HL7.FHIR.CL.CLCORE\CL Paciente

Guía de Implementación ''cl core'' FHIR R4, (Versión Evolutiva)
1.9.2 - draft CL

This page is part of the Chile Core (v1.9.2: STU2 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CL Paciente

Official URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl				Version: 1.9.2
Active as of 2024-12-11				Computable Name: PacienteCl
Copyright/Legal: Usado con el permiso de HL7 International, todos los derechos resevados en los Licencias de HL7 Internacional.

Este Perfil se ha modelado con el fin de cubrir las necesidades nacionales de un Recurso Paciente para un Historial Clínico Nacional

Ejemplos de uso en Diferentes Escenarios

Búsqueda de Datos demográficos de un paciente, haciendo uso de su identificación como RUN o Documento de Identificación
Búsquedas varias para datos demográficos específicos de Pacientes como Apellidos, Nombres o Dirección
Búsqueda de Id de recurso como identificador propio dentro del servidor.

Notas Adicionales

Consideraciones para la implementación:

Nacionalidad se agrega como una extensión local que figura como un slice de nombre CodigoPaises.
- system para esta extensión corresponde a uno local creado con la ISO-3166-N
- ValueSet para código es una expansión completa del CodeSystem
Considerar para el identifier.
- El elemento identifier considera en type la declaración del tipo de documento.
  - Dado que uno de los tipos de documentos corresponde a una Cédula Nacional, se debió generar una extensión CodigoPaises para determinar la procedencia del documento.
- Por motivos de no complicar el elemento no se desarrolló un slice para diferenciar el RUN. Sin embargo, es recomendable considerar el RUN como uno de los identificadores declarados.
Para el elemento name se agrega la extensión externa de 2o apellido y considera un slice que diferencia:
- Nombres oficial
- Nombre social, el cual elimina elementos como el apellido
El elemento address considera la creación de un nuevo tipo de datos denominado ClAddress, que contiene lo mismo que el tipo original más las extensiones para codificar comunas, provincias, regiones y países.
El elemento contact considera una extensión para poder darle identificación al contacto.

Usage:

Refer to this Resource Profile: CL Auditoria, CL Alergias e Intolerancias, CL Condición-Diagnóstico, CL Observación... Show 4 more
Examples for this Resource Profile: Patient/PacienteCL

