection.orderedBy
                                        Definition

                                        Specifies the order applied to the items in the section entries.

                                        ShortOrder of section entries
                                        Comments

                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                        Control0..1
                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                        What order applies to the items in the entry.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        240. Composition.section:PractitionerSection.entry
                                        Definition

                                        A reference to the actual resource from which the narrative in the section is derived.

                                        ShortA reference to data that supports this section
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control3..5
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(PractitionerRoleCardio)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        242. Composition.section:PractitionerSection.emptyReason
                                        Definition

                                        If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                        ShortWhy the section is empty
                                        Comments

                                        The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-2
                                        BindingThe codes SHOULD be taken from ListEmptyReasons
                                        (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                        If a section is empty, why it is empty.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        244. Composition.section:PractitionerSection.section
                                        Definition

                                        A nested sub-section within this section.

                                        ShortNested Section
                                        Comments

                                        Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                        Control0..*
                                        This element is affected by the following invariants: cmp-1
                                        TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        246. Composition.section:ProcedureCardio
                                        Slice NameProcedureCardio
                                        Definition

                                        Sección en la que se describe el historial cardiaco del paciente.

                                        ShortHistorial cardíaco
                                        Control0..1
                                        TypeBackboneElement
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                        cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                        ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        248. Composition.section:ProcedureCardio.id
                                        Definition

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

                                        ShortUnique id for inter-element referencing
                                        Control0..1
                                        Typestring
                                        Is Modifierfalse
                                        XML FormatIn the XML format, this property is represented as an attribute.
                                        Summaryfalse
                                        250. Composition.section:ProcedureCardio.extension
                                        Definition

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

                                        ShortAdditional content defined by implementations
                                        Comments

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

                                        Control0..*
                                        TypeExtension
                                        Is Modifierfalse
                                        Summaryfalse
                                        Alternate Namesextensions, user content
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                        252. Composition.section:ProcedureCardio.modifierExtension
                                        Definition

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

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

                                        ShortExtensions that cannot be ignored even if unrecognized
                                        Comments

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

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

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

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

                                        The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                        ShortLabel for section (e.g. for ToC)
                                        Comments

                                        The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                        Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                        Alternate Namesheader, label, caption
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        256. Composition.section:ProcedureCardio.code
                                        Definition

                                        A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                        ShortClassification of section (recommended)
                                        Comments

                                        The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                        If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                        Control1..1
                                        BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                        (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Summaryfalse
                                        Requirements

                                        Provides computable standardized labels to topics within the document.

                                        Pattern Value{
                                          "coding" : [{
                                            "code" : "4"
                                          }]
                                        }
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        258. Composition.section:ProcedureCardio.author
                                        Definition

                                        Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                        ShortWho and/or what authored the section
                                        Control0..*
                                        TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Identifies who is responsible for the content.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        260. Composition.section:ProcedureCardio.focus
                                        Definition

                                        The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                        ShortWho/what the section is about, when it is not about the subject of composition
                                        Comments

                                        Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                        Control0..1
                                        TypeReference(Procedure)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        262. Composition.section:ProcedureCardio.text
                                        Definition

                                        A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                        ShortText summary of the section, for human interpretation
                                        Comments

                                        Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                        Control0..1
                                        This element is affected by the following invariants: cmp-1
                                        TypeNarrative
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        264. Composition.section:ProcedureCardio.mode
                                        Definition

                                        How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                        Shortworking | snapshot | changes
                                        Comments

                                        This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                        Control0..1
                                        BindingThe codes SHALL be taken from ListMode
                                        (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                        The processing mode that applies to this section.

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

                                        Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        266. Composition.section:ProcedureCardio.orderedBy
                                        Definition

                                        Specifies the order applied to the items in the section entries.

                                        ShortOrder of section entries
                                        Comments

                                        Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                        Control0..1
                                        BindingThe codes SHOULD be taken from ListOrderCodes
                                        (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                        What order applies to the items in the entry.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Summaryfalse
                                        Requirements

                                        Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        268. Composition.section:ProcedureCardio.entry
                                        Definition

                                        A reference to the actual resource from which the narrative in the section is derived.

