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
Official URL: https://centrocardiovascular.cl/StructureDefinition/CompositionCardiocirugia | Version: 0.1.0 | |||
Draft as of 2024-08-28 | Computable Name: CompositionCardiocirugia |
Recurso que contiene las referencias identificadas por secciones a los recursos necesarios para representar la información de cirugias cardiacas.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Composition
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | Composition | |||
status | 1..1 | code | preliminary | final | amended | entered-in-error Required Pattern: final | |
type | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67727-8 | |
coding | ||||
system | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | |
date | 1..1 | dateTime | fecha en la que se inicia e registro de la intervención | |
author | 1..* | Reference(PractitionerCardio) | Profesional encargado de registrar la intervención | |
title | 1..1 | string | Human Readable name/title Required Pattern: Composition Cardiocirugia | |
Slices for section | S | 1..10 | BackboneElement | Secciones del documento. Slice: Unordered, Open by pattern:code |
section:All Slices | Content/Rules for all slices | |||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: Códigos para secciones de composition para cardio cirugías. (required) |
section:PatientSection | S | 1..1 | BackboneElement | Sección del paciente |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1 | |
focus | 0..1 | Reference(PatientCardio) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 13..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
entry:bodyheightObservation | 1..1 | Reference(Observation Body Height Profile) | Referencia al recurso que contiene la observación de altura del paciente | |
entry:bodyweightObservation | 1..1 | Reference(Observation Body Weight Profile) | Referencia al recurso que contiene la observación sobre el peso del paciente | |
entry:bloodTypeObservation | 0..1 | Reference(BloodTypeObservation) | Referencia al recurso que contiene la observación que hace referencia al tipo de sangre del paciente | |
entry:emergencyContact | 0..* | Reference(RelatedPerson) | Se referencia a las personas que pueden ser contactadas al momento de una emergencia | |
entry:DiabetesCondition | 1..1 | Reference(DiabetesCondition) | Condición de paciente con diabetes | |
entry:HypertensionCondition | 1..1 | Reference(HypertensionCondition) | Condición de paciente con hipertensión | |
entry:HypercholesterolemiaCondition | 1..1 | Reference(HypercholesterolemiaCondition) | Condición de paciente con hipercolesterolemia | |
entry:CarotidBruitCondition | 1..1 | Reference(CarotidBruitCondition) | Condición de paciente con soplos carotideos | |
entry:neurologicDisfunction | 1..1 | Reference(NeurologicDisfunctionCondition) | Condición de paciente con disfunción neurológica | |
entry:ChronicLungDiseaseCondition | 1..1 | Reference(ChronicLungDiseaseCondition) | Condición de enfermedad pulmonar crónica | |
entry:ExtraCardiacArteriopathyCondition | 1..1 | Reference(ExtraCardiacArteriopathyCondition) | Condición de arteriopatía extra cardíaca | |
entry:NephropathyCondition | 1..1 | Reference(NephropathyCondition) | Nefropatías del paciente | |
entry:TypeOfDiseaseCondition | 1..1 | Reference(TypeOfDiseaseCondition) | Tipo de enfermedad | |
entry:PacksPerYear | 1..1 | Reference(PacksPerYearObservation) | Observación de packs por año | |
entry:SmokingHistory | 1..1 | Reference(SmokingCondition) | Observación de historial fumador | |
section:QuestionnaireSection | S | 0..1 | BackboneElement | Cuestionario realizado al paciente. |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2 | |
focus | 0..1 | Reference(Procedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 1..1 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:Questionnaire | 1..1 | Reference(ProcedureQuestionnaire) | Referencia al recurso que contiene la información de antecedentes. | |
section:PractitionerSection | S | 0..1 | BackboneElement | Profesionales involucrados. |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 3 | |
focus | 0..1 | Reference(ProcedureCardio) | Who/what the section is about, when it is not about the subject of composition | |
entry | 3..5 | Reference(PractitionerRoleCardio) | A reference to data that supports this section | |
section:ProcedureCardio | S | 0..1 | BackboneElement | Historial cardíaco |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
focus | 0..1 | Reference(Procedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 4..5 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:AnginaObservation | 1..1 | Reference(AnginaObservation) | Angina de pecho reportada por el paciente | |
