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
| Canonical URL: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionRDA | Version: 0.7.2 | |||
| Active as of 2025-12-29 | Computable Name: CompositionRDA | |||
Copyright/Legal: Ministerio de Salud y Protección Social, CC BY-NC-SA 4.0, 2025+ |
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Perfil FHIR RDA del Resumen Digital de Atención en Salud en Colombia.
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.
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, 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.
Este perfil está diseñado para ser implementado por:
Se espera que sea utilizado principalmente en el escenario de intercambio del Resumen Digital de Atención (RDA).
Este perfil se basa en:
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | RDA | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 0..1 | Identifier | Version-independent identifier for the Composition |
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?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
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SΣ | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) |
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SΣ | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about |
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | dateTime | Composition editing time |
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SΣ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | string | RDA Patient Summary |
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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 |
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S | 0..* | BackboneElement | Attests to accuracy of composition |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal |
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S | 0..1 | dateTime | When the composition was attested |
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S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..1 | Reference(Organization) | Organization which maintains the composition |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..* | BackboneElement | The clinical service(s) being documented |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..1 | Period | The period covered by the documentation |
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SC | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code Constraints: cmp-1, cmp-2 |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. |
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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 |
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C | 0..1 | BackboneElement | RDA Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() |
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SC | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. |
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SC | 0..* | Reference(Resource) | A reference to data that supports this section |
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SC | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación |
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SC | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) |
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C | 1..1 | BackboneElement | Sección de alergias e intolerancias Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section |
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C | 1..1 | BackboneElement | Sección de condiciones diagnósticas Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
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1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | RDA Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Resultados del uso de las tecnologías en salud Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
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1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section |
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SC | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
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0..0 | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |
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1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() |
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SC | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section |
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SC | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section |
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SC | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | |
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard | |
| Composition.confidentiality | required | Pattern Value: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard | |
| Composition.attester.mode | required | Pattern Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionMedications.code | example | Fixed Value: LOINC Code 10160-0("History of Medication use Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionAllergies.code | example | Fixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionProblems.code | example | Fixed Value: LOINC Code 11450-4("Problem list - Reported")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionProceduresHx.code | example | Fixed Value: LOINC Code 47519-4("History of Procedures Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionResults.code | example | Fixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionFamilyMemberHistory.code | example | Fixed Value: LOINC Code 10157-6("History of family member diseases Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionEncounters.code | example | Fixed Value: LOINC Code 67781-5("Summarization of encounter note Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | RDA | |
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1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionRDA | |
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S | 0..1 | Identifier | Version-independent identifier for the Composition |
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S | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
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S | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
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0..1 | string | Representation defined by the system Fixed Value: Patient Summary Document | |
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S | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about |
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S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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S | 1..1 | dateTime | Composition editing time |
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S | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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S | 1..1 | string | RDA Patient Summary |
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S | 0..1 | code | As defined by affinity domain Required Pattern: N |
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S | 0..* | BackboneElement | Attests to accuracy of composition |
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S | 1..1 | code | personal | professional | legal | official Required Pattern: legal |
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S | 0..1 | dateTime | When the composition was attested |
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S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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S | 0..1 | Reference(Organization) | Organization which maintains the composition |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() |
S | 0..* | BackboneElement | The clinical service(s) being documented |
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S | 0..1 | Period | The period covered by the documentation |
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S | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code |
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Content/Rules for all slices | |||
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S | 1..1 | CodeableConcept | Classification of section (recommended) |
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0..1 | Narrative | Segmento narrativo de la sección, para interpretación humana | |
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S | 0..0 | ||
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0..1 | BackboneElement | RDA Patient Summary Medication Summary Section | |
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
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1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | |
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S | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. |
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S | 0..* | Reference(Resource) | A reference to data that supports this section |
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S | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación |
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S | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) |
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0..0 | |||
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1..1 | BackboneElement | Sección de alergias e intolerancias | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
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S | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section |
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0..0 | |||
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1..1 | BackboneElement | Sección de condiciones diagnósticas | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
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1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
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S | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | RDA Patient Summary History of Procedures Section | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
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S | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | Resultados del uso de las tecnologías en salud | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
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S | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
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1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |
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S | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section |
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0..0 | |||
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S | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |
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1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |
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S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() |
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S | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section |
