Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.8.10 - ci-build
Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.8.10 - ci-build
This page is part of the Chile Core (v1.8.10: STU2 Draft) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Official URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl | Version: 1.8.10 | |||
| Active as of 2024-03-19 | Computable Name: DocumentoCl | |||
Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional. |
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De un formato genérico para documento clínico en Chile.
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 | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
  identifier | S | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo |
| status | S | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar |
| type | S | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) |
 subject | S | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. |
| encounter | S | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. |
| date | S | 1..1 | dateTime | Fecha en la cual se editó el documento |
| author | S | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento |
| title | S | 1..1 | string | Título del documento generado |
 attester | S | 0..* | BackboneElement | Profesionales validadores del documento |
 mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR |
| time | S | 0..1 | dateTime | Fecha y Hora de la validación |
 party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó |
| custodian | S | 0..1 | Reference(Organization) | Organización que mantiene los documentos |
 section | S | 1..* | BackboneElement | Sección del documento |
 code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) |
| text | S | 0..1 | Narrative | Texto que describe el contenido de la sección |
| entry | S | 0..* | Reference(Resource) | Recurso referenciado en esta sección |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| 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 |
 identifier | SΣ | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo |
| status | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar |
| type | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) |
| subject | SΣ | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. |
| encounter | SΣ | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. |
| date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento |
| author | SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento |
| title | SΣ | 1..1 | string | Título del documento generado |
| attester | S | 0..* | BackboneElement | Profesionales validadores del documento |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR |
| time | S | 0..1 | dateTime | Fecha y Hora de la validación |
| party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó |
| custodian | SΣ | 0..1 | Reference(Organization) | Organización que mantiene los documentos |
| section | SC | 1..* | BackboneElement | Sección del documento 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 | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) |
| text | SC | 0..1 | Narrative | Texto que describe el contenido de la sección |
| entry | SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
| 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 | SΣ | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo | ||||
| status | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar | ||||
| type | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | SΣ | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. | ||||
| encounter | SΣ | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. | ||||
| date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento | ||||
| author | SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento | ||||
| title | SΣ | 1..1 | string | Título del documento generado | ||||
| 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 | S | 0..* | BackboneElement | Profesionales validadores del documento | ||||
| 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 | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR | ||||
| time | S | 0..1 | dateTime | Fecha y Hora de la validación | ||||
| party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó | ||||
| custodian | SΣ | 0..1 | Reference(Organization) | Organización que mantiene los documentos | ||||
| 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 | ||||
| section | SC | 1..* | BackboneElement | Sección del documento 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 | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) | ||||
| 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 | SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| 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 | SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección | ||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | ||||
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from Composition
Summary
Mandatory: 1 element
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | |
| identifier | S | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo |
| status | S | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar |
| type | S | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) |
| subject | S | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. |
| encounter | S | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. |
| date | S | 1..1 | dateTime | Fecha en la cual se editó el documento |
| author | S | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento |
| title | S | 1..1 | string | Título del documento generado |
| attester | S | 0..* | BackboneElement | Profesionales validadores del documento |
| mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR |
| time | S | 0..1 | dateTime | Fecha y Hora de la validación |
| party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó |
| custodian | S | 0..1 | Reference(Organization) | Organización que mantiene los documentos |
| section | S | 1..* | BackboneElement | Sección del documento |
| code | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) |
| text | S | 0..1 | Narrative | Texto que describe el contenido de la sección |
| entry | S | 0..* | Reference(Resource) | Recurso referenciado en esta sección |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
Key Elements View
| 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 |
| identifier | SΣ | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo |
| status | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar |
| type | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) |
| subject | SΣ | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. |
| encounter | SΣ | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. |
| date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento |
| author | SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento |
| title | SΣ | 1..1 | string | Título del documento generado |
| attester | S | 0..* | BackboneElement | Profesionales validadores del documento |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR |
| time | S | 0..1 | dateTime | Fecha y Hora de la validación |
| party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó |
| custodian | SΣ | 0..1 | Reference(Organization) | Organización que mantiene los documentos |
| section | SC | 1..* | BackboneElement | Sección del documento 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 | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) |
| text | SC | 0..1 | Narrative | Texto que describe el contenido de la sección |
| entry | SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | |
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | |
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard |
Snapshot View
| 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 | SΣ | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo | ||||
| status | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: CompositionStatus (required): Códigos requeridos por estándar | ||||
| type | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: Tipos de Documentos Clínicos (preferred) | ||||
| category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
| subject | SΣ | 0..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. | ||||
| encounter | SΣ | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. | ||||
| date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento | ||||
| author | SΣ | 1..* | Reference(CL Prestador | CL RolClinico | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento | ||||
| title | SΣ | 1..1 | string | Título del documento generado | ||||
| 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 | S | 0..* | BackboneElement | Profesionales validadores del documento | ||||
| 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 | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: CompositionAttestationMode (required): Códigos requeridos por FHIR | ||||
| time | S | 0..1 | dateTime | Fecha y Hora de la validación | ||||
| party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó | ||||
| custodian | SΣ | 0..1 | Reference(Organization) | Organización que mantiene los documentos | ||||
| 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 | ||||
| section | SC | 1..* | BackboneElement | Sección del documento 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 | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: DocumentSectionCodes (example) | ||||
| 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 | SC | 0..1 | Narrative | Texto que describe el contenido de la sección | ||||
| 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 | SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección | ||||
| 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 | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Composition.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-statusfrom the FHIR Standard | ||||
| Composition.type | preferred | VSTiposDocClinico (a valid code from LOINC)https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocClinicofrom this IG | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesfrom the FHIR Standard | ||||
| Composition.confidentiality | required | v3.ConfidentialityClassificationhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26from the FHIR Standard | ||||
| Composition.attester.mode | required | CompositionAttestationModehttp://hl7.org/fhir/ValueSet/composition-attestation-modefrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1from the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesfrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1from the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderfrom the FHIR Standard | ||||
| Composition.section.emptyReason | preferred | ListEmptyReasonshttp://hl7.org/fhir/ValueSet/list-empty-reasonfrom the FHIR Standard |
This structure is derived from Composition
Summary
Mandatory: 1 element
Must-Support: 17 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron