Resumen Digital de Atención en Salud (RDA)
0.7.2 - STU1 Colombia

Resumen Digital de Atención en Salud (RDA) - Local Development build (v0.7.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias)

Canonical URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA Version: 0.7.2
Active as of 2025-12-29 Computable Name: CompositionEmergencyRDA

Copyright/Legal: Ministerio de Salud y Protección Social, CC BY-NC-SA 4.0, 2025+

Perfil FHIR RDA del Resumen Digital de Atención en Salud en Colombia, para encuentros de Urgencias.

Documento clínico estructurado que consolida y resume la información relevante de un proceso de atención en salud de un paciente, integrando datos clínicos esenciales para facilitar la continuidad del cuidado y el intercambio de información entre profesionales e instituciones.

El Resumen Digital de Atención en Salud (RDA) incluye información como motivos de consulta, diagnósticos, procedimientos realizados, medicamentos prescritos, antecedentes relevantes, exámenes de apoyo diagnóstico y planes de manejo, registrados por un profesional de la salud autorizado y habilitado, de acuerdo con los lineamientos establecidos por la normativa colombiana.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR Composition (Composición de Documento), con el objetivo de estandarizar y representar el Resumen Digital de Atención en Salud (RDA) en Colombia, para encuentros de Urgencias, facilitando la consolidación e intercambio de información clínica relevante de un proceso de atención en salud.

Ha sido diseñado a partir de los lineamientos normativos definidos por el Ministerio de Salud y Protección Social y está armonizado con la Guía de Implementación FHIR Core Colombia.

En Colombia, el Resumen Digital de Atención en Salud debe registrarse en la historia clínica del paciente, de acuerdo con los lineamientos establecidos por el Ministerio de Salud y Protección Social y con la normatividad vigente sobre la gestión de la información en salud.

Características

  • Integra información clínica consolidada de un episodio o proceso de atención en salud.
  • Incluye datos como motivos de consulta, diagnósticos, procedimientos, medicamentos, antecedentes relevantes, exámenes de apoyo diagnóstico y planes de manejo.
  • Registra el autor del documento, fecha, institución responsable y la estructura jerárquica de las secciones del resumen.
  • Facilita la continuidad de la atención y el intercambio de información entre prestadores de servicios de salud.
  • Se expresa mediante terminologías clínicas estandarizadas: como CIE-10, CUPS, SNOMED CT, ATC y códigos controlados nacionales.

Uso previsto

Este perfil está diseñado para ser implementado por:

  • Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
  • Instituciones Prestadoras de Servicios de Salud.
  • Sistemas de información en salud (HIS, HCE, LIS, RIS, etc.).
  • Repositorios de datos clínicos (CDR).
  • Proveedores y consumidores de servicios interoperables de salud.

Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).

Restricciones y extensiones clave

  • Se requiere el uso de terminologías controladas nacionales.
  • Se aplican restricciones sobre elementos obligatorios y cardinalidad.
  • Utiliza extensiones para representar información adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

