Left: | CL Documento (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl) |
Right: | CL Documento (https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl) |
Error | StructureDefinition.version | Values for version differ: '1.8.5' vs '1.8.6' |
Information | StructureDefinition.date | Values for date differ: '2023-10-26T13:09:06-03:00' vs '2024-02-15T15:18:49-03:00' |
Information | Composition.subject | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.short | Values for short differ: 'Contexto del Documento.' vs 'Contexto asistencial en el cual se generó Documento.' |
Information | StructureDefinition.definition | Values for definition differ: 'Contexto en el cual se desarrolló el documento.' vs 'Contexto en el cual se generó el documento.' |
Information | StructureDefinition.requirements | Values for requirements differ: 'dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](http://hl7.org/fhir/R4/bundle-definitions.html#Bundle.timestamp) is the date of packaging.' vs 'dateTime is used for tracking, organizing versions and searching. Note that this is the time of *authoring*. When packaged in a document, [Bundle.timestamp](bundle-definitions.html#Bundle.timestamp) is the date of packaging.' |
Information | StructureDefinition.definition | Values for definition differ: 'Identifica al responsable de los datos ingresados al documento, en este caso será el responsable del Resumen.' vs 'Identifica al responsable de los datos ingresados al documento.' |
Information | Composition.author | Element maximum cardinalities differ: '1' vs '2147483647' |
Information | StructureDefinition.short | Values for short differ: 'Validadores del documento' vs 'Profesionales validadores del documento' |
Information | StructureDefinition.definition | Values for definition differ: 'Validadores del documento' vs 'Profesionales validadores del documento' |
Information | StructureDefinition.short | Values for short differ: 'Organization which maintains the composition' vs 'Organización que mantiene los documentos' |
Information | StructureDefinition.definition | Values for definition differ: 'Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.' vs 'Referencia a la organización según perfil nacional' |
Warning | Composition.custodian | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | StructureDefinition.definition | Values for definition differ: 'Sección de notificación de datos clínicos.' vs 'Sección de notificación definida para el documento.' |
Information | StructureDefinition.short | Values for short differ: 'Classification of section (recommended)' vs 'Código que define el tipo de sección' |
Information | StructureDefinition.definition | Values for definition differ: 'A code identifying the kind of content contained within the section. This must be consistent with the section title.' vs 'Código que define el tipo de sección' |
Information | Composition.section.code | Element minimum cardinalities differ: '1' vs '0' |
Information | StructureDefinition.short | Values for short differ: 'Text summary of the section, for human interpretation' vs 'Texto que describe el contenido de la sección' |
Information | StructureDefinition.definition | Values for definition differ: 'A human-readable narrative that contains the attested content of the section, used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it 'clinically safe' for a human to just read the narrative.' vs 'Texto que describe el contenido de la sección' |
Warning | Composition.section.text | Elements differ in definition for mustSupport: 'false' vs 'true' |
Information | StructureDefinition.short | Values for short differ: 'A reference to data that supports this section' vs 'Recurso referenciado en esta sección' |
Information | StructureDefinition.definition | Values for definition differ: 'A reference to the actual resource from which the narrative in the section is derived.' vs 'Puede ser cualquier recurso en función de la sección que se está notificando' |
Warning | Composition.section.entry | Elements differ in definition for mustSupport: 'false' vs 'true' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/Composition | ||
copyright | Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional. | ||
date | 2023-10-26T13:09:06-03:00 | 2024-02-15T15:18:49-03:00 |
|
description | Definición de un documento para Resumen de Historia o Registro de Encuentro para Historia Clínica, basado en IPS. | De un formato genérico para documento clínico en Chile. |
|
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#CL | ||
kind | resource | ||
name | DocumentoCl | ||
publisher | HL7 Chile | ||
purpose | |||
status | active | ||
title | CL Documento | ||
type | Composition | ||
url | https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/DocumentoCl | ||
version | 1.8.5 | 1.8.6 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Composition | 0..* | Composition | A set of resources composed into a single coherent clinical statement with clinical attestation | 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 | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 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 | 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: ?? (required): The workflow/clinical status of the composition. Required Pattern: final | ?!SΣ | 1..1 | code | Estado, valores posibles: preliminary | final | amended | entered-in-error Binding: ?? (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: ?? (required) | SΣ | 1..1 | CodeableConcept | Tipo de Documento según especificación de LOINC (Ej para Summarie IPS Loinc = #60591-5 Binding: ?? (preferred) | |||||||||
category | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | Σ | 0..* | CodeableConcept | Categorization of Composition Binding: ?? (example): High-level kind of a clinical document at a macro level. | |||||||||