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdentidadDeGenero	S	0..1	CodeableConcept	Identidad De Género URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero Binding: Identidad de Genero (required)
SexoBiologico	S	0..1	CodeableConcept	Sexo Biologico del paciente URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico Binding: AdministrativeGender (required)
nacionalidad	S	0..*	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required)
identifier	S	0..*	Identifier	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresado
use	S	0..1	code	usual \| official \| temp \| secondary \| old (If known)
type	S	0..1	CodeableConcept	Tipo de documento de Id (Extensible) Binding: Tipos de Documentos (extensible): Value Set de Tipos de Documentos y CI Nacionales
extension		0..*	Extension	País de Origen del Documento de Id
Slices for extension				Content/Rules for all slices
paisEmisionDocumento	S	0..1	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Sistema de identificación de tipos de documentos
code	S	0..1	code	Código de Tipo de Documento
display	S	0..1	string	Glosa del Código Documento
value		0..1	string	Número o valor de identificación
Slices for name		0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido Slice: Unordered, Open by value:use
name:NombreOficial	S	0..1	HumanName	Determinación del nombre registrado oficialmente del Paciente
use	S	1..1	code	uso del nombre del paciente Required Pattern: official
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el segundo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y nombres del Paciente
name:NombreSocial	S	0..1	HumanName	nombre recurrente que usa el paciente
use	S	1..1	code	uso que se le da al nombre Required Pattern: usual
text		0..0
family		0..0
given	S	1..*	string	Nombre Social
prefix		0..0
suffix		0..0
period		0..0
telecom	S	0..*	ContactPoint	Detalles de contacto del Paciente
system	S	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	S	0..1	string	Dato del contacto del paciente descrito
use	S	0..1	code	home \| work \| temp \| old \| mobile Binding: ContactPointUse (required)
gender	S	0..1	code	Sexo Registrado. (male \| female \| other \| unknown (requerido))
birthDate	S	0..1	date	Fecha de nacimiento del Paciente.
address	S	0..*	ClAddress	Tipo de dato para agregar la dirección
contact	S	0..*	BackboneElement	Contacto, tutor legal o representante del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..*	(Complex)	Identificación del Contacto URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdContacto
relationship	S	0..*	CodeableConcept	Relación legal o de parentesco entre el contacto y el paciente Binding: PatientContactRelationship (required): VS FHIR para relación del contacto con el Paciente
coding	S	0..*	Coding	Code defined by a terminology system
name	S	0..1	HumanName	Nombre del Contacto
use	S	0..1	code	uso del nombre del paciente Required Pattern: official
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para 2o apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y nombres del Contacto o Representante Legal
communication	S	0..*	BackboneElement	Lenguaje en el cual se puede comunicar con el paciente
language	S	1..1	CodeableConcept	Lenguaje específico Binding: Codigos Lenguaje (required): Value Set de HL7, # de elementos es muy grande para poder visualizarlo
generalPractitioner	S	0..*	Reference(CL Organización \| CL Prestador \| CL RolClinico)	Proveedor de Salud designado como principal
reference	S	0..1	string	URI de referencia a la Organización o a un Médico
display	S	0..1	string	Texto alternativo a la referencia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type	extensible	VSTiposDocumentos `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos` from this IG
Patient.telecom.system	required	ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system` from the FHIR Standard
Patient.telecom.use	required	ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use` from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.communication.language	required	VSCodigoslenguaje (a valid code from Codigos Lenguaje) `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje` from this IG

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services 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
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
IdentidadDeGenero	S	0..1	CodeableConcept	Identidad De Género URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero Binding: Identidad de Genero (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
SexoBiologico	S	0..1	CodeableConcept	Sexo Biologico del paciente URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico Binding: AdministrativeGender (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nacionalidad	S	0..*	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required) 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..*	Identifier	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresado ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Tipo de documento de Id (Extensible) Binding: Tipos de Documentos (extensible): Value Set de Tipos de Documentos y CI Nacionales ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	País de Origen del Documento de Id Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
paisEmisionDocumento	S	0..1	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Sistema de identificación de tipos de documentos ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	Código de Tipo de Documento ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Glosa del Código Documento ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	string	Número o valor de identificación ele-1: All FHIR elements must have a @value or children Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:NombreOficial	SΣ	0..1	HumanName	Determinación del nombre registrado oficialmente del Paciente ele-1: All FHIR elements must have a @value or children
use	?!SΣ	1..1	code	uso del nombre del paciente Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	SΣ	0..1	string	1er Apellido ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extensión para el segundo apellido Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	SΣ	0..*	string	Primer nombre y nombres del Paciente ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
name:NombreSocial	SΣ	0..1	HumanName	nombre recurrente que usa el paciente ele-1: All FHIR elements must have a @value or children
use	?!SΣ	1..1	code	uso que se le da al nombre Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: usual
given	SΣ	1..*	string	Nombre Social ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	string	Dato del contacto del paciente descrito ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	home \| work \| temp \| old \| mobile Binding: ContactPointUse (required) ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	Sexo Registrado. (male \| female \| other \| unknown (requerido)) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente. ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	S	0..*	ClAddress	Tipo de dato para agregar la dirección ele-1: All FHIR elements must have a @value or children
contact	SC	0..*	BackboneElement	Contacto, tutor legal o representante del Paciente ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
IdContacto	S	0..*	(Complex)	Identificación del Contacto URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdContacto 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
relationship	S	0..*	CodeableConcept	Relación legal o de parentesco entre el contacto y el paciente Binding: PatientContactRelationship (required): VS FHIR para relación del contacto con el Paciente ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
name	S	0..1	HumanName	Nombre del Contacto ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	uso del nombre del paciente Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	SΣ	0..1	string	1er Apellido ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extensión para 2o apellido Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	SΣ	0..*	string	Primer nombre y nombres del Contacto o Representante Legal ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
communication	S	0..*	BackboneElement	Lenguaje en el cual se puede comunicar con el paciente ele-1: All FHIR elements must have a @value or children
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
language	S	1..1	CodeableConcept	Lenguaje específico Binding: Codigos Lenguaje (required): Value Set de HL7, # de elementos es muy grande para poder visualizarlo ele-1: All FHIR elements must have a @value or children
generalPractitioner	S	0..*	Reference(CL Organización \| CL Prestador \| CL RolClinico)	Proveedor de Salud designado como principal ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	URI de referencia a la Organización o a un Médico ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Texto alternativo a la referencia ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
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
other	Σ	1..1	Reference(Patient \| RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	code	replaced-by \| replaces \| refer \| seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard
Patient.identifier.type	extensible	VSTiposDocumentos `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos` from this IG
Patient.name:NombreOficial.use	required	Pattern: official `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.name:NombreSocial.use	required	Pattern: usual `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system` from the FHIR Standard
Patient.telecom.use	required	ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use` from the FHIR Standard
Patient.gender	required	AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender\|4.0.1` from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.contact.name.use	required	Pattern: official `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.communication.language	required	VSCodigoslenguaje (a valid code from Codigos Lenguaje) `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje` from this IG
Patient.link.type	required	LinkType `http://hl7.org/fhir/ValueSet/link-type\|4.0.1` from the FHIR Standard