Consideraciones adicionales

  • Este perfil no sustituye las obligaciones legales sobre el registro clínico.
  • Se recomienda verificar la conformidad de su implementación.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition RDA Urgencias
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Version-independent identifier for the Composition
... type SΣ 1..1 CodeableConcept Kind of composition ("Patient Summary")
Binding: DocumentTypeValueSet (required)
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Who and/or what the composition is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter Σ 1..1 Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) Context of the Composition
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title SΣ 1..1 string RDA Urgencias
... confidentiality SΣ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Required Pattern: N
... attester 0..1 BackboneElement Attests to accuracy of composition
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Fixed Value: legal
.... party S 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who attested the composition
... custodian SΣ 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) Organization which maintains the composition
... event SΣ 0..* BackboneElement The clinical service(s) being documented
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period The period covered by the documentation
... Slices for section C 12..13 BackboneElement Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... text C 0..1 Narrative Segmento narrativo de la sección, para interpretación humana
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:sectionPayers C 1..1 BackboneElement Sección de Pagadores - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer SC 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer C 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
.... section:sectionHistoryOfOccupation C 1..1 BackboneElement Sección otros datos demográficos - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
Fixed Value: Otros datos demográficos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry C 0..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
.... section:sectionAttendanceAllowance C 1..1 BackboneElement Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..1 Reference(Incapacidad (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
.... section:sectionMedications C 1..1 BackboneElement RDA Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de medicamentos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 1..* Reference(Resource) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest C 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration C 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest C 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason C 0..1 CodeableConcept Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
.... section:sectionAllergies C 1..1 BackboneElement Sección de alergias e intolerancias
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..* Reference(Alergia o intolerancia (AllergyIntolerance) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
.... section:sectionProblems C 1..1 BackboneElement Sección de condiciones diagnósticas
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..* Reference(Diagnóstico de condición de salud (Condition) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
.... section:sectionTriage C 1..1 BackboneElement Sección de triage - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Clasificación de triage
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
.... section:sectionRiskFactors C 1..1 BackboneElement Factor de riesgos - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Factores de riesgo
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Factor de riesgo (RiskAssessment) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
.... section:sectionProceduresHx C 1..1 BackboneElement Procedimientos realizados - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de procedimientos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Procedimiento realizado (Procedure) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
.... section:sectionResults C 1..1 BackboneElement Resultados del uso de las tecnologías en salud
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Resultado de procedimiento (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
.... section:sectionServiceRequests C 1..1 BackboneElement Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest C 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest C 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
.... section:sectionClarificationNotes C 0..1 BackboneElement Sección de notas aclaratorias - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Notas aclaratorias
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA) A reference to data that supports this section
.... section:sectionAddendumDocuments C 1..1 BackboneElement Sección de Documentos de Soporte - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Documentos de soporte
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.confidentialityrequiredPattern Value: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.codeexampleFixed Value: LOINC Code 74208-0("Demographic information + History of occupation Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.codeexampleFixed Value: LOINC Code 105583-9("Worker Sick leave form")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.codeexampleFixed Value: LOINC Code 10160-0("History of Medication use Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.codeexampleFixed Value: LOINC Code 11450-4("Problem list - Reported")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.codeexampleFixed Value: LOINC Code 54094-8("Emergency department Triage note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.codeexampleFixed Value: LOINC Code 75492-9("Risk assessment and screening note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.codeexampleFixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.codeexampleFixed Value: LOINC Code 61146-1("Orders for services Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.codeexampleFixed Value: LOINC Code 34109-9("Note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAddendumDocuments.codeexampleFixed Value: LOINC Code 55107-7("Addendum Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition Composition RDA Urgencias
... meta
.... profile 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA
... identifier S
... status S Binding: CompositionStatus (required)
.... coding
..... system 1.. Fixed Value: http://loinc.org
..... code Fixed Value: 59258-4
..... display Fixed Value: Emergency department Discharge summary
... subject S 1.. Reference(Paciente (Patient) RDA)
.... reference S 1..
... encounter 1.. Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)
.... reference S 1..
... date S
... author S ..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title S RDA Urgencias
... confidentiality S Required Pattern: N
... attester ..1
.... mode Fixed Value: legal
.... party S Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA)
... custodian S Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)
... event S
.... period S
... Slices for section 12..13 Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
.... section:All Slices Content/Rules for all slices
..... text Segmento narrativo de la sección, para interpretación humana
.... section:sectionPayers 1..1 Sección de Pagadores - RDA
..... title 1.. Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
..... Slices for entry Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer S 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason S Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
.... section:sectionHistoryOfOccupation 1..1 Sección otros datos demográficos - RDA
..... title Fixed Value: Otros datos demográficos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
..... entry ..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason S Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
.... section:sectionAttendanceAllowance 1..1 Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
..... title 1.. Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
..... entry S ..1 Reference(Incapacidad (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
.... section:sectionMedications 1..1 RDA Patient Summary Medication Summary Section
..... title 1.. Fixed Value: Historial de medicamentos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
..... Slices for entry 1.. Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
.... section:sectionAllergies 1..1 Sección de alergias e intolerancias
..... title S 1.. Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... entry S Reference(Alergia o intolerancia (AllergyIntolerance) RDA)
..... emptyReason S Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
.... section:sectionProblems 1..1 Sección de condiciones diagnósticas