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S | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section |
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S | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section |
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0..0 | |||
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | |
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Composition | RDA | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionRDA | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
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?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | ||||
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SΣ | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | ||||
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Σ | 0..1 | string | Representation defined by the system Fixed Value: Patient Summary Document | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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SΣ | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
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SΣ | 1..1 | dateTime | Composition editing time | ||||
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SΣ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 1..1 | string | RDA Patient Summary | ||||
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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 | ||||
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S | 0..* | BackboneElement | Attests to accuracy of composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | ||||
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S | 0..1 | dateTime | When the composition was attested | ||||
![]() ![]() ![]() |
S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() |
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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() |
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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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SΣ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | ||||
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SΣ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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SC | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code Constraints: cmp-1, cmp-2 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Label for section (e.g. for ToC) | |||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | ||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..1 | BackboneElement | RDA Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | ||||
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SC | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. | ||||
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SC | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
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SC | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación | ||||
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SC | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 1..1 | BackboneElement | Sección de alergias e intolerancias Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 1..1 | BackboneElement | Sección de condiciones diagnósticas Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..0 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
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1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |||||
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0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..1 | BackboneElement | RDA Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
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0..0 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
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1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |||||
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0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..1 | BackboneElement | Resultados del uso de las tecnologías en salud Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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SC | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud | ||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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SC | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() | ||||
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SC | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section | ||||
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SC | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section | ||||
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SC | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | ||||
| Composition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | ||||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | ||||
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.confidentiality | required | Pattern Value: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard | ||||
| Composition.attester.mode | required | Pattern Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard | ||||
| Composition.attester.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.custodian.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1From the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionMedications.code | example | Fixed Value: LOINC Code 10160-0("History of Medication use Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionMedications.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionAllergies.code | example | Fixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionAllergies.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionProblems.code | example | Fixed Value: LOINC Code 11450-4("Problem list - Reported")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionProblems.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.code | example | Fixed Value: LOINC Code 47519-4("History of Procedures Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionResults.code | example | Fixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionResults.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionResults.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.code | example | Fixed Value: LOINC Code 10157-6("History of family member diseases Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionEncounters.code | example | Fixed Value: LOINC Code 67781-5("Summarization of encounter note Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionEncounters.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionEncounters.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 8 elements(13 nested mandatory elements)
Must-Support: 39 elements
Fixed: 21 elements
Prohibited: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | RDA | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 0..1 | Identifier | Version-independent identifier for the Composition |
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?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
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SΣ | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) |
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SΣ | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about |
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | dateTime | Composition editing time |
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SΣ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 1..1 | string | RDA Patient Summary |
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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 |
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S | 0..* | BackboneElement | Attests to accuracy of composition |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal |
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S | 0..1 | dateTime | When the composition was attested |
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S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..1 | Reference(Organization) | Organization which maintains the composition |
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
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SΣ | 0..* | BackboneElement | The clinical service(s) being documented |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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SΣ | 0..1 | Period | The period covered by the documentation |
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SC | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code Constraints: cmp-1, cmp-2 |
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Content/Rules for all slices | |||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. |
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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 |
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C | 0..1 | BackboneElement | RDA Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() |
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SC | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. |
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SC | 0..* | Reference(Resource) | A reference to data that supports this section |
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SC | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación |
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SC | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) |
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C | 1..1 | BackboneElement | Sección de alergias e intolerancias Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section |
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C | 1..1 | BackboneElement | Sección de condiciones diagnósticas Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
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0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
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1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
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0..0 | boolean | If this coding was chosen directly by the user | |
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0..0 | string | Plain text representation of the concept | |
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SC | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | RDA Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos |
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
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SC | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Resultados del uso de las tecnologías en salud Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() |
SC | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section |
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C | 0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) Constraints: cmp-1, cmp-2 |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() |
SC | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section |