Slices for entry | Content/Rules for all slices | |||
entry:FunctionalCapacityObservation | 1..1 | Reference(FunctionalCapacityObservation) | Capacidad funcional del paciente | |
Slices for entry | Content/Rules for all slices | |||
entry:PreviousMIObservation | 1..1 | Reference(PreviousMIObservation) | Número de infartos al miocardio previos | |
Slices for entry | Content/Rules for all slices | |||
entry:MostRecentMIObservation | 1..1 | Reference(MostRecentMIObservation) | Días transcurridos desde el último infarto al miocardio | |
Slices for entry | Content/Rules for all slices | |||
entry:CongestiveHeartFailureObservation | 0..1 | Reference(CongestiveHeartFailureObservation) | Se indica que el paciente presenta falla cardíaca congestiva | |
Slices for entry | Content/Rules for all slices | |||
entry:LastCatheterizationObservation | 0..1 | Reference(LastCatheterizationObservation) | Se indica que la fecha en la que el paciente tuvo su última cateterización | |
Slices for entry | Content/Rules for all slices | |||
entry:DiseasedCoronarySegmentObservation | 0..1 | Reference(DiseasedCoronarySegmentObservation) | Observación del número de vasos con problemas. | |
Slices for entry | Content/Rules for all slices | |||
entry:EjectionFractionObservation | 0..1 | Reference(EjectionFractionObservation) | Observación de la última fracción de eyección. | |
Slices for entry | Content/Rules for all slices | |||
entry:EjectionFractionValueObservation | 0..1 | Reference(EjectionFractionValueObservation) | Observación del valor de la última fracción de eyección | |
Slices for entry | Content/Rules for all slices | |||
entry:SystolicPressureObservation | 0..1 | Reference(SystolicPressureObservation) | Presión sistólica observación | |
Slices for entry | Content/Rules for all slices | |||
entry:AVGradient | 0..1 | Reference(AVGradientObservation) | Gradiente AV | |
Slices for entry | Content/Rules for all slices | |||
entry:LVEDPObservation | 0..1 | Reference(LVEDPObservation) | Presión de Fin de Diástole del Ventrículo Izquierdo | |
Slices for entry | Content/Rules for all slices | |||
entry:PAWPObservation | 0..1 | Reference(PAWPObservation) | Medida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP) | |
Slices for entry | Content/Rules for all slices | |||
entry:NumberOfDistalArterialAnastomoses | 0..1 | Reference(NumberOfDistalArterialAnastomosesObservation) | Observación de número de arterias distal | |
Slices for entry | Content/Rules for all slices | |||
entry:NumberOfDistalVenousAnastomoses | 0..1 | Reference(NumberOfDistalVenousAnastomoses) | Observación de número de arterias venosas | |
Slices for entry | Content/Rules for all slices | |||
entry:ArteriesUsedAsConduitsObservation | 0..1 | Reference( ArteriesUsedAsConduitsObservation) | Observación de arterias usadas como conductos | |
Slices for entry | Content/Rules for all slices | |||
entry:organization | 0..1 | Reference(Organization) | Se hace referencia a la organización | |
section:ValveProcedureSection | S | 0..1 | BackboneElement | Sección de válvula |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 5 | |
focus | 0..1 | Reference(ValveProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:stenosis | 0..1 | Reference(StenosisObservation) | Indica la presencia de stenosis | |
Slices for entry | Content/Rules for all slices | |||
entry:valve | 0..1 | Reference(ValveProcedure) | Indica la presencia de stenosis | |
Slices for entry | Content/Rules for all slices | |||
entry:insuficiency | 0..1 | Reference(ValveProcedure) | Indica la presencia de insuficiencia | |
Slices for entry | Content/Rules for all slices | |||
entry:valveName | 0..1 | Reference(ValveDevice) | Indica el nombre de la válvula | |
Slices for entry | Content/Rules for all slices | |||
entry:valveSize | 0..1 | Reference(ValveDevice) | Indica el tamaño de la válvula | |
Slices for entry | Content/Rules for all slices | |||
entry:explantType | 0..1 | Reference(ValveProcedure) | Indica tipo de explante | |
Slices for entry | Content/Rules for all slices | |||
entry:reoperationValveReason | 0..1 | Reference(ValveProcedure) | Indica la razón de reoperación | |
Slices for entry | Content/Rules for all slices | |||
entry:valveProcedure | 0..1 | Reference(ValveProcedure) | Indica el procedimiento de válvula | |
Slices for entry | Content/Rules for all slices | |||
entry:implantType | 0..1 | Reference(ValveProcedure) | Indica el tipo de implante | |
Slices for entry | Content/Rules for all slices | |||
entry:endocarditisInfecciosa | 0..1 | Reference(EndocarditisInfecciosaObservation) | Endocarditis infecciosa | |
Slices for entry | Content/Rules for all slices | |||