..... title S 1.. Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
..... entry S Reference(Diagnóstico de condición de salud (Condition) RDA)
..... emptyReason S Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
.... section:sectionTriage 1..1 Sección de triage - RDA
..... title S 1.. Fixed Value: Clasificación de triage
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
..... entry S ..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
.... section:sectionRiskFactors 1..1 Factor de riesgos - RDA
..... title S 1.. Fixed Value: Factores de riesgo
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
..... entry S 1.. Reference(Factor de riesgo (RiskAssessment) RDA)
..... emptyReason S Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
.... section:sectionProceduresHx 1..1 Procedimientos realizados - RDA
..... title S 1.. Fixed Value: Historial de procedimientos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... entry S 1.. Reference(Procedimiento realizado (Procedure) RDA)
..... emptyReason S Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
.... section:sectionResults 1..1 Resultados del uso de las tecnologías en salud
..... title S 1.. Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
..... entry S 1.. Reference(Resultado de procedimiento (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
.... section:sectionServiceRequests 1..1 Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
..... title 1.. Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
..... Slices for entry Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason S Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
.... section:sectionClarificationNotes 0..1 Sección de notas aclaratorias - RDA
..... title S 1.. Fixed Value: Notas aclaratorias
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
..... entry S 1.. Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA)
.... section:sectionAddendumDocuments 1..1 Sección de Documentos de Soporte - RDA
..... title 1.. Fixed Value: Documentos de soporte
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
..... entry S 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF
..... emptyReason ..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition RDA Urgencias
... id Σ 0..1 string Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ 1..1 CodeableConcept Kind of composition ("Patient Summary")
Binding: DocumentTypeValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 59258-4
..... display Σ 0..1 string Representation defined by the system
Fixed Value: Emergency department Discharge summary
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Who and/or what the composition is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 1..1 Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) Context of the Composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title SΣ 1..1 string RDA Urgencias
... confidentiality SΣ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Required Pattern: N
... attester 0..1 BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Fixed Value: legal
.... time 0..1 dateTime When the composition was attested
.... party S 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who attested the composition
... custodian SΣ 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event SΣ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period SΣ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 12..13 BackboneElement Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Segmento narrativo de la sección, para interpretación humana
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section Nested Section
.... section:sectionPayers C 1..1 BackboneElement Sección de Pagadores - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer SC 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer C 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionHistoryOfOccupation C 1..1 BackboneElement Sección otros datos demográficos - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
Fixed Value: Otros datos demográficos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionAttendanceAllowance C 1..1 BackboneElement Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..1 Reference(Incapacidad (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionMedications C 1..1 BackboneElement RDA Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de medicamentos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 1..* Reference(Resource) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest C 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration C 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest C 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason C 0..1 CodeableConcept Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionAllergies C 1..1 BackboneElement Sección de alergias e intolerancias
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..* Reference(Alergia o intolerancia (AllergyIntolerance) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionProblems C 1..1 BackboneElement Sección de condiciones diagnósticas
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..* Reference(Diagnóstico de condición de salud (Condition) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionTriage C 1..1 BackboneElement Sección de triage - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Clasificación de triage
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionRiskFactors C 1..1 BackboneElement Factor de riesgos - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Factores de riesgo
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Factor de riesgo (RiskAssessment) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionProceduresHx C 1..1 BackboneElement Procedimientos realizados - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de procedimientos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Procedimiento realizado (Procedure) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionResults C 1..1 BackboneElement Resultados del uso de las tecnologías en salud
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Resultado de procedimiento (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionServiceRequests C 1..1 BackboneElement Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest C 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest C 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionClarificationNotes C 0..1 BackboneElement Sección de notas aclaratorias - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Notas aclaratorias
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section Nested Section
.... section:sectionAddendumDocuments C 1..1 BackboneElement Sección de Documentos de Soporte - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Documentos de soporte
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF
..... section C 0..* See section Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredPattern Value: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPayers.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPayers.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.codeexampleFixed Value: LOINC Code 74208-0("Demographic information + History of occupation Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.codeexampleFixed Value: LOINC Code 105583-9("Worker Sick leave form")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.codeexampleFixed Value: LOINC Code 10160-0("History of Medication use Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.codeexampleFixed Value: LOINC Code 11450-4("Problem list - Reported")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.codeexampleFixed Value: LOINC Code 54094-8("Emergency department Triage note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionTriage.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.codeexampleFixed Value: LOINC Code 75492-9("Risk assessment and screening note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionRiskFactors.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.codeexampleFixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.codeexampleFixed Value: LOINC Code 61146-1("Orders for services Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionServiceRequests.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.codeexampleFixed Value: LOINC Code 34109-9("Note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionClarificationNotes.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionClarificationNotes.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAddendumDocuments.codeexampleFixed Value: LOINC Code 55107-7("Addendum Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAddendumDocuments.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAddendumDocuments.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 0 element(82 nested mandatory elements)
Must-Support: 63 elements
Fixed: 64 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section (Closed)
  • The element 1 is sliced based on the value of Composition.section.entry