                                        ShortA reference to data that supports this section
                                        Comments

                                        If there are no entries in the list, an emptyReason SHOULD be provided.

                                        Control4..5
                                        This element is affected by the following invariants: cmp-2
                                        TypeReference(Resource)
                                        Is Modifierfalse
                                        Summaryfalse
                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                        • profile @ resolve()
                                        • 270. Composition.section:ProcedureCardio.entry:AnginaObservation
                                          Slice NameAnginaObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortAngina de pecho reportada por el paciente
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control1..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(AnginaObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          272. Composition.section:ProcedureCardio.entry:FunctionalCapacityObservation
                                          Slice NameFunctionalCapacityObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortCapacidad funcional del paciente
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control1..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(FunctionalCapacityObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          274. Composition.section:ProcedureCardio.entry:PreviousMIObservation
                                          Slice NamePreviousMIObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortNúmero de infartos al miocardio previos
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control1..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(PreviousMIObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          276. Composition.section:ProcedureCardio.entry:MostRecentMIObservation
                                          Slice NameMostRecentMIObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortDías transcurridos desde el último infarto al miocardio
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control1..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(MostRecentMIObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          278. Composition.section:ProcedureCardio.entry:CongestiveHeartFailureObservation
                                          Slice NameCongestiveHeartFailureObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortSe indica que el paciente presenta falla cardíaca congestiva
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(CongestiveHeartFailureObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          280. Composition.section:ProcedureCardio.entry:LastCatheterizationObservation
                                          Slice NameLastCatheterizationObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortSe indica que la fecha en la que el paciente tuvo su última cateterización
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(LastCatheterizationObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          282. Composition.section:ProcedureCardio.entry:DiseasedCoronarySegmentObservation
                                          Slice NameDiseasedCoronarySegmentObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación del número de vasos con problemas.
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(DiseasedCoronarySegmentObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          284. Composition.section:ProcedureCardio.entry:EjectionFractionObservation
                                          Slice NameEjectionFractionObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación de la última fracción de eyección.
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(EjectionFractionObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          286. Composition.section:ProcedureCardio.entry:EjectionFractionValueObservation
                                          Slice NameEjectionFractionValueObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación del valor de la última fracción de eyección
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(EjectionFractionValueObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          288. Composition.section:ProcedureCardio.entry:SystolicPressureObservation
                                          Slice NameSystolicPressureObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortPresión sistólica observación
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(SystolicPressureObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          290. Composition.section:ProcedureCardio.entry:AVGradient
                                          Slice NameAVGradient
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortGradiente AV
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(AVGradientObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          292. Composition.section:ProcedureCardio.entry:LVEDPObservation
                                          Slice NameLVEDPObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortPresión de Fin de Diástole del Ventrículo Izquierdo
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(LVEDPObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          294. Composition.section:ProcedureCardio.entry:PAWPObservation
                                          Slice NamePAWPObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortMedida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP)
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(PAWPObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          296. Composition.section:ProcedureCardio.entry:NumberOfDistalArterialAnastomoses
                                          Slice NameNumberOfDistalArterialAnastomoses
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación de número de arterias distal
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(NumberOfDistalArterialAnastomosesObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          298. Composition.section:ProcedureCardio.entry:NumberOfDistalVenousAnastomoses
                                          Slice NameNumberOfDistalVenousAnastomoses
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación de número de arterias venosas
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(NumberOfDistalVenousAnastomoses)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          300. Composition.section:ProcedureCardio.entry:ArteriesUsedAsConduitsObservation
                                          Slice NameArteriesUsedAsConduitsObservation
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortObservación de arterias usadas como conductos
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference( ArteriesUsedAsConduitsObservation)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          302. Composition.section:ProcedureCardio.entry:organization
                                          Slice Nameorganization
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortSe hace referencia a la organización
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Organization)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          304. Composition.section:ProcedureCardio.emptyReason
                                          Definition

                                          If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                          ShortWhy the section is empty
                                          Comments

                                          The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-2
                                          BindingThe codes SHOULD be taken from ListEmptyReasons
                                          (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                          If a section is empty, why it is empty.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          306. Composition.section:ProcedureCardio.section
                                          Definition

                                          A nested sub-section within this section.