Description & Constraints

Patient

0..*

Patient

Information about an individual or animal receiving health care services

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Patient.language

preferred

CommonLanguages

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Additional Bindings

Purpose

AllLanguages

Max Binding

Patient.identifier.use

required

IdentifierUse

http://hl7.org/fhir/ValueSet/identifier-use|4.0.1

from the FHIR Standard

Patient.identifier.type

extensible

VSTiposDocumentos

https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos

from this IG

Patient.name:NombreOficial.use

required

Pattern: official

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.name:NombreSocial.use

required

Pattern: usual

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.telecom.system

required

ContactPointSystem

http://hl7.org/fhir/ValueSet/contact-point-system

from the FHIR Standard

Patient.telecom.use

required

ContactPointUse

http://hl7.org/fhir/ValueSet/contact-point-use

from the FHIR Standard

Patient.gender

required

AdministrativeGender

http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

from the FHIR Standard

Patient.maritalStatus

extensible

Marital Status Codes

http://hl7.org/fhir/ValueSet/marital-status

from the FHIR Standard

Patient.contact.relationship

required

PatientContactRelationship

http://hl7.org/fhir/ValueSet/patient-contactrelationship

from the FHIR Standard

Patient.contact.name.use

required

Pattern: official

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.contact.gender

required

AdministrativeGender

http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

from the FHIR Standard

Patient.communication.language

required

VSCodigoslenguaje (a valid code from Codigos Lenguaje)

https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje

from this IG

Patient.generalPractitioner.type

extensible

ResourceType

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Patient.link.type

required

LinkType

http://hl7.org/fhir/ValueSet/link-type|4.0.1

from the FHIR Standard

This structure is derived from Patient

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 40 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Patient.name