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition RDA Urgencias
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Version-independent identifier for the Composition
... type SΣ 1..1 CodeableConcept Kind of composition ("Patient Summary")
Binding: DocumentTypeValueSet (required)
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Who and/or what the composition is about
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter Σ 1..1 Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) Context of the Composition
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title SΣ 1..1 string RDA Urgencias
... confidentiality SΣ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Required Pattern: N
... attester 0..1 BackboneElement Attests to accuracy of composition
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Fixed Value: legal
.... party S 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who attested the composition
... custodian SΣ 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) Organization which maintains the composition
... event SΣ 0..* BackboneElement The clinical service(s) being documented
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... period SΣ 0..1 Period The period covered by the documentation
... Slices for section C 12..13 BackboneElement Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... text C 0..1 Narrative Segmento narrativo de la sección, para interpretación humana
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
.... section:sectionPayers C 1..1 BackboneElement Sección de Pagadores - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer SC 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer C 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
.... section:sectionHistoryOfOccupation C 1..1 BackboneElement Sección otros datos demográficos - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
Fixed Value: Otros datos demográficos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry C 0..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
.... section:sectionAttendanceAllowance C 1..1 BackboneElement Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..1 Reference(Incapacidad (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
.... section:sectionMedications C 1..1 BackboneElement RDA Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de medicamentos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 1..* Reference(Resource) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest C 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration C 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest C 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason C 0..1 CodeableConcept Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
.... section:sectionAllergies C 1..1 BackboneElement Sección de alergias e intolerancias
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..* Reference(Alergia o intolerancia (AllergyIntolerance) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
.... section:sectionProblems C 1..1 BackboneElement Sección de condiciones diagnósticas
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..* Reference(Diagnóstico de condición de salud (Condition) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
.... section:sectionTriage C 1..1 BackboneElement Sección de triage - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Clasificación de triage
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 0..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
.... section:sectionRiskFactors C 1..1 BackboneElement Factor de riesgos - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Factores de riesgo
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Factor de riesgo (RiskAssessment) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
.... section:sectionProceduresHx C 1..1 BackboneElement Procedimientos realizados - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de procedimientos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Procedimiento realizado (Procedure) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
.... section:sectionResults C 1..1 BackboneElement Resultados del uso de las tecnologías en salud
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Resultado de procedimiento (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
.... section:sectionServiceRequests C 1..1 BackboneElement Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest C 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest C 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... coding Σ 0..* Coding Code defined by a terminology system
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
.... section:sectionClarificationNotes C 0..1 BackboneElement Sección de notas aclaratorias - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Notas aclaratorias
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..* Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA) A reference to data that supports this section
.... section:sectionAddendumDocuments C 1..1 BackboneElement Sección de Documentos de Soporte - RDA
Constraints: cmp-1, cmp-2
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Documentos de soporte
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... entry SC 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.confidentialityrequiredPattern Value: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.codeexampleFixed Value: LOINC Code 74208-0("Demographic information + History of occupation Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.codeexampleFixed Value: LOINC Code 105583-9("Worker Sick leave form")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.codeexampleFixed Value: LOINC Code 10160-0("History of Medication use Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.codeexampleFixed Value: LOINC Code 11450-4("Problem list - Reported")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.codeexampleFixed Value: LOINC Code 54094-8("Emergency department Triage note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.codeexampleFixed Value: LOINC Code 75492-9("Risk assessment and screening note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.codeexampleFixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.codeexampleFixed Value: LOINC Code 61146-1("Orders for services Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.codeexampleFixed Value: LOINC Code 34109-9("Note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAddendumDocuments.codeexampleFixed Value: LOINC Code 55107-7("Addendum Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Composition