                                          ShortNested Section
                                          Comments

                                          Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                          Control0..*
                                          This element is affected by the following invariants: cmp-1
                                          TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          308. Composition.section:ValveProcedureSection
                                          Slice NameValveProcedureSection
                                          Definition

                                          Información acerca de vávula del paciente

                                          ShortSección de válvula
                                          Control0..1
                                          TypeBackboneElement
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                          cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                          ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          310. Composition.section:ValveProcedureSection.id
                                          Definition

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

                                          ShortUnique id for inter-element referencing
                                          Control0..1
                                          Typestring
                                          Is Modifierfalse
                                          XML FormatIn the XML format, this property is represented as an attribute.
                                          Summaryfalse
                                          312. Composition.section:ValveProcedureSection.extension
                                          Definition

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

                                          ShortAdditional content defined by implementations
                                          Comments

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

                                          Control0..*
                                          TypeExtension
                                          Is Modifierfalse
                                          Summaryfalse
                                          Alternate Namesextensions, user content
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                          314. Composition.section:ValveProcedureSection.modifierExtension
                                          Definition

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

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

                                          ShortExtensions that cannot be ignored even if unrecognized
                                          Comments

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

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

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

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

                                          The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                          ShortLabel for section (e.g. for ToC)
                                          Comments

                                          The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                          Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                          Alternate Namesheader, label, caption
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          318. Composition.section:ValveProcedureSection.code
                                          Definition

                                          A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                          ShortClassification of section (recommended)
                                          Comments

                                          The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                          If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                          Control1..1
                                          BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                          (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Summaryfalse
                                          Requirements

                                          Provides computable standardized labels to topics within the document.

                                          Pattern Value{
                                            "coding" : [{
                                              "code" : "5"
                                            }]
                                          }
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          320. Composition.section:ValveProcedureSection.author
                                          Definition

                                          Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                          ShortWho and/or what authored the section
                                          Control0..*
                                          TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Identifies who is responsible for the content.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          322. Composition.section:ValveProcedureSection.focus
                                          Definition

                                          The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                          ShortWho/what the section is about, when it is not about the subject of composition
                                          Comments

                                          Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                          Control0..1
                                          TypeReference(ValveProcedure)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          324. Composition.section:ValveProcedureSection.text
                                          Definition

                                          A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                          ShortText summary of the section, for human interpretation
                                          Comments

                                          Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                          Control0..1
                                          This element is affected by the following invariants: cmp-1
                                          TypeNarrative
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          326. Composition.section:ValveProcedureSection.mode
                                          Definition

                                          How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                          Shortworking | snapshot | changes
                                          Comments

                                          This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                          Control0..1
                                          BindingThe codes SHALL be taken from ListMode
                                          (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                          The processing mode that applies to this section.

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

                                          Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          328. Composition.section:ValveProcedureSection.orderedBy
                                          Definition

                                          Specifies the order applied to the items in the section entries.

                                          ShortOrder of section entries
                                          Comments

                                          Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                          Control0..1
                                          BindingThe codes SHOULD be taken from ListOrderCodes
                                          (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                          What order applies to the items in the entry.

                                          TypeCodeableConcept
                                          Is Modifierfalse
                                          Summaryfalse
                                          Requirements

                                          Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          330. Composition.section:ValveProcedureSection.entry
                                          Definition

                                          A reference to the actual resource from which the narrative in the section is derived.

                                          ShortA reference to data that supports this section
                                          Comments

                                          If there are no entries in the list, an emptyReason SHOULD be provided.