entry:nativeValvePathology | 0..1 | Reference(NativeValvePathology) | Observación de válvula nativa | |
section:ProcedureEcocardio | S | 0..1 | BackboneElement | Sección de ecocardiograma |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | |
focus | 0..1 | Reference(EchocardiogramProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:systolicPressureObservation | 0..1 | Reference(EchocardiogramsObservation) | observación de PSAP | |
Slices for entry | Content/Rules for all slices | |||
entry:leftatrium | 0..1 | Reference(EchocardiogramsObservation) | observación de arteria izquierda | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticRoot | 0..1 | Reference(EchocardiogramsObservation) | observación de arteria principal | |
Slices for entry | Content/Rules for all slices | |||
entry:rightCavities | 0..1 | Reference(EchocardiogramsObservation) | observación de cavidad derecha | |
Slices for entry | Content/Rules for all slices | |||
entry:endocarditis | 0..1 | Reference(EchocardiogramsObservation) | observación de endocarditis | |
Slices for entry | Content/Rules for all slices | |||
entry:valve | 0..1 | Reference(EchocardiogramsObservation) | observación de tipo de válvua | |
Slices for entry | Content/Rules for all slices | |||
entry:vegetable | 0..1 | Reference(EchocardiogramsObservation) | observación de estado de vegetación | |
Slices for entry | Content/Rules for all slices | |||
entry:abscess | 0..1 | Reference(EchocardiogramsObservation) | observación de presencia de absceso | |
Slices for entry | Content/Rules for all slices | |||
entry:prosthesisDetachment | 0..1 | Reference(EchocardiogramsObservation) | observación de extracción de protesis | |
Slices for entry | Content/Rules for all slices | |||
entry:cardiacTumor | 0..1 | Reference(EchocardiogramsObservation) | observación de presencia de tumor cardíaco | |
Slices for entry | Content/Rules for all slices | |||
entry:other | 0..1 | Reference(EchocardiogramsObservation) | Otra observación | |
Slices for entry | Content/Rules for all slices | |||
entry:leftVentricleDiastolicDiameter | 0..1 | Reference(EchocardiogramsObservation) | observación diámetro diastólico de ventrículo izquierdo | |
Slices for entry | Content/Rules for all slices | |||
entry:leftVentricleSystolicDiameter | 0..1 | Reference(EchocardiogramsObservation) | Observación diámetro sistólico de ventrículo izquierdo | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMainGradient | 0..1 | Reference(EchocardiogramsObservation) | observación del gradiente de a válvula principal | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMediumGradient | 0..1 | Reference(EchocardiogramsObservation) | observación del gradiente de a válvula aorta media | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMaximumSpeed | 0..1 | Reference(EchocardiogramsObservation) | observación de la máxima velocidad de válvula aorta | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesArea | 0..1 | Reference(EchocardiogramsObservation) | observación del área de válvula aorta | |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesInsufficiency | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula aorta | |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMainGradient | 0..1 | Reference(EchocardiogramsObservation) | observación de la gradiente principal de la válvula mitral | |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMediumGradient | 0..1 | Reference(EchocardiogramsObservation) | observación de la gradiente media de la válvula mitral | |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMaximumSpeed | 0..1 | Reference(EchocardiogramsObservation) | observación de la velocidad máxima de válvula mitral | |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveArea | 0..1 | Reference(EchocardiogramsObservation) | observación del área de válvula mitral | |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveInsufficiency | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula mitral | |
Slices for entry | Content/Rules for all slices | |||
entry:tricuspideValvesInsuficiency | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula tricúspide | |
Slices for entry | Content/Rules for all slices | |||
entry:diagnostics | 0..1 | Reference(EchocardiogramsObservation) | Diagnósticos de ecocardiograma | |
section:PerfusionProcedureSection | S | 0..1 | BackboneElement | Sección de perfusión |
code | 0..1 | CodeableConcept | Classification of section (recommended) Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 7 | |
focus | 0..1 | Reference(PerfusionProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() | |
Slices for entry | Content/Rules for all slices | |||