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient			Patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdentidadDeGenero	S	0..1	CodeableConcept	Identidad De Género URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero Binding: Identidad de Genero (required)
SexoBiologico	S	0..1	CodeableConcept	Sexo Biologico del paciente URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico Binding: AdministrativeGender (required)
nacionalidad	S	0..*	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required)
identifier	S	0..*	Identifier	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresado
use	S	0..1	code	usual \| official \| temp \| secondary \| old (If known)
type	S	0..1	CodeableConcept	Tipo de documento de Id (Extensible) Binding: Tipos de Documentos (extensible): Value Set de Tipos de Documentos y CI Nacionales
extension		0..*	Extension	País de Origen del Documento de Id
Slices for extension				Content/Rules for all slices
paisEmisionDocumento	S	0..1	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required)
coding	S	0..*	Coding	Code defined by a terminology system
system	S	0..1	uri	Sistema de identificación de tipos de documentos
code	S	0..1	code	Código de Tipo de Documento
display	S	0..1	string	Glosa del Código Documento
value		0..1	string	Número o valor de identificación
Slices for name		0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido Slice: Unordered, Open by value:use
name:NombreOficial	S	0..1	HumanName	Determinación del nombre registrado oficialmente del Paciente
use	S	1..1	code	uso del nombre del paciente Required Pattern: official
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para el segundo apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y nombres del Paciente
name:NombreSocial	S	0..1	HumanName	nombre recurrente que usa el paciente
use	S	1..1	code	uso que se le da al nombre Required Pattern: usual
text		0..0
family		0..0
given	S	1..*	string	Nombre Social
prefix		0..0
suffix		0..0
period		0..0
telecom	S	0..*	ContactPoint	Detalles de contacto del Paciente
system	S	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR
value	S	0..1	string	Dato del contacto del paciente descrito
use	S	0..1	code	home \| work \| temp \| old \| mobile Binding: ContactPointUse (required)
gender	S	0..1	code	Sexo Registrado. (male \| female \| other \| unknown (requerido))
birthDate	S	0..1	date	Fecha de nacimiento del Paciente.
address	S	0..*	ClAddress	Tipo de dato para agregar la dirección
contact	S	0..*	BackboneElement	Contacto, tutor legal o representante del Paciente
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
IdContacto	S	0..*	(Complex)	Identificación del Contacto URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdContacto
relationship	S	0..*	CodeableConcept	Relación legal o de parentesco entre el contacto y el paciente Binding: PatientContactRelationship (required): VS FHIR para relación del contacto con el Paciente
coding	S	0..*	Coding	Code defined by a terminology system
name	S	0..1	HumanName	Nombre del Contacto
use	S	0..1	code	uso del nombre del paciente Required Pattern: official
family	S	0..1	string	1er Apellido
Slices for extension		0..*	Extension	Extensión para 2o apellido Slice: Unordered, Open by value:url
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido
given	S	0..*	string	Primer nombre y nombres del Contacto o Representante Legal
communication	S	0..*	BackboneElement	Lenguaje en el cual se puede comunicar con el paciente
language	S	1..1	CodeableConcept	Lenguaje específico Binding: Codigos Lenguaje (required): Value Set de HL7, # de elementos es muy grande para poder visualizarlo
generalPractitioner	S	0..*	Reference(CL Organización \| CL Prestador \| CL RolClinico)	Proveedor de Salud designado como principal
reference	S	0..1	string	URI de referencia a la Organización o a un Médico
display	S	0..1	string	Texto alternativo a la referencia
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.identifier.type	extensible	VSTiposDocumentos `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos` from this IG
Patient.telecom.system	required	ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system` from the FHIR Standard
Patient.telecom.use	required	ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use` from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.communication.language	required	VSCodigoslenguaje (a valid code from Codigos Lenguaje) `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje` from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient		0..*	Patient	Information about an individual or animal receiving health care services 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
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
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
IdentidadDeGenero	S	0..1	CodeableConcept	Identidad De Género URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero Binding: Identidad de Genero (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
SexoBiologico	S	0..1	CodeableConcept	Sexo Biologico del paciente URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico Binding: AdministrativeGender (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
nacionalidad	S	0..*	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required) 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..*	Identifier	Listados de Id de Paciente. De poseer una CI con RUN vigente, este DEBE ser ingresado ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
type	SΣ	0..1	CodeableConcept	Tipo de documento de Id (Extensible) Binding: Tipos de Documentos (extensible): Value Set de Tipos de Documentos y CI Nacionales ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	País de Origen del Documento de Id Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
paisEmisionDocumento	S	0..1	CodeableConcept	Código de Países URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises Binding: Códigos de Países (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	Sistema de identificación de tipos de documentos ele-1: All FHIR elements must have a @value or children