                                          Control0..*
                                          This element is affected by the following invariants: cmp-2
                                          TypeReference(Resource)
                                          Is Modifierfalse
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                          • profile @ resolve()
                                          • 332. Composition.section:ValveProcedureSection.entry:stenosis
                                            Slice Namestenosis
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica la presencia de stenosis
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(StenosisObservation)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            334. Composition.section:ValveProcedureSection.entry:valve
                                            Slice Namevalve
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica la presencia de stenosis
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            336. Composition.section:ValveProcedureSection.entry:insuficiency
                                            Slice Nameinsuficiency
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica la presencia de insuficiencia
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            338. Composition.section:ValveProcedureSection.entry:valveName
                                            Slice NamevalveName
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica el nombre de la válvula
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveDevice)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            340. Composition.section:ValveProcedureSection.entry:valveSize
                                            Slice NamevalveSize
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica el tamaño de la válvula
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveDevice)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            342. Composition.section:ValveProcedureSection.entry:explantType
                                            Slice NameexplantType
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica tipo de explante
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            344. Composition.section:ValveProcedureSection.entry:reoperationValveReason
                                            Slice NamereoperationValveReason
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica la razón de reoperación
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            346. Composition.section:ValveProcedureSection.entry:valveProcedure
                                            Slice NamevalveProcedure
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica el procedimiento de válvula
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            348. Composition.section:ValveProcedureSection.entry:implantType
                                            Slice NameimplantType
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortIndica el tipo de implante
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(ValveProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            350. Composition.section:ValveProcedureSection.entry:endocarditisInfecciosa
                                            Slice NameendocarditisInfecciosa
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortEndocarditis infecciosa
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(EndocarditisInfecciosaObservation)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            352. Composition.section:ValveProcedureSection.entry:nativeValvePathology
                                            Slice NamenativeValvePathology
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortObservación de válvula nativa
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(NativeValvePathology)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            354. Composition.section:ValveProcedureSection.emptyReason
                                            Definition

                                            If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                            ShortWhy the section is empty
                                            Comments

                                            The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-2
                                            BindingThe codes SHOULD be taken from ListEmptyReasons
                                            (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                            If a section is empty, why it is empty.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            356. Composition.section:ValveProcedureSection.section
                                            Definition

                                            A nested sub-section within this section.

                                            ShortNested Section
                                            Comments

                                            Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-1
                                            TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            358. Composition.section:ProcedureEcocardio
                                            Slice NameProcedureEcocardio
                                            Definition

                                            Información acerca del ecocardiograma

                                            ShortSección de ecocardiograma
                                            Control0..1
                                            TypeBackboneElement
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                            cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                            ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            360. Composition.section:ProcedureEcocardio.id
                                            Definition

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

                                            ShortUnique id for inter-element referencing
                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            XML FormatIn the XML format, this property is represented as an attribute.
                                            Summaryfalse
                                            362. Composition.section:ProcedureEcocardio.extension
                                            Definition

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

                                            ShortAdditional content defined by implementations
                                            Comments

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

                                            Control0..*
                                            TypeExtension
                                            Is Modifierfalse
                                            Summaryfalse
                                            Alternate Namesextensions, user content
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                            364. Composition.section:ProcedureEcocardio.modifierExtension
                                            Definition

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

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

                                            ShortExtensions that cannot be ignored even if unrecognized
                                            Comments

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

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

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

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

                                            The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                            ShortLabel for section (e.g. for ToC)
                                            Comments

                                            The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                            Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                            Alternate Namesheader, label, caption
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            368. Composition.section:ProcedureEcocardio.code
                                            Definition

                                            A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                            ShortClassification of section (recommended)
                                            Comments

                                            The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                            If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                            Control1..1
                                            BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                            (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Must Supporttrue
                                            Summaryfalse
                                            Requirements

                                            Provides computable standardized labels to topics within the document.