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition Composition RDA Urgencias
... meta
.... profile 1.. Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA
... identifier S
... status S Binding: CompositionStatus (required)
.... coding
..... system 1.. Fixed Value: http://loinc.org
..... code Fixed Value: 59258-4
..... display Fixed Value: Emergency department Discharge summary
... subject S 1.. Reference(Paciente (Patient) RDA)
.... reference S 1..
... encounter 1.. Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)
.... reference S 1..
... date S
... author S ..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title S RDA Urgencias
... confidentiality S Required Pattern: N
... attester ..1
.... mode Fixed Value: legal
.... party S Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA)
... custodian S Reference(Institución Prestadora de Servicios de Salud (Organization) RDA)
... event S
.... period S
... Slices for section 12..13 Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
.... section:All Slices Content/Rules for all slices
..... text Segmento narrativo de la sección, para interpretación humana
.... section:sectionPayers 1..1 Sección de Pagadores - RDA
..... title 1.. Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
..... Slices for entry Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer S 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason S Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
.... section:sectionHistoryOfOccupation 1..1 Sección otros datos demográficos - RDA
..... title Fixed Value: Otros datos demográficos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
..... entry ..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason S Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
.... section:sectionAttendanceAllowance 1..1 Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
..... title 1.. Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
..... entry S ..1 Reference(Incapacidad (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
.... section:sectionMedications 1..1 RDA Patient Summary Medication Summary Section
..... title 1.. Fixed Value: Historial de medicamentos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
..... Slices for entry 1.. Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
.... section:sectionAllergies 1..1 Sección de alergias e intolerancias
..... title S 1.. Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
..... entry S Reference(Alergia o intolerancia (AllergyIntolerance) RDA)
..... emptyReason S Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
.... section:sectionProblems 1..1 Sección de condiciones diagnósticas
..... title S 1.. Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
..... entry S Reference(Diagnóstico de condición de salud (Condition) RDA)
..... emptyReason S Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
.... section:sectionTriage 1..1 Sección de triage - RDA
..... title S 1.. Fixed Value: Clasificación de triage
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
..... entry S ..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
.... section:sectionRiskFactors 1..1 Factor de riesgos - RDA
..... title S 1.. Fixed Value: Factores de riesgo
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
..... entry S 1.. Reference(Factor de riesgo (RiskAssessment) RDA)
..... emptyReason S Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
.... section:sectionProceduresHx 1..1 Procedimientos realizados - RDA
..... title S 1.. Fixed Value: Historial de procedimientos
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
..... entry S 1.. Reference(Procedimiento realizado (Procedure) RDA)
..... emptyReason S Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
.... section:sectionResults 1..1 Resultados del uso de las tecnologías en salud
..... title S 1.. Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
..... entry S 1.. Reference(Resultado de procedimiento (Observation) RDA)
..... emptyReason S Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
.... section:sectionServiceRequests 1..1 Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
..... title 1.. Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
..... Slices for entry Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason S Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... coding
....... system 1.. Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... code S 1.. Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display S 1.. Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
.... section:sectionClarificationNotes 0..1 Sección de notas aclaratorias - RDA
..... title S 1.. Fixed Value: Notas aclaratorias
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
..... entry S 1.. Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA)
.... section:sectionAddendumDocuments 1..1 Sección de Documentos de Soporte - RDA
..... title 1.. Fixed Value: Documentos de soporte
..... code 1.. Fixed Value: As shown
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
..... entry S 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF
..... emptyReason ..0