entry:perfusionTemperature | 0..1 | Reference(PerfusionTemperatureObservation) | Observación de temperatura de perfusión | |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaSolution | 0..1 | Reference(CardioplegiaSolution) | Observación de la solución | |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaTemperature | 0..1 | Reference(Cardioplegia temperature) | Observación de la temperatura de la solución | |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaInfusionMode | 0..1 | Reference(CardioplegiaInfusionModeObservation) | Observación del modo de la infusión de la cardioplegía | |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaRhythm | 0..1 | Reference(CardioplegiaRhytmObservation) | Observación del ritmo de cardioplegía | |
Slices for entry | Content/Rules for all slices | |||
entry:reasonForBallonUsage | 0..1 | Reference(ReasonBallonObservation) | Observación de balón de la razón de uso de balón contrapulsación | |
Slices for entry | Content/Rules for all slices | |||
entry:extracorporealCirculationTime | 0..1 | Reference(ExtracorporealCirculationTimeObservation) | Observación del tiempo de la perfusión | |
Slices for entry | Content/Rules for all slices | |||
entry:cumulativeCrossClampTime | 0..1 | Reference(CumulativeCrossClampTimeObservation) | Observación del tiempo acumulado | |
Slices for entry | Content/Rules for all slices | |||
entry:totalCirculatoryArrestTime | 0..1 | Reference(TotalCirculatoryArrestTimeObservation) | Observación del tiempo total | |
Slices for entry | Content/Rules for all slices | |||
entry:arterialCannulations | 0..1 | Reference(ArterialCannulation) | Observación de canulación arterial | |
Slices for entry | Content/Rules for all slices | |||
entry:venousCannulations | 0..1 | Reference(VenousCannulationsObservation) | Observación de canulación venosa | |
Slices for entry | Content/Rules for all slices | |||
entry:circulatoryAssistances | 0..1 | Reference(CirculatoryObservation) | Observación de las asistencias circulatorias | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Composition.section.code | required | CardioCompositionSectionCodesVs (a valid code from Códigos para secciones de composition para cardio cirugías.)https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final |
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67727-8 | |
date | Σ | 1..1 | dateTime | fecha en la que se inicia e registro de la intervención |
author | Σ | 1..* | Reference(PractitionerCardio) | Profesional encargado de registrar la intervención |
title | Σ | 1..1 | string | Human Readable name/title Required Pattern: Composition Cardiocirugia |
Slices for section | SC | 1..10 | BackboneElement | Secciones del documento. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
section:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: Códigos para secciones de composition para cardio cirugías. (required) |
section:PatientSection | SC | 1..1 | BackboneElement | Sección del paciente cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1 | |
focus | 0..1 | Reference(PatientCardio) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 13..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
entry:bodyheightObservation | C | 1..1 | Reference(Observation Body Height Profile) | Referencia al recurso que contiene la observación de altura del paciente |
entry:bodyweightObservation | C | 1..1 | Reference(Observation Body Weight Profile) | Referencia al recurso que contiene la observación sobre el peso del paciente |
entry:bloodTypeObservation | C | 0..1 | Reference(BloodTypeObservation) | Referencia al recurso que contiene la observación que hace referencia al tipo de sangre del paciente |
entry:emergencyContact | C | 0..* | Reference(RelatedPerson) | Se referencia a las personas que pueden ser contactadas al momento de una emergencia |
entry:DiabetesCondition | C | 1..1 | Reference(DiabetesCondition) | Condición de paciente con diabetes |
entry:HypertensionCondition | C | 1..1 | Reference(HypertensionCondition) | Condición de paciente con hipertensión |
entry:HypercholesterolemiaCondition | C | 1..1 | Reference(HypercholesterolemiaCondition) | Condición de paciente con hipercolesterolemia |
entry:CarotidBruitCondition | C | 1..1 | Reference(CarotidBruitCondition) | Condición de paciente con soplos carotideos |
entry:neurologicDisfunction | C | 1..1 | Reference(NeurologicDisfunctionCondition) | Condición de paciente con disfunción neurológica |
entry:ChronicLungDiseaseCondition | C | 1..1 | Reference(ChronicLungDiseaseCondition) | Condición de enfermedad pulmonar crónica |
entry:ExtraCardiacArteriopathyCondition | C | 1..1 | Reference(ExtraCardiacArteriopathyCondition) | Condición de arteriopatía extra cardíaca |