subject | SΣ | 1..1 | Reference(Patient) | Paciente sobre el cual se ha generado este documento. Este debe ser basado en el perfil del paciente Chileno. | 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. |
| ||||||||
id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
reference | SΣC | 1..1 | string | Corresponde al paciente |
| ||||||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| ||||||||||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
| ||||||||||||
display | Σ | 0..1 | string | Text alternative for the resource |
| ||||||||||||
encounter | SΣ | 0..1 | Reference(Encounter) | Contexto del Documento. | SΣ | 0..1 | Reference(Encuentro Clínico) | Contexto asistencial en el cual se generó Documento. | |||||||||
id | 0..1 | string | Unique id for inter-element referencing |
| |||||||||||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
| |||||||||||||
reference | SΣC | 1..1 | string | Corresponde al paciente |
| ||||||||||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
| ||||||||||||
identifier | SΣ | 0..1 | Identifier | Identificador, en formato identifier para el encuentro |
| ||||||||||||
display | SΣ | 0..1 | string | texto que describe el contexto del documento |
| ||||||||||||
date | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento | SΣ | 1..1 | dateTime | Fecha en la cual se editó el documento | |||||||||
author | SΣ | 1..1 | Reference(Practitioner) | Quien Ha creado el documento | 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 | SΣ | 1..1 | string | Título del documento generado | |||||||||
confidentiality | Σ | 0..1 | code | As defined by affinity domain Binding: ?? (required): Codes specifying the level of confidentiality of the composition. | Σ | 0..1 | code | As defined by affinity domain Binding: ?? (required): Codes specifying the level of confidentiality of the composition. | |||||||||
attester | S | 0..* | BackboneElement | Validadores del documento | S | 0..* | BackboneElement | Profesionales validadores del documento | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
mode | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: ?? (required) | S | 1..1 | code | Labor del Validador personal|profesional|legal|official Binding: ?? (required): Códigos requeridos por FHIR | |||||||||
time | S | 0..1 | dateTime | Fecha y Hora de la validación | S | 0..1 | dateTime | Fecha y Hora de la validación | |||||||||
party | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó | S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Quien validó | |||||||||
custodian | Σ | 0..1 | Reference(Organization) | Organization which maintains the composition | SΣ | 0..1 | Reference(Organization) | Organización que mantiene los documentos |
| ||||||||
relatesTo | 0..* | BackboneElement | Relationships to other compositions/documents | 0..* | BackboneElement | Relationships to other compositions/documents | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
code | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | 1..1 | code | replaces | transforms | signs | appends Binding: ?? (required): The type of relationship between documents. | |||||||||||
target[x] | 1..1 | Identifier, Reference(Composition) | Target of the relationship | 1..1 | Identifier, Reference(Composition) | Target of the relationship | |||||||||||
event | Σ | 0..* | BackboneElement | The clinical service(s) being documented | Σ | 0..* | BackboneElement | The clinical service(s) being documented | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!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: ?? (example): This list of codes represents the main clinical acts being documented. | 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. | |||||||||
period | Σ | 0..1 | Period | The period covered by the documentation | Σ | 0..1 | Period | The period covered by the documentation | |||||||||
detail | Σ | 0..* | Reference(Resource) | The event(s) being documented | Σ | 0..* | Reference(Resource) | The event(s) being documented | |||||||||
Slices for section | SC | 1..* | BackboneElement | Sección del documento Slice: Unordered, Open by pattern:code | SC | 1..* | BackboneElement | Sección del documento | |||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
title | 0..1 | string | Label for section (e.g. for ToC) | 0..1 | string | Label for section (e.g. for ToC) | |||||||||||
code | S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: ?? (example) | S | 0..1 | CodeableConcept | Código que define el tipo de sección Binding: ?? (example) |
| ||||||||
author | 0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | 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 | 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 | SC | 0..1 | Narrative | Texto que describe el contenido de la sección |
| ||||||||
mode | 0..1 | code | working | snapshot | changes Binding: ?? (required): The processing mode that applies to this section. | 0..1 | code | working | snapshot | changes Binding: ?? (required): The processing mode that applies to this section. | |||||||||||
orderedBy | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. | 0..1 | CodeableConcept | Order of section entries Binding: ?? (preferred): What order applies to the items in the entry. | |||||||||||
entry | C | 0..* | Reference(Resource) | A reference to data that supports this section | SC | 0..* | Reference(Resource) | Recurso referenciado en esta sección |
| ||||||||
emptyReason | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. | C | 0..1 | CodeableConcept | Why the section is empty Binding: ?? (preferred): If a section is empty, why it is empty. | |||||||||
section | C | 0..* | See section (Composition) | Nested Section | C | 0..* | See section (Composition) | Nested Section | |||||||||
Documentation for this format |