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Composition 0..* Composition RDA Urgencias
... id Σ 0..1 string Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionEmergencyRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..1 Identifier Version-independent identifier for the Composition
... status ?!SΣ 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required)
... type SΣ 1..1 CodeableConcept Kind of composition ("Patient Summary")
Binding: DocumentTypeValueSet (required)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 59258-4
..... display Σ 0..1 string Representation defined by the system
Fixed Value: Emergency department Discharge summary
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of Composition
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Who and/or what the composition is about
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter Σ 1..1 Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) Context of the Composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime Composition editing time
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who and/or what authored the RDA Patient Summary
... title SΣ 1..1 string RDA Urgencias
... confidentiality SΣ 0..1 code As defined by affinity domain
Binding: v3.ConfidentialityClassification (2014-03-26) (required): Codes specifying the level of confidentiality of the composition.
Required Pattern: N
... attester 0..1 BackboneElement Attests to accuracy of composition
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 code personal | professional | legal | official
Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition.
Fixed Value: legal
.... time 0..1 dateTime When the composition was attested
.... party S 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Who attested the composition
... custodian SΣ 0..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA) Organization which maintains the composition
... relatesTo 0..* BackboneElement Relationships to other compositions/documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
.... target[x] 1..1 Target of the relationship
..... targetIdentifier Identifier
..... targetReference Reference(Composition)
... event SΣ 0..* BackboneElement The clinical service(s) being documented
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 0..* CodeableConcept Code(s) that apply to the event being documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
.... period SΣ 0..1 Period The period covered by the documentation
.... detail Σ 0..* Reference(Resource) The event(s) being documented
... Slices for section C 12..13 BackboneElement Secciones que componen el RDA de Urgencias / Atención Inmediata
Slice: Unordered, Closed by pattern:code
Constraints: cmp-1, cmp-2
.... section:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
..... code 0..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Segmento narrativo de la sección, para interpretación humana
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..* Reference(Resource) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section Nested Section
.... section:sectionPayers C 1..1 BackboneElement Sección de Pagadores - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Entidad(es) responsable(s) por el plan de beneficios en salud (urgencias)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48768-6
....... display 1..1 string Representation defined by the system
Fixed Value: Payment sources Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) Entidad(es) responsable(s) por el plan de beneficios en salud
Slice: Unordered, Open by profile:resolve()
...... entry:EAPBSPayer SC 0..* Reference(Entidad Administradora de Planes de Beneficios en Salud - EAPBS (Organization) RDA) Entidad Administradora de Planes de Beneficios en Salud (EAPBS)
...... entry:privatePayer C 0..1 Reference(Paciente (Patient) RDA) Pago particular por servicios de salud
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información del pagador por servicios de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de pagadores. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de pagadores
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionHistoryOfOccupation C 1..1 BackboneElement Sección otros datos demográficos - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 0..1 string Label for section (e.g. for ToC)
Fixed Value: Otros datos demográficos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 74208-0
....... display 1..1 string Representation defined by the system
Fixed Value: Demographic information + History of occupation Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry C 0..1 Reference(Ocupación del paciente en el momento del encuentro de atención (Observation) RDA) Ocupación principal del paciente
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de ocupación del paciente
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de otros datos demográficos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de otros datos demográficos
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionAttendanceAllowance C 1..1 BackboneElement Incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas) - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Datos incapacidad (SIPE – Sistema de Incapacidades y Prestaciones Económicas)
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 105583-9
....... display 1..1 string Representation defined by the system
Fixed Value: Worker Sick leave form
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..1 Reference(Incapacidad (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de incapacidad
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de datos de incapacidad. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de datos de incapacidad
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionMedications C 1..1 BackboneElement RDA Patient Summary Medication Summary Section
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de medicamentos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 10160-0
....... display 1..1 string Representation defined by the system
Fixed Value: History of Medication use Narrative
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 1..* Reference(Resource) Medications relevant for the scope of the patient summary
Slice: Unordered, Open by profile:resolve()
...... entry:medicationAdminRequest C 0..* Reference(Prescripción de administración de medicamentos (MedicationRequest) RDA) Prescripción (órden(es)) de administración de medicamentos.
...... entry:medicationAdministration C 0..* Reference(Administración de medicamentos (MedicationAdministration) RDA) Medicamentos administrados durante el encuentro de atención en urgencias
...... entry:medicationRequest C 0..* Reference(Prescripción de Medicamentos (MedicationRequest) RDA) Fórmula de Medicamentos ordenados al egreso de la urgencias (Tecnologías en Salud)
..... emptyReason C 0..1 CodeableConcept Razón por la cual no se reporta información de medicamentos
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de uso de medicamentos. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de uso de medicamentos
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionAllergies C 1..1 BackboneElement Sección de alergias e intolerancias
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de alergias, intolerancias y reacciones adversas
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 48765-2
....... display 1..1 string Representation defined by the system
Fixed Value: Allergies and adverse reactions Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..* Reference(Alergia o intolerancia (AllergyIntolerance) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de alergias o intolerancias