entry:NephropathyCondition | C | 1..1 | Reference(NephropathyCondition) | Nefropatías del paciente |
entry:TypeOfDiseaseCondition | C | 1..1 | Reference(TypeOfDiseaseCondition) | Tipo de enfermedad |
entry:PacksPerYear | C | 1..1 | Reference(PacksPerYearObservation) | Observación de packs por año |
entry:SmokingHistory | C | 1..1 | Reference(SmokingCondition) | Observación de historial fumador |
section:QuestionnaireSection | SC | 0..1 | BackboneElement | Cuestionario realizado al paciente. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 2 | |
focus | 0..1 | Reference(Procedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 1..1 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:Questionnaire | C | 1..1 | Reference(ProcedureQuestionnaire) | Referencia al recurso que contiene la información de antecedentes. |
section:PractitionerSection | SC | 0..1 | BackboneElement | Profesionales involucrados. cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 3 | |
focus | 0..1 | Reference(ProcedureCardio) | Who/what the section is about, when it is not about the subject of composition | |
entry | C | 3..5 | Reference(PractitionerRoleCardio) | A reference to data that supports this section |
section:ProcedureCardio | SC | 0..1 | BackboneElement | Historial cardíaco cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 4 | |
focus | 0..1 | Reference(Procedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 4..5 | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:AnginaObservation | C | 1..1 | Reference(AnginaObservation) | Angina de pecho reportada por el paciente |
Slices for entry | Content/Rules for all slices | |||
entry:FunctionalCapacityObservation | C | 1..1 | Reference(FunctionalCapacityObservation) | Capacidad funcional del paciente |
Slices for entry | Content/Rules for all slices | |||
entry:PreviousMIObservation | C | 1..1 | Reference(PreviousMIObservation) | Número de infartos al miocardio previos |
Slices for entry | Content/Rules for all slices | |||
entry:MostRecentMIObservation | C | 1..1 | Reference(MostRecentMIObservation) | Días transcurridos desde el último infarto al miocardio |
Slices for entry | Content/Rules for all slices | |||
entry:CongestiveHeartFailureObservation | C | 0..1 | Reference(CongestiveHeartFailureObservation) | Se indica que el paciente presenta falla cardíaca congestiva |
Slices for entry | Content/Rules for all slices | |||
entry:LastCatheterizationObservation | C | 0..1 | Reference(LastCatheterizationObservation) | Se indica que la fecha en la que el paciente tuvo su última cateterización |
Slices for entry | Content/Rules for all slices | |||
entry:DiseasedCoronarySegmentObservation | C | 0..1 | Reference(DiseasedCoronarySegmentObservation) | Observación del número de vasos con problemas. |
Slices for entry | Content/Rules for all slices | |||
entry:EjectionFractionObservation | C | 0..1 | Reference(EjectionFractionObservation) | Observación de la última fracción de eyección. |
Slices for entry | Content/Rules for all slices | |||
entry:EjectionFractionValueObservation | C | 0..1 | Reference(EjectionFractionValueObservation) | Observación del valor de la última fracción de eyección |
Slices for entry | Content/Rules for all slices | |||
entry:SystolicPressureObservation | C | 0..1 | Reference(SystolicPressureObservation) | Presión sistólica observación |
Slices for entry | Content/Rules for all slices | |||
entry:AVGradient | C | 0..1 | Reference(AVGradientObservation) | Gradiente AV |
Slices for entry | Content/Rules for all slices | |||
entry:LVEDPObservation | C | 0..1 | Reference(LVEDPObservation) | Presión de Fin de Diástole del Ventrículo Izquierdo |
Slices for entry | Content/Rules for all slices | |||
entry:PAWPObservation | C | 0..1 | Reference(PAWPObservation) | Medida de la presión de la aurícula izquierda (LA) o presión de enclavamiento capilar pulmonar (PAWP) |
Slices for entry | Content/Rules for all slices | |||
entry:NumberOfDistalArterialAnastomoses | C | 0..1 | Reference(NumberOfDistalArterialAnastomosesObservation) | Observación de número de arterias distal |
Slices for entry | Content/Rules for all slices | |||
entry:NumberOfDistalVenousAnastomoses | C | 0..1 | Reference(NumberOfDistalVenousAnastomoses) | Observación de número de arterias venosas |
Slices for entry | Content/Rules for all slices | |||
entry:ArteriesUsedAsConduitsObservation | C | 0..1 | Reference( ArteriesUsedAsConduitsObservation) | Observación de arterias usadas como conductos |
Slices for entry | Content/Rules for all slices | |||
entry:organization | C | 0..1 | Reference(Organization) | Se hace referencia a la organización |
section:ValveProcedureSection | SC | 0..1 | BackboneElement | Sección de válvula cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 5 | |
focus | 0..1 | Reference(ValveProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:stenosis | C | 0..1 | Reference(StenosisObservation) | Indica la presencia de stenosis |
Slices for entry | Content/Rules for all slices | |||
entry:valve | C | 0..1 | Reference(ValveProcedure) | Indica la presencia de stenosis |
Slices for entry | Content/Rules for all slices | |||
entry:insuficiency | C | 0..1 | Reference(ValveProcedure) | Indica la presencia de insuficiencia |
Slices for entry | Content/Rules for all slices | |||
entry:valveName | C | 0..1 | Reference(ValveDevice) | Indica el nombre de la válvula |
Slices for entry | Content/Rules for all slices | |||
entry:valveSize | C | 0..1 | Reference(ValveDevice) | Indica el tamaño de la válvula |
Slices for entry | Content/Rules for all slices | |||
entry:explantType | C | 0..1 | Reference(ValveProcedure) | Indica tipo de explante |
Slices for entry | Content/Rules for all slices | |||
entry:reoperationValveReason | C | 0..1 | Reference(ValveProcedure) | Indica la razón de reoperación |
Slices for entry | Content/Rules for all slices | |||
entry:valveProcedure | C | 0..1 | Reference(ValveProcedure) | Indica el procedimiento de válvula |
Slices for entry | Content/Rules for all slices | |||
entry:implantType | C | 0..1 | Reference(ValveProcedure) | Indica el tipo de implante |
Slices for entry | Content/Rules for all slices | |||
entry:endocarditisInfecciosa | C | 0..1 | Reference(EndocarditisInfecciosaObservation) | Endocarditis infecciosa |
Slices for entry | Content/Rules for all slices | |||
entry:nativeValvePathology | C | 0..1 | Reference(NativeValvePathology) | Observación de válvula nativa |
section:ProcedureEcocardio | SC | 0..1 | BackboneElement | Sección de ecocardiograma cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 6 | |
focus | 0..1 | Reference(EchocardiogramProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:systolicPressureObservation | C | 0..1 | Reference(EchocardiogramsObservation) | observación de PSAP |
Slices for entry | Content/Rules for all slices | |||
entry:leftatrium | C | 0..1 | Reference(EchocardiogramsObservation) | observación de arteria izquierda |
Slices for entry | Content/Rules for all slices | |||
entry:aorticRoot | C | 0..1 | Reference(EchocardiogramsObservation) | observación de arteria principal |
Slices for entry | Content/Rules for all slices | |||
entry:rightCavities | C | 0..1 | Reference(EchocardiogramsObservation) | observación de cavidad derecha |
Slices for entry | Content/Rules for all slices | |||
entry:endocarditis | C | 0..1 | Reference(EchocardiogramsObservation) | observación de endocarditis |
Slices for entry | Content/Rules for all slices | |||
entry:valve | C | 0..1 | Reference(EchocardiogramsObservation) | observación de tipo de válvua |
Slices for entry | Content/Rules for all slices | |||
entry:vegetable | C | 0..1 | Reference(EchocardiogramsObservation) | observación de estado de vegetación |
Slices for entry | Content/Rules for all slices | |||
entry:abscess | C | 0..1 | Reference(EchocardiogramsObservation) | observación de presencia de absceso |
Slices for entry | Content/Rules for all slices | |||
entry:prosthesisDetachment | C | 0..1 | Reference(EchocardiogramsObservation) | observación de extracción de protesis |
Slices for entry | Content/Rules for all slices | |||
entry:cardiacTumor | C | 0..1 | Reference(EchocardiogramsObservation) | observación de presencia de tumor cardíaco |
Slices for entry | Content/Rules for all slices | |||
entry:other | C | 0..1 | Reference(EchocardiogramsObservation) | Otra observación |
Slices for entry | Content/Rules for all slices | |||
entry:leftVentricleDiastolicDiameter | C | 0..1 | Reference(EchocardiogramsObservation) | observación diámetro diastólico de ventrículo izquierdo |
Slices for entry | Content/Rules for all slices | |||
entry:leftVentricleSystolicDiameter | C | 0..1 | Reference(EchocardiogramsObservation) | Observación diámetro sistólico de ventrículo izquierdo |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMainGradient | C | 0..1 | Reference(EchocardiogramsObservation) | observación del gradiente de a válvula principal |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMediumGradient | C | 0..1 | Reference(EchocardiogramsObservation) | observación del gradiente de a válvula aorta media |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesMaximumSpeed | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la máxima velocidad de válvula aorta |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesArea | C | 0..1 | Reference(EchocardiogramsObservation) | observación del área de válvula aorta |
