Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero

En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador

De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir número del registro clínico abierto en el establecimiento

De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el número de registro clínico generado en el recinto de salud

Value Set de Tipos de Documentos y CI Nacionales

Se usa esta extensión para agregarle al tipo de documento el país de origen de este

Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento

En la URL del sistema se describe el set de códigos. Por ejemplo, si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado

Código de Tipo de Documento

Glosa del Código Documento

Número o valor de identificación

Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido

Determinación del nombre registrado oficialmente del Paciente

este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official"

Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official"

Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

Extensión para la declaración de un segundo apellido

Todos los nombres de los pacientes no necesariamente solo el Primer Nombre

Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre

Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual

Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual"

Nombre Social del Paciente

Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.

Tipo de contacto para HL7 FHIR

Valor del contacto como por ejemplo el número de teléfono fijo o de móvil o el email del Paciente

Propósito para el contacto que se ha definido

Sexo Registrado

Fecha de nacimiento del Paciente.

Contacto, tutor legal o representante del Paciente

Extensión para declarar identificación del contacto y la procedencia de esta

VS FHIR para relación del contacto con el Paciente

Nombre del contacto asociado al paciente

Nombre registrado oficialmente en el Registro Civil

El use DEBE ser de valor de código "official"

Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

Extensión para la declaración de un segundo apellido

Todos los nombres no necesariamente solo el Primero

Lenguaje en el cual se puede comunicar con el paciente

Código del lenguaje específico

Value Set de HL7, # de elementos es muy grande para poder visualizarlo

Proveedor de Salud designado como principal

URI de referencia a la Organización o a un Médico

Texto alternativo a la referencia

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

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

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

An Extension

Identidad De Género

Sexo Biologico del paciente

Esta extensión incluye códigos de países

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

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

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

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

Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero

En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador

Patients are almost always assigned specific numerical identifiers.

De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir número del registro clínico abierto en el establecimiento

De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el número de registro clínico generado en el recinto de salud

Value Set de Tipos de Documentos y CI Nacionales

Allows users to make use of identifiers when the identifier system is not known.

Se usa esta extensión para agregarle al tipo de documento el país de origen de este

Esta extensión incluye códigos de países

A reference to a code defined by a terminology system.

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

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

Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento

En la URL del sistema se describe el set de códigos. Por ejemplo, si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado

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

Código de Tipo de Documento

Need to refer to a particular code in the system.

Glosa del Código Documento

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

Número o valor de identificación

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Need to be able to mark a patient record as not to be used because it was created in error.

Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Determinación del nombre registrado oficialmente del Paciente

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official"

Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official"

The use of a human name.

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Extensión para la declaración de un segundo apellido

Segundo Apellido

Todos los nombres de los pacientes no necesariamente solo el Primer Nombre

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual

Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual"

The use of a human name.

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

A renderable, unencoded form.

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Nombre Social del Paciente

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Indicates the period of time when this name was valid for the named person.

Allows names to be placed in historical context.

Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)

A Patient may have multiple ways to be contacted with different uses or applicable periods. May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).

People have (primary) ways to contact them in some way such as phone, email.

Forma de telecomunicación para el punto de contacto: qué sistema de comunicación se requiere para hacer uso del contacto.

Tipo de contacto para HL7 FHIR

Valor del contacto como por ejemplo el número de teléfono fijo o de móvil o el email del Paciente

Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.

Need to support legacy numbers that are not in a tightly controlled format.

Propósito para el contacto que se ha definido

Applications can assume that a contact is current unless it explicitly says that it is temporary or old.

Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.

Sexo Registrado

The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female. Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.) However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice. Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects. For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a "hard" error. See the Patient Gender and Sex section for additional information about communicating patient gender and sex.

The gender of a person used for administrative purposes.

Needed for identification of the individual, in combination with (at least) name and birth date.

Fecha de nacimiento del Paciente.

At least an estimated year should be provided as a guess if the real DOB is unknown There is a standard extension "patient-birthTime" available that should be used where Time is required (such as in maternity/infant care systems).

Age of the individual drives many clinical processes.

Indicates if the individual is deceased or not.

If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.

The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.

An address expressed using postal conventions (as opposed to GPS or other location definition formats). This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery. There are a variety of postal address formats defined around the world.

Variable dirección

May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.

Contacto, tutor legal o representante del Paciente

Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.

Need to track people you can contact about the patient.