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de alergias. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de alergias
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionProblems C 1..1 BackboneElement Sección de condiciones diagnósticas
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de diagnósticos de problemas de salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 11450-4
....... display 1..1 string Representation defined by the system
Fixed Value: Problem list - Reported
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..* Reference(Diagnóstico de condición de salud (Condition) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de enfermedades o problemas de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de enfermedades o problemas de salud.
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionTriage C 1..1 BackboneElement Sección de triage - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Clasificación de triage
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 54094-8
....... display 1..1 string Representation defined by the system
Fixed Value: Emergency department Triage note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 0..1 Reference(Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de clasificación de Triage.
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de Triage. Valor por defecto: 'nilknown' (ninguno(a) conocido(a)).
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de Triage.
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionRiskFactors C 1..1 BackboneElement Factor de riesgos - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Factores de riesgo
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 75492-9
....... display 1..1 string Representation defined by the system
Fixed Value: Risk assessment and screening note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Factor de riesgo (RiskAssessment) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de factores de riesgo
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de factores de riesgo. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de factores de riesgo
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionProceduresHx C 1..1 BackboneElement Procedimientos realizados - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Historial de procedimientos
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 47519-4
....... display 1..1 string Representation defined by the system
Fixed Value: History of Procedures Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Procedimiento realizado (Procedure) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de procedimientos realizados
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de procedimientos realizados. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de procedimientos realizados
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionResults C 1..1 BackboneElement Resultados del uso de las tecnologías en salud
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Resultados del uso de las tecnologías en salud
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 30954-2
....... display 1..1 string Representation defined by the system
Fixed Value: Relevant diagnostic tests/laboratory data note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Resultado de procedimiento (Observation) RDA) A reference to data that supports this section
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de resultados del uso de tecnologías en salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de resultados del uso de tecnologías en salud
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionServiceRequests C 1..1 BackboneElement Sección de órdenes, prescripciones o solicitudes de Servicio - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Órdenes, prescripciones o solicitudes de servicio
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 61146-1
....... display 1..1 string Representation defined by the system
Fixed Value: Orders for services Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... Slices for entry C 0..* Reference(Resource) A reference to data that supports this section
Slice: Unordered, Open by profile:resolve()
...... entry:serviceRequest C 0..* Reference(Orden de procedimiento o tecnología en salud (ServiceRequest) RDA) Ordenes médicas – Procedimientos ordenados al egreso de la urgencias
...... entry:OtherTechnologyServiceRequest C 0..* Reference(Recurso (Resource) RDA) Ordenes médicas - Otras tecnologías en salud ordenadas al egreso de la urgencias
..... emptyReason SC 0..1 CodeableConcept Razón por la cual no se reporta información de órdenes, prescripciones o solicitudes de servicios de salud
Binding: ListEmptyReasons (required)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/list-empty-reason
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Código que indica la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud. Valor por defecto: 'nilknown' (ninguno(a) conocido(a))
Fixed Value: nilknown
....... display SΣ 1..1 string Descripción de la razón por la cual no se reporta información en la sección de órdenes, prescripciones o solicitudes de servicios de salud
Fixed Value: Nil Known
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
..... section C 0..* See section Nested Section
.... section:sectionClarificationNotes C 0..1 BackboneElement Sección de notas aclaratorias - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title S 1..1 string Label for section (e.g. for ToC)
Fixed Value: Notas aclaratorias
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 34109-9
....... display 1..1 string Representation defined by the system
Fixed Value: Note
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..* Reference(Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA) A reference to data that supports this section
..... emptyReason C 0..1 CodeableConcept Why the section is empty
Binding: ListEmptyReasons (preferred): If a section is empty, why it is empty.
..... section C 0..* See section Nested Section
.... section:sectionAddendumDocuments C 1..1 BackboneElement Sección de Documentos de Soporte - RDA
Constraints: cmp-1, cmp-2
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... title 1..1 string Label for section (e.g. for ToC)
Fixed Value: Documentos de soporte
..... code 1..1 CodeableConcept Classification of section (recommended)
Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.
Fixed Value: As shown
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (Complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 55107-7
....... display 1..1 string Representation defined by the system
Fixed Value: Addendum Document
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... author 0..* Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) Who and/or what authored the section
..... focus 0..1 Reference(Resource) Who/what the section is about, when it is not about the subject of composition
..... text C 0..1 Narrative Text summary of the section, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
..... mode 0..1 code working | snapshot | changes
Binding: ListMode (required): The processing mode that applies to this section.
..... orderedBy 0..1 CodeableConcept Order of section entries
Binding: ListOrderCodes (preferred): What order applies to the items in the entry.
..... entry SC 1..1 Reference(Profile: Document Reference - RDA) Documento de epicrisis de soporte en formato PDF
..... section C 0..* See section Nested Section