                                            Pattern Value{
                                              "coding" : [{
                                                "code" : "6"
                                              }]
                                            }
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            370. Composition.section:ProcedureEcocardio.author
                                            Definition

                                            Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                            ShortWho and/or what authored the section
                                            Control0..*
                                            TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Identifies who is responsible for the content.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            372. Composition.section:ProcedureEcocardio.focus
                                            Definition

                                            The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                            ShortWho/what the section is about, when it is not about the subject of composition
                                            Comments

                                            Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                            Control0..1
                                            TypeReference(EchocardiogramProcedure)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            374. Composition.section:ProcedureEcocardio.text
                                            Definition

                                            A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                            ShortText summary of the section, for human interpretation
                                            Comments

                                            Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                            Control0..1
                                            This element is affected by the following invariants: cmp-1
                                            TypeNarrative
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            376. Composition.section:ProcedureEcocardio.mode
                                            Definition

                                            How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                            Shortworking | snapshot | changes
                                            Comments

                                            This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                            Control0..1
                                            BindingThe codes SHALL be taken from ListMode
                                            (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                            The processing mode that applies to this section.

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

                                            Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            378. Composition.section:ProcedureEcocardio.orderedBy
                                            Definition

                                            Specifies the order applied to the items in the section entries.

                                            ShortOrder of section entries
                                            Comments

                                            Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                            Control0..1
                                            BindingThe codes SHOULD be taken from ListOrderCodes
                                            (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                            What order applies to the items in the entry.

                                            TypeCodeableConcept
                                            Is Modifierfalse
                                            Summaryfalse
                                            Requirements

                                            Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            380. Composition.section:ProcedureEcocardio.entry
                                            Definition

                                            A reference to the actual resource from which the narrative in the section is derived.

                                            ShortA reference to data that supports this section
                                            Comments

                                            If there are no entries in the list, an emptyReason SHOULD be provided.