An Extension

Extensión para declarar identificación del contacto y la procedencia de esta

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

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

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

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

The nature of the relationship between the patient and the contact person.

VS FHIR para relación del contacto con el Paciente

Used to determine which contact person is the most relevant to approach, depending on circumstances.

A reference to a code defined by a terminology system.

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

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

Nombre del contacto asociado al paciente

Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.

Nombre registrado oficialmente en el Registro Civil

El use DEBE ser de valor de código "official"

The use of a human name.

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Extensión para la declaración de un segundo apellido

Segundo Apellido

Todos los nombres no necesariamente solo el Primero

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Lenguaje en el cual se puede comunicar con el paciente

If no language is specified, this implies that the default local language is spoken. If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations. For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.

If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.

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

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

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

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

Código del lenguaje específico

The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.

Value Set de HL7, # de elementos es muy grande para poder visualizarlo

Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.

Proveedor de Salud designado como principal

This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles. It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources. Multiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a "fly-in/fly-out" worker that has the onsite GP also included with his home GP to remain aware of medical issues.

Jurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.

URI de referencia a la Organización o a un Médico

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Texto alternativo a la referencia

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Link to another patient resource that concerns the same actual patient.

There is no assumption that linked patient records have mutual links.

There are multiple use cases:

• Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and
• Distribution of patient information across multiple servers.

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

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

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

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

The other patient resource that the link refers to.

Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.

The type of link between this patient resource and another patient resource.

The type of link between this patient resource and another patient resource.

Demographics and other administrative information about an individual or animal receiving care or other health-related services.

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

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

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

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

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

The base language in which the resource is written.

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

A human language.

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

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

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

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

An Extension

Identidad De Género

Sexo Biologico del paciente

Esta extensión incluye códigos de países

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

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

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

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

Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero

En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador

Patients are almost always assigned specific numerical identifiers.

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

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

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

De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador

Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador

Identifies the purpose for this identifier, if known .

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Se define como tipo de documento de Id, aquel definido en el Sistema de Codificación V2-0203 de Hl7. Este sistema es extensible. Para pacientes sin documeto local deben especificar el de origen. Pacientes sin Id, deben usar el código MR = Local Medical Record, es decir número del registro clínico abierto en el establecimiento

De haber RUN, este se debe usar. De haber Run temporal, se debe usar ese identificador. Pacientes sin identificador chileno deben usar su CI o Pasaporte de origen. Pacientes sin identificación se debe registrar con el número de registro clínico generado en el recinto de salud

Value Set de Tipos de Documentos y CI Nacionales

Allows users to make use of identifiers when the identifier system is not known.

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

Se usa esta extensión para agregarle al tipo de documento el país de origen de este

Esta extensión incluye códigos de países

A reference to a code defined by a terminology system.

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

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

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

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

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

Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento

En la URL del sistema se describe el set de códigos. Por ejemplo, si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado

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

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

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

Código de Tipo de Documento

Need to refer to a particular code in the system.

Glosa del Código Documento

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

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

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

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

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

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

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

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Identifier.system is always case sensitive.

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Número o valor de identificación

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Time period during which identifier is/was valid for use.

Organization that issued/manages the identifier.

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Whether this patient record is in active use. Many systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.

It is often used to filter patient lists to exclude inactive patients

Deceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.

If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.

Need to be able to mark a patient record as not to be used because it was created in error.

Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

Determinación del nombre registrado oficialmente del Paciente

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

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

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

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

este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor "official"

Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código "official"

The use of a human name.

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

A renderable, unencoded form.

Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

unique id for the element within a resource (for internal references)

Extensión para la declaración de un segundo apellido

Segundo Apellido

The actual value

Todos los nombres de los pacientes no necesariamente solo el Primer Nombre

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.

Indicates the period of time when this name was valid for the named person.

Allows names to be placed in historical context.

Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre

A patient may have multiple names with different uses or applicable periods. For animals, the name is a "HumanName" in the sense that is assigned and used by humans and has the same patterns.

Need to be able to track the patient by multiple names. Examples are your official name and a partner name.

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

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

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

Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual

Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código "usual"

The use of a human name.

Allows the appropriate name for a particular context of use to be selected from among a set of names.

Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.

Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present, no content is included in the text that isn't found in a part.

A renderable, unencoded form.

The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.

Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).

Nombre Social del Paciente

If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations. This element is not called "first name" since given names do not always come first.

Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.