code	SΣ	0..1	code	Código de Tipo de Documento ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Glosa del Código Documento ele-1: All FHIR elements must have a @value or children
value	Σ	0..1	string	Número o valor de identificación ele-1: All FHIR elements must have a @value or children Example General: 123456
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:NombreOficial	SΣ	0..1	HumanName	Determinación del nombre registrado oficialmente del Paciente ele-1: All FHIR elements must have a @value or children
use	?!SΣ	1..1	code	uso del nombre del paciente Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	SΣ	0..1	string	1er Apellido ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extensión para el segundo apellido Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	SΣ	0..*	string	Primer nombre y nombres del Paciente ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
name:NombreSocial	SΣ	0..1	HumanName	nombre recurrente que usa el paciente ele-1: All FHIR elements must have a @value or children
use	?!SΣ	1..1	code	uso que se le da al nombre Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: usual
given	SΣ	1..*	string	Nombre Social ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
telecom	SΣ	0..*	ContactPoint	Detalles de contacto del Paciente ele-1: All FHIR elements must have a @value or children
system	SΣC	0..1	code	phone \| fax \| email \| pager \| url \| sms \| other Binding: ContactPointSystem (required): Tipo de contacto para HL7 FHIR ele-1: All FHIR elements must have a @value or children
value	SΣ	0..1	string	Dato del contacto del paciente descrito ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	home \| work \| temp \| old \| mobile Binding: ContactPointUse (required) ele-1: All FHIR elements must have a @value or children
gender	SΣ	0..1	code	Sexo Registrado. (male \| female \| other \| unknown (requerido)) Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children
birthDate	SΣ	0..1	date	Fecha de nacimiento del Paciente. ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	S	0..*	ClAddress	Tipo de dato para agregar la dirección ele-1: All FHIR elements must have a @value or children
contact	SC	0..*	BackboneElement	Contacto, tutor legal o representante del Paciente ele-1: All FHIR elements must have a @value or children pat-1: SHALL at least contain a contact's details or a reference to an organization
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
IdContacto	S	0..*	(Complex)	Identificación del Contacto URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdContacto 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
relationship	S	0..*	CodeableConcept	Relación legal o de parentesco entre el contacto y el paciente Binding: PatientContactRelationship (required): VS FHIR para relación del contacto con el Paciente ele-1: All FHIR elements must have a @value or children
coding	SΣ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children
name	S	0..1	HumanName	Nombre del Contacto ele-1: All FHIR elements must have a @value or children
use	?!SΣ	0..1	code	uso del nombre del paciente Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Required Pattern: official
family	SΣ	0..1	string	1er Apellido ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extensión para 2o apellido Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
segundoApellido	S	0..1	string	Segundo Apellido URL: https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
given	SΣ	0..*	string	Primer nombre y nombres del Contacto o Representante Legal ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name
communication	S	0..*	BackboneElement	Lenguaje en el cual se puede comunicar con el paciente ele-1: All FHIR elements must have a @value or children
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
language	S	1..1	CodeableConcept	Lenguaje específico Binding: Codigos Lenguaje (required): Value Set de HL7, # de elementos es muy grande para poder visualizarlo ele-1: All FHIR elements must have a @value or children
generalPractitioner	S	0..*	Reference(CL Organización \| CL Prestador \| CL RolClinico)	Proveedor de Salud designado como principal ele-1: All FHIR elements must have a @value or children
reference	SΣC	0..1	string	URI de referencia a la Organización o a un Médico ele-1: All FHIR elements must have a @value or children
display	SΣ	0..1	string	Texto alternativo a la referencia ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
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
other	Σ	1..1	Reference(Patient \| RelatedPerson)	The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children
type	Σ	1..1	code	replaced-by \| replaces \| refer \| seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard
Patient.identifier.type	extensible	VSTiposDocumentos `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos` from this IG
Patient.name:NombreOficial.use	required	Pattern: official `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.name:NombreSocial.use	required	Pattern: usual `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.telecom.system	required	ContactPointSystem `http://hl7.org/fhir/ValueSet/contact-point-system` from the FHIR Standard
Patient.telecom.use	required	ContactPointUse `http://hl7.org/fhir/ValueSet/contact-point-use` from the FHIR Standard
Patient.gender	required	AdministrativeGender `http://hl7.org/fhir/ValueSet/administrative-gender\|4.0.1` from the FHIR Standard
Patient.contact.relationship	required	PatientContactRelationship `http://hl7.org/fhir/ValueSet/patient-contactrelationship` from the FHIR Standard
Patient.contact.name.use	required	Pattern: official `http://hl7.org/fhir/ValueSet/name-use\|4.0.1` from the FHIR Standard
Patient.communication.language	required	VSCodigoslenguaje (a valid code from Codigos Lenguaje) `https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje` from this IG
Patient.link.type	required	LinkType `http://hl7.org/fhir/ValueSet/link-type\|4.0.1` from the FHIR Standard