                                            Control0..*
                                            This element is affected by the following invariants: cmp-2
                                            TypeReference(Resource)
                                            Is Modifierfalse
                                            Summaryfalse
                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                            • profile @ resolve()
                                            • 382. Composition.section:ProcedureEcocardio.entry:systolicPressureObservation
                                              Slice NamesystolicPressureObservation
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de PSAP
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              384. Composition.section:ProcedureEcocardio.entry:leftatrium
                                              Slice Nameleftatrium
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de arteria izquierda
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              386. Composition.section:ProcedureEcocardio.entry:aorticRoot
                                              Slice NameaorticRoot
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de arteria principal
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              388. Composition.section:ProcedureEcocardio.entry:rightCavities
                                              Slice NamerightCavities
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de cavidad derecha
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              390. Composition.section:ProcedureEcocardio.entry:endocarditis
                                              Slice Nameendocarditis
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de endocarditis
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              392. Composition.section:ProcedureEcocardio.entry:valve
                                              Slice Namevalve
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de tipo de válvua
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              394. Composition.section:ProcedureEcocardio.entry:vegetable
                                              Slice Namevegetable
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de estado de vegetación
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              396. Composition.section:ProcedureEcocardio.entry:abscess
                                              Slice Nameabscess
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de presencia de absceso
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              398. Composition.section:ProcedureEcocardio.entry:prosthesisDetachment
                                              Slice NameprosthesisDetachment
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de extracción de protesis
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              400. Composition.section:ProcedureEcocardio.entry:cardiacTumor
                                              Slice NamecardiacTumor
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de presencia de tumor cardíaco
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              402. Composition.section:ProcedureEcocardio.entry:other
                                              Slice Nameother
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortOtra observación
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              404. Composition.section:ProcedureEcocardio.entry:leftVentricleDiastolicDiameter
                                              Slice NameleftVentricleDiastolicDiameter
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación diámetro diastólico de ventrículo izquierdo
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              406. Composition.section:ProcedureEcocardio.entry:leftVentricleSystolicDiameter
                                              Slice NameleftVentricleSystolicDiameter
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortObservación diámetro sistólico de ventrículo izquierdo
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              408. Composition.section:ProcedureEcocardio.entry:aorticValvesMainGradient
                                              Slice NameaorticValvesMainGradient
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación del gradiente de a válvula principal
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              410. Composition.section:ProcedureEcocardio.entry:aorticValvesMediumGradient
                                              Slice NameaorticValvesMediumGradient
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación del gradiente de a válvula aorta media
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              412. Composition.section:ProcedureEcocardio.entry:aorticValvesMaximumSpeed
                                              Slice NameaorticValvesMaximumSpeed
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la máxima velocidad de válvula aorta
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              414. Composition.section:ProcedureEcocardio.entry:aorticValvesArea
                                              Slice NameaorticValvesArea
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación del área de válvula aorta
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              416. Composition.section:ProcedureEcocardio.entry:aorticValvesInsufficiency
                                              Slice NameaorticValvesInsufficiency
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la insuficiencia de válvula aorta
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              418. Composition.section:ProcedureEcocardio.entry:mitralValveMainGradient
                                              Slice NamemitralValveMainGradient
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la gradiente principal de la válvula mitral
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              420. Composition.section:ProcedureEcocardio.entry:mitralValveMediumGradient
                                              Slice NamemitralValveMediumGradient
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la gradiente media de la válvula mitral
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              422. Composition.section:ProcedureEcocardio.entry:mitralValveMaximumSpeed
                                              Slice NamemitralValveMaximumSpeed
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la velocidad máxima de válvula mitral
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              424. Composition.section:ProcedureEcocardio.entry:mitralValveArea
                                              Slice NamemitralValveArea
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación del área de válvula mitral
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              426. Composition.section:ProcedureEcocardio.entry:mitralValveInsufficiency
                                              Slice NamemitralValveInsufficiency
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la insuficiencia de válvula mitral
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              428. Composition.section:ProcedureEcocardio.entry:tricuspideValvesInsuficiency
                                              Slice NametricuspideValvesInsuficiency
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              Shortobservación de la insuficiencia de válvula tricúspide
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              430. Composition.section:ProcedureEcocardio.entry:diagnostics
                                              Slice Namediagnostics
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortDiagnósticos de ecocardiograma
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(EchocardiogramsObservation)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              432. Composition.section:ProcedureEcocardio.emptyReason
                                              Definition

                                              If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                              ShortWhy the section is empty
                                              Comments

                                              The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-2
                                              BindingThe codes SHOULD be taken from ListEmptyReasons
                                              (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                              If a section is empty, why it is empty.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              434. Composition.section:ProcedureEcocardio.section
                                              Definition

                                              A nested sub-section within this section.

                                              ShortNested Section
                                              Comments

                                              Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-1
                                              TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              436. Composition.section:PerfusionProcedureSection
                                              Slice NamePerfusionProcedureSection
                                              Definition

                                              Información acerca de la perfusión

                                              ShortSección de perfusión
                                              Control0..1
                                              TypeBackboneElement
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Invariantscmp-1: A section must contain at least one of text, entries, or sub-sections (text.exists() or entry.exists() or section.exists())
                                              cmp-2: A section can only have an emptyReason if it is empty (emptyReason.empty() or entry.empty())
                                              ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              438. Composition.section:PerfusionProcedureSection.id
                                              Definition

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

                                              ShortUnique id for inter-element referencing
                                              Control0..1
                                              Typestring
                                              Is Modifierfalse
                                              XML FormatIn the XML format, this property is represented as an attribute.
                                              Summaryfalse
                                              440. Composition.section:PerfusionProcedureSection.extension
                                              Definition

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

                                              ShortAdditional content defined by implementations
                                              Comments

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

                                              Control0..*
                                              TypeExtension
                                              Is Modifierfalse
                                              Summaryfalse
                                              Alternate Namesextensions, user content
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                              442. Composition.section:PerfusionProcedureSection.modifierExtension
                                              Definition

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

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

                                              ShortExtensions that cannot be ignored even if unrecognized
                                              Comments

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

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

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

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

                                              The label for this particular section. This will be part of the rendered content for the document, and is often used to build a table of contents.

