This is the set of resources that conform to both CL Documento (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl) and CL Documento (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Composition | 0..* | A set of resources composed into a single coherent clinical statement with clinical attestation dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | ||||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | SΣ | 0..1 | Identifier | Identificador local para recurso de documeto que puede ser distinto para cada versión del mismo ele-1: All FHIR elements must have a @value or children | ||||
status | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: ?? (required): left: The workflow/clinical status of the composition.; right: Códigos requeridos por estándar ele-1: All FHIR elements must have a @value or children | ||||
type | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | ||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. ele-1: All FHIR elements must have a @value or children | ||||
subject | SΣ | 1..1 | Reference(CL Paciente) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. ele-1: All FHIR elements must have a @value or children | ||||
encounter | SΣ | 0..1 | Reference(CL Encuentro) | left: Contexto del Documento.; right: Contexto asistencial en el cual se generó Documento. ele-1: All FHIR elements must have a @value or children | ||||
date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento ele-1: All FHIR elements must have a @value or children | ||||
author | SΣ | 1..1 | Reference(CL Prestador | https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl | Device | CL Paciente | CL Prestador | CL Organización) | Quien Ha creado el documento ele-1: All FHIR elements must have a @value or children | ||||
title | SΣ | 1..1 | string | Título del documento generado ele-1: All FHIR elements must have a @value or children | ||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: ?? (required): Codes specifying the level of confidentiality of the composition. ele-1: All FHIR elements must have a @value or children | ||||
attester | S | 0..* | BackboneElement | left: Validadores del documento; right: Profesionales validadores del documento ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: ?? (required): Códigos requeridos por FHIR ele-1: All FHIR elements must have a @value or children | ||||
time | S | 0..1 | dateTime | Fecha y Hora de la validación ele-1: All FHIR elements must have a @value or children | ||||
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó ele-1: All FHIR elements must have a @value or children | ||||
custodian | SΣ | 0..1 | Reference(Organization) | left: Organization which maintains the composition; right: Organización que mantiene los documentos ele-1: All FHIR elements must have a @value or children | ||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. ele-1: All FHIR elements must have a @value or children | |||||
target[x] | 1..1 | Target of the relationship ele-1: All FHIR elements must have a @value or children | ||||||
targetIdentifier | Identifier | |||||||
targetReference | Reference(Composition) | |||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
code | Σ | 0..* | CodeableConcept | Code(s) that apply to the event being documented Binding: ?? (example): This list of codes represents the main clinical acts being documented. ele-1: All FHIR elements must have a @value or children | ||||
period | Σ | 0..1 | Period | The period covered by the documentation ele-1: All FHIR elements must have a @value or children | ||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented ele-1: All FHIR elements must have a @value or children | ||||
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 ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
title | 0..1 | string | Label for section (e.g. for ToC) ele-1: All FHIR elements must have a @value or children | |||||
code | S | 1..1 | CodeableConcept | left: Classification of section (recommended); right: Código que define el tipo de sección Binding: ?? (example) ele-1: All FHIR elements must have a @value or children | ||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section ele-1: All FHIR elements must have a @value or children | |||||
focus | 0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition ele-1: All FHIR elements must have a @value or children | |||||
text | S | 0..1 | Narrative | left: Text summary of the section, for human interpretation; right: Texto que describe el contenido de la sección ele-1: All FHIR elements must have a @value or children | ||||
mode | 0..1 | code | working | snapshot | changes Binding: ?? (required): The processing mode that applies to this section. ele-1: All FHIR elements must have a @value or children | |||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. ele-1: All FHIR elements must have a @value or children | |||||
entry | S | 0..* | Reference(Resource) | left: A reference to data that supports this section; right: Recurso referenciado en esta sección ele-1: All FHIR elements must have a @value or children | ||||
emptyReason | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. ele-1: All FHIR elements must have a @value or children | |||||
section | 0..* | Nested Section ele-1: All FHIR elements must have a @value or children | ||||||
Documentation for this format |