Slices for entry | Content/Rules for all slices | |||
entry:aorticValvesInsufficiency | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula aorta |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMainGradient | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la gradiente principal de la válvula mitral |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMediumGradient | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la gradiente media de la válvula mitral |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveMaximumSpeed | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la velocidad máxima de válvula mitral |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveArea | C | 0..1 | Reference(EchocardiogramsObservation) | observación del área de válvula mitral |
Slices for entry | Content/Rules for all slices | |||
entry:mitralValveInsufficiency | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula mitral |
Slices for entry | Content/Rules for all slices | |||
entry:tricuspideValvesInsuficiency | C | 0..1 | Reference(EchocardiogramsObservation) | observación de la insuficiencia de válvula tricúspide |
Slices for entry | Content/Rules for all slices | |||
entry:diagnostics | C | 0..1 | Reference(EchocardiogramsObservation) | Diagnósticos de ecocardiograma |
section:PerfusionProcedureSection | SC | 0..1 | BackboneElement | Sección de perfusión cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 7 | |
focus | 0..1 | Reference(PerfusionProcedure) | Who/what the section is about, when it is not about the subject of composition | |
Slices for entry | C | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by profile:resolve() |
Slices for entry | Content/Rules for all slices | |||
entry:perfusionTemperature | C | 0..1 | Reference(PerfusionTemperatureObservation) | Observación de temperatura de perfusión |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaSolution | C | 0..1 | Reference(CardioplegiaSolution) | Observación de la solución |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaTemperature | C | 0..1 | Reference(Cardioplegia temperature) | Observación de la temperatura de la solución |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaInfusionMode | C | 0..1 | Reference(CardioplegiaInfusionModeObservation) | Observación del modo de la infusión de la cardioplegía |
Slices for entry | Content/Rules for all slices | |||
entry:cardioplegiaRhythm | C | 0..1 | Reference(CardioplegiaRhytmObservation) | Observación del ritmo de cardioplegía |
Slices for entry | Content/Rules for all slices | |||
entry:reasonForBallonUsage | C | 0..1 | Reference(ReasonBallonObservation) | Observación de balón de la razón de uso de balón contrapulsación |
Slices for entry | Content/Rules for all slices | |||
entry:extracorporealCirculationTime | C | 0..1 | Reference(ExtracorporealCirculationTimeObservation) | Observación del tiempo de la perfusión |
Slices for entry | Content/Rules for all slices | |||
entry:cumulativeCrossClampTime | C | 0..1 | Reference(CumulativeCrossClampTimeObservation) | Observación del tiempo acumulado |
Slices for entry | Content/Rules for all slices | |||
entry:totalCirculatoryArrestTime | C | 0..1 | Reference(TotalCirculatoryArrestTimeObservation) | Observación del tiempo total |
Slices for entry | Content/Rules for all slices | |||
entry:arterialCannulations | C | 0..1 | Reference(ArterialCannulation) | Observación de canulación arterial |
Slices for entry | Content/Rules for all slices | |||
entry:venousCannulations | C | 0..1 | Reference(VenousCannulationsObservation) | Observación de canulación venosa |
Slices for entry | Content/Rules for all slices | |||
entry:circulatoryAssistances | C | 0..1 | Reference(CirculatoryObservation) | Observación de las asistencias circulatorias |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Composition.status | required | Pattern: finalhttp://hl7.org/fhir/ValueSet/composition-status|4.0.1 from the FHIR Standard | |
Composition.type | preferred | Pattern: 67727-8http://hl7.org/fhir/ValueSet/doc-typecodes from the FHIR Standard | |
Composition.section.code | required | CardioCompositionSectionCodesVs (a valid code from Códigos para secciones de composition para cardio cirugías.)https://centrocardiovascular.cl/ValueSet/CardioCompositionSectionCodesVS from this IG | |
Composition.section:PatientSection.code | example | Pattern: 1http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:QuestionnaireSection.code | example | Pattern: 2http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:PractitionerSection.code | example | Pattern: 3http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureCardio.code | example | Pattern: 4http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ValveProcedureSection.code | example | Pattern: 5http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:ProcedureEcocardio.code | example | Pattern: 6http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard | |
Composition.section:PerfusionProcedureSection.code | example | Pattern: 7http://hl7.org/fhir/ValueSet/doc-section-codes from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Composition.section, Composition.section:PatientSection, Composition.section:QuestionnaireSection, Composition.section:PractitionerSection, Composition.section:ProcedureCardio, Composition.section:ValveProcedureSection, Composition.section:ProcedureEcocardio, Composition.section:PerfusionProcedureSection | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
cmp-2 | error | Composition.section, Composition.section:PatientSection, Composition.section:QuestionnaireSection, Composition.section:PractitionerSection, Composition.section:ProcedureCardio, Composition.section:ValveProcedureSection, Composition.section:ProcedureEcocardio, Composition.section:PerfusionProcedureSection | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | Σ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
status | ?!Σ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): The workflow/clinical status of the composition. Required Pattern: final | ||||
type | Σ | 1..1 | CodeableConcept | Kind of composition (LOINC if possible) Binding: FHIRDocumentTypeCodes (preferred): Type of a composition. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 0..1 | uri | Identity of the terminology system | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 67727-8 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
system | Σ | 0..1 | uri | Identity of the terminology system Required Pattern: http://snomed.info/sct | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | Σ | 0..1 | string | Representation defined by the system | ||||
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
text | Σ | 0..1 | string | Plain text representation of the concept | ||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
subject | Σ | 0..1 | Reference(Resource) | Who and/or what the composition is about | ||||
encounter | Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
date | Σ | 1..1 | dateTime | fecha en la que se inicia e registro de la intervención | ||||
author | Σ | 1..* | Reference(PractitionerCardio) | Profesional encargado de registrar la intervención | ||||
title | Σ | 1..1 | string | Human Readable name/title Required Pattern: Composition Cardiocirugia | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition. | ||||
attester | 0..* | BackboneElement | Attests to accuracy of composition | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
mode | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. | |||||
time | 0..1 | dateTime | When the composition was attested | |||||
party | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | |||||
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
target[x] | 1..1 | Target of the relationship | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented. | ||||
period | Σ | 0..1 | Period | The period covered by the documentation | ||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
Slices for section | SC | 1..10 | BackboneElement | Secciones del documento. Slice: Unordered, Open by pattern:code cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
section:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: Códigos para secciones de composition para cardio cirugías. (required) | ||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty. | ||||
section | C | 0..* | See section (Composition) | Nested Section | ||||
section:PatientSection | SC | 1..1 | BackboneElement | Sección del paciente cmp-1: A section must contain at least one of text, entries, or sub-sections cmp-2: A section can only have an emptyReason if it is empty | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
title | 0..1 | string | Label for section (e.g. for ToC) | |||||
code | 0..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Required Pattern: At least the following | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 0..1 | uri | Identity of the terminology system | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: 1 | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
focus | 0..1 | Reference(PatientCardio) | Who/what the section is about, when it is not about the subject of composition | |||||
text | C | 0..1 | Narrative | Text summary of the section, for human interpretation | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes ( |