                                              ShortLabel for section (e.g. for ToC)
                                              Comments

                                              The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents, it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.

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

                                              Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.

                                              Alternate Namesheader, label, caption
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              446. Composition.section:PerfusionProcedureSection.code
                                              Definition

                                              A code identifying the kind of content contained within the section. This must be consistent with the section title.

                                              ShortClassification of section (recommended)
                                              Comments

                                              The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document.

                                              If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.

                                              Control1..1
                                              BindingThe codes SHALL be taken from Códigos para secciones de composition para cardio cirugías.
                                              (required to https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS)
                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Summaryfalse
                                              Requirements

                                              Provides computable standardized labels to topics within the document.

                                              Pattern Value{
                                                "coding" : [{
                                                  "code" : "7"
                                                }]
                                              }
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              448. Composition.section:PerfusionProcedureSection.author
                                              Definition

                                              Identifies who is responsible for the information in this section, not necessarily who typed it in.

                                              ShortWho and/or what authored the section
                                              Control0..*
                                              TypeReference(Practitioner, PractitionerRole, Device, Patient, RelatedPerson, Organization)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Identifies who is responsible for the content.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              450. Composition.section:PerfusionProcedureSection.focus
                                              Definition

                                              The actual focus of the section when it is not the subject of the composition, but instead represents something or someone associated with the subject such as (for a patient subject) a spouse, parent, fetus, or donor. If not focus is specified, the focus is assumed to be focus of the parent section, or, for a section in the Composition itself, the subject of the composition. Sections with a focus SHALL only include resources where the logical subject (patient, subject, focus, etc.) matches the section focus, or the resources have no logical subject (few resources).

                                              ShortWho/what the section is about, when it is not about the subject of composition
                                              Comments

                                              Typically, sections in a doument are about the subject of the document, whether that is a patient, or group of patients, location, or device, or whatever. For some kind of documents, some sections actually contain data about related entities. Typical examples are a section in a newborn discharge summary concerning the mother, or family history documents, with a section about each family member, though there are many other examples.

                                              Control0..1
                                              TypeReference(PerfusionProcedure)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              452. Composition.section:PerfusionProcedureSection.text
                                              Definition

                                              A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative.

                                              ShortText summary of the section, for human interpretation
                                              Comments

                                              Document profiles may define what content should be represented in the narrative to ensure clinical safety.

                                              Control0..1
                                              This element is affected by the following invariants: cmp-1
                                              TypeNarrative
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              454. Composition.section:PerfusionProcedureSection.mode
                                              Definition

                                              How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.

                                              Shortworking | snapshot | changes
                                              Comments

                                              This element is labeled as a modifier because a change list must not be misunderstood as a complete list.

                                              Control0..1
                                              BindingThe codes SHALL be taken from ListMode
                                              (required to http://hl7.org/fhir/ValueSet/list-mode|4.0.1)

                                              The processing mode that applies to this section.

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

                                              Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              456. Composition.section:PerfusionProcedureSection.orderedBy
                                              Definition

                                              Specifies the order applied to the items in the section entries.

                                              ShortOrder of section entries
                                              Comments

                                              Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.

                                              Control0..1
                                              BindingThe codes SHOULD be taken from ListOrderCodes
                                              (preferred to http://hl7.org/fhir/ValueSet/list-order|4.0.1)

                                              What order applies to the items in the entry.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Summaryfalse
                                              Requirements

                                              Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              458. Composition.section:PerfusionProcedureSection.entry
                                              Definition

                                              A reference to the actual resource from which the narrative in the section is derived.

                                              ShortA reference to data that supports this section
                                              Comments

                                              If there are no entries in the list, an emptyReason SHOULD be provided.