Snapshot View

Description & Constraints

Patient

0..*

Patient

Information about an individual or animal receiving health care services

id

Σ

0..1

id

Logical id of this artifact

Terminology Bindings

Path Conformance ValueSet / Code URI

Patient.language

preferred

CommonLanguages

http://hl7.org/fhir/ValueSet/languages

from the FHIR Standard

Additional Bindings

Purpose

AllLanguages

Max Binding

Patient.identifier.use

required

IdentifierUse

http://hl7.org/fhir/ValueSet/identifier-use|4.0.1

from the FHIR Standard

Patient.identifier.type

extensible

VSTiposDocumentos

https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTiposDocumentos

from this IG

Patient.name:NombreOficial.use

required

Pattern: official

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.name:NombreSocial.use

required

Pattern: usual

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.telecom.system

required

ContactPointSystem

http://hl7.org/fhir/ValueSet/contact-point-system

from the FHIR Standard

Patient.telecom.use

required

ContactPointUse

http://hl7.org/fhir/ValueSet/contact-point-use

from the FHIR Standard

Patient.gender

required

AdministrativeGender

http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

from the FHIR Standard

Patient.maritalStatus

extensible

Marital Status Codes

http://hl7.org/fhir/ValueSet/marital-status

from the FHIR Standard

Patient.contact.relationship

required

PatientContactRelationship

http://hl7.org/fhir/ValueSet/patient-contactrelationship

from the FHIR Standard

Patient.contact.name.use

required

Pattern: official

http://hl7.org/fhir/ValueSet/name-use|4.0.1

from the FHIR Standard

Patient.contact.gender

required

AdministrativeGender

http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1

from the FHIR Standard

Patient.communication.language

required

VSCodigoslenguaje (a valid code from Codigos Lenguaje)

https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje

from this IG

Patient.generalPractitioner.type

extensible

ResourceType

http://hl7.org/fhir/ValueSet/resource-types

from the FHIR Standard

Patient.link.type

required

LinkType

http://hl7.org/fhir/ValueSet/link-type|4.0.1

from the FHIR Standard

This structure is derived from Patient

Summary

Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 40 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Patient.name

Other representations of profile: CSV, Excel, Schematron

Notes:

Search Parameters Mandatorios

Se describe abajo un resumen de las interacciones de un Server RESTful FHIR con este perfil, como lo son los parámetros de búsqueda y el soporte para este perfil de uso nacional.

Elemento	Nota	Search Param	Ejemplo
id	Se debe soportar búsqueda sobre el id de recurso	GET [base]/Patient[id]	GET [base]/Patient/1032702 GET [base]/Patient?_id=1032702
identification	Se debe poder buscar paciente por medio del identificador	GET [base]/Patient?identifier= [value]	GET [base]/Patient?identifier=19222444-1
name	Se debe poder buscar pacientes por nombre, lo que aplica a cualquier elemento en la ruta	GET [base]/Patient?name=[string] GET [base]/Patient?name.family=[string]	GET [base]/Patient?name=Ordenes GET [base]/Patient?name.family=Ordenes

IG © 2024+ HL7 Chile. Package hl7.fhir.cl.clcore#1.9.2 based on FHIR 4.0.1. Generated 2024-12-11
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