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Composition.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
Composition.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
Composition.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Composition.statusrequiredCompositionStatus
http://hl7.org/fhir/ValueSet/composition-status|4.0.1
From the FHIR Standard
Composition.typerequiredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
Composition.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
Composition.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
Composition.confidentialityrequiredPattern Value: N
http://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26
From the FHIR Standard
Composition.attester.moderequiredFixed Value: legal
http://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1
From the FHIR Standard
Composition.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
Composition.event.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Composition.section.codeexampleDocumentSectionCodes
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionPayers.codeexampleFixed Value: LOINC Code 48768-6("Payment sources Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionPayers.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionPayers.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionPayers.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.codeexampleFixed Value: LOINC Code 74208-0("Demographic information + History of occupation Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionHistoryOfOccupation.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.codeexampleFixed Value: LOINC Code 105583-9("Worker Sick leave form")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAttendanceAllowance.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.codeexampleFixed Value: LOINC Code 10160-0("History of Medication use Narrative")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionMedications.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionMedications.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionMedications.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.codeexampleFixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAllergies.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAllergies.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionAllergies.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.codeexampleFixed Value: LOINC Code 11450-4("Problem list - Reported")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProblems.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProblems.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProblems.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.codeexampleFixed Value: LOINC Code 54094-8("Emergency department Triage note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionTriage.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionTriage.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionTriage.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.codeexampleFixed Value: LOINC Code 75492-9("Risk assessment and screening note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionRiskFactors.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionRiskFactors.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionRiskFactors.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.codeexampleFixed Value: LOINC Code 47519-4("History of Procedures Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionProceduresHx.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionProceduresHx.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionProceduresHx.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionResults.codeexampleFixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionResults.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionResults.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionResults.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.codeexampleFixed Value: LOINC Code 61146-1("Orders for services Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionServiceRequests.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionServiceRequests.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionServiceRequests.emptyReasonrequiredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.codeexampleFixed Value: LOINC Code 34109-9("Note")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionClarificationNotes.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionClarificationNotes.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard
Composition.section:sectionClarificationNotes.emptyReasonpreferredListEmptyReasons
http://hl7.org/fhir/ValueSet/list-empty-reason
From the FHIR Standard
Composition.section:sectionAddendumDocuments.codeexampleFixed Value: LOINC Code 55107-7("Addendum Document")
http://hl7.org/fhir/ValueSet/doc-section-codes
From the FHIR Standard
Composition.section:sectionAddendumDocuments.moderequiredListMode
http://hl7.org/fhir/ValueSet/list-mode|4.0.1
From the FHIR Standard
Composition.section:sectionAddendumDocuments.orderedBypreferredListOrderCodes
http://hl7.org/fhir/ValueSet/list-order
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
cmp-1errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section must contain at least one of text, entries, or sub-sections
: text.exists() or entry.exists() or section.exists()
cmp-2errorComposition.section, Composition.section:sectionPayers, Composition.section:sectionHistoryOfOccupation, Composition.section:sectionAttendanceAllowance, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionTriage, Composition.section:sectionRiskFactors, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionServiceRequests, Composition.section:sectionClarificationNotes, Composition.section:sectionAddendumDocumentsA section can only have an emptyReason if it is empty
: emptyReason.empty() or entry.empty()
dom-2errorCompositionIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCompositionIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCompositionIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCompositionIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCompositionA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Composition

Summary

Mandatory: 0 element(82 nested mandatory elements)
Must-Support: 63 elements
Fixed: 64 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Composition.section (Closed)
  • The element 1 is sliced based on the value of Composition.section.entry

 

Other representations of profile: CSV, Excel, Schematron