                                              Control0..*
                                              This element is affected by the following invariants: cmp-2
                                              TypeReference(Resource)
                                              Is Modifierfalse
                                              Summaryfalse
                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              SlicingThis element introduces a set of slices on Composition.section.entry. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                              • profile @ resolve()
                                              • 460. Composition.section:PerfusionProcedureSection.entry:perfusionTemperature
                                                Slice NameperfusionTemperature
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de temperatura de perfusión
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(PerfusionTemperatureObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                462. Composition.section:PerfusionProcedureSection.entry:cardioplegiaSolution
                                                Slice NamecardioplegiaSolution
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de la solución
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(CardioplegiaSolution)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                464. Composition.section:PerfusionProcedureSection.entry:cardioplegiaTemperature
                                                Slice NamecardioplegiaTemperature
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de la temperatura de la solución
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(Cardioplegia temperature)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                466. Composition.section:PerfusionProcedureSection.entry:cardioplegiaInfusionMode
                                                Slice NamecardioplegiaInfusionMode
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación del modo de la infusión de la cardioplegía
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(CardioplegiaInfusionModeObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                468. Composition.section:PerfusionProcedureSection.entry:cardioplegiaRhythm
                                                Slice NamecardioplegiaRhythm
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación del ritmo de cardioplegía
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(CardioplegiaRhytmObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                470. Composition.section:PerfusionProcedureSection.entry:reasonForBallonUsage
                                                Slice NamereasonForBallonUsage
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de balón de la razón de uso de balón contrapulsación
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(ReasonBallonObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                472. Composition.section:PerfusionProcedureSection.entry:extracorporealCirculationTime
                                                Slice NameextracorporealCirculationTime
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación del tiempo de la perfusión
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(ExtracorporealCirculationTimeObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                474. Composition.section:PerfusionProcedureSection.entry:cumulativeCrossClampTime
                                                Slice NamecumulativeCrossClampTime
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación del tiempo acumulado
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(CumulativeCrossClampTimeObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                476. Composition.section:PerfusionProcedureSection.entry:totalCirculatoryArrestTime
                                                Slice NametotalCirculatoryArrestTime
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación del tiempo total
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(TotalCirculatoryArrestTimeObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                478. Composition.section:PerfusionProcedureSection.entry:arterialCannulations
                                                Slice NamearterialCannulations
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de canulación arterial
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(ArterialCannulation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                480. Composition.section:PerfusionProcedureSection.entry:venousCannulations
                                                Slice NamevenousCannulations
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de canulación venosa
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(VenousCannulationsObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                482. Composition.section:PerfusionProcedureSection.entry:circulatoryAssistances
                                                Slice NamecirculatoryAssistances
                                                Definition

                                                A reference to the actual resource from which the narrative in the section is derived.

                                                ShortObservación de las asistencias circulatorias
                                                Comments

                                                If there are no entries in the list, an emptyReason SHOULD be provided.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                TypeReference(CirculatoryObservation)
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                484. Composition.section:PerfusionProcedureSection.emptyReason
                                                Definition

                                                If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.

                                                ShortWhy the section is empty
                                                Comments

                                                The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.

                                                Control0..1
                                                This element is affected by the following invariants: cmp-2
                                                BindingThe codes SHOULD be taken from ListEmptyReasons
                                                (preferred to http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1)

                                                If a section is empty, why it is empty.

                                                TypeCodeableConcept
                                                Is Modifierfalse
                                                Summaryfalse
                                                Requirements

                                                Allows capturing things like "none exist" or "not asked" which can be important for most lists.

                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                486. Composition.section:PerfusionProcedureSection.section
                                                Definition

                                                A nested sub-section within this section.

                                                ShortNested Section
                                                Comments

                                                Nested sections are primarily used to help human readers navigate to particular portions of the document.

                                                Control0..*
                                                This element is affected by the following invariants: cmp-1
                                                TypeSeettp://hl7.org/fhir/StructureDefinition/Composition#Composition.section
                                                Is Modifierfalse
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))