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SC | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section Constraints: cmp-1, cmp-2 |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud |
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |
![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() |
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SC | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section |
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SC | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section |
![]() ![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section |
Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | |
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard | |
| Composition.confidentiality | required | Pattern Value: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard | |
| Composition.attester.mode | required | Pattern Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard | |
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionMedications.code | example | Fixed Value: LOINC Code 10160-0("History of Medication use Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionAllergies.code | example | Fixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionProblems.code | example | Fixed Value: LOINC Code 11450-4("Problem list - Reported")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionProceduresHx.code | example | Fixed Value: LOINC Code 47519-4("History of Procedures Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionResults.code | example | Fixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionFamilyMemberHistory.code | example | Fixed Value: LOINC Code 10157-6("History of family member diseases Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | |
| Composition.section:sectionEncounters.code | example | Fixed Value: LOINC Code 67781-5("Summarization of encounter note Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from Composition
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
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0..* | Composition | RDA | |
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1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionRDA | |
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S | 0..1 | Identifier | Version-independent identifier for the Composition |
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S | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) |
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S | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) |
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||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
![]() ![]() ![]() ![]() |
0..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | |
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0..1 | string | Representation defined by the system Fixed Value: Patient Summary Document | |
![]() ![]() |
S | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about |
![]() ![]() ![]() |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
![]() ![]() |
S | 1..1 | dateTime | Composition editing time |
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S | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary |
![]() ![]() ![]() |
1..1 | string | Literal reference, Relative, internal or absolute URL | |
![]() ![]() |
S | 1..1 | string | RDA Patient Summary |
![]() ![]() |
S | 0..1 | code | As defined by affinity domain Required Pattern: N |
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S | 0..* | BackboneElement | Attests to accuracy of composition |
![]() ![]() ![]() |
S | 1..1 | code | personal | professional | legal | official Required Pattern: legal |
![]() ![]() ![]() |
S | 0..1 | dateTime | When the composition was attested |
![]() ![]() ![]() |
S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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S | 0..1 | Reference(Organization) | Organization which maintains the composition |
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1..1 | string | Literal reference, Relative, internal or absolute URL | |
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S | 0..* | BackboneElement | The clinical service(s) being documented |
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S | 0..1 | Period | The period covered by the documentation |
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S | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code |
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Content/Rules for all slices | |||
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S | 1..1 | CodeableConcept | Classification of section (recommended) |
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0..1 | Narrative | Segmento narrativo de la sección, para interpretación humana | |
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S | 0..0 | ||
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0..1 | BackboneElement | RDA Patient Summary Medication Summary Section | |
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |
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1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | |
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S | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. |
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S | 0..* | Reference(Resource) | A reference to data that supports this section |
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S | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación |
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S | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) |
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0..0 | |||
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1..1 | BackboneElement | Sección de alergias e intolerancias | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |
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S | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section |
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0..0 | |||
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1..1 | BackboneElement | Sección de condiciones diagnósticas | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |
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1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |
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S | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | RDA Patient Summary History of Procedures Section | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |
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1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |
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S | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | Resultados del uso de las tecnologías en salud | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |
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1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |
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S | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section |
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0..0 | |||
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0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) | |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |
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1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |
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S | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section |
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0..0 | |||
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S | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section |
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S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud |
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1..1 | CodeableConcept | Classification of section (recommended) Fixed Value: As shown | |
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1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |
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1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |
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S | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() |
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S | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section |
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S | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section |
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S | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section |
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0..0 | |||
Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | |
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
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0..* | Composition | RDA | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | id | Version specific identifier | ||||
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Σ | 0..1 | instant | When the resource version last changed | ||||
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Σ | 0..1 | uri | Identifies where the resource comes from | ||||
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Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/CompositionRDA | ||||
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Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
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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". | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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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 | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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SΣ | 0..1 | Identifier | Version-independent identifier for the Composition | ||||
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?!SΣ | 1..1 | code | preliminary | final | amended | entered-in-error Binding: CompositionStatus (required) | ||||
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SΣ | 1..1 | CodeableConcept | Kind of composition ("Patient Summary") Binding: DocumentTypeValueSet (required) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..* | Coding | Code defined by a terminology system | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | ||||
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Σ | 0..1 | string | Version of the system - if relevant | ||||
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Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: 60591-5 | ||||
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Σ | 0..1 | string | Representation defined by the system Fixed Value: Patient Summary Document | ||||
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Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
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Σ | 0..1 | string | Plain text representation of the concept | ||||
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Σ | 0..* | CodeableConcept | Categorization of Composition Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level. | ||||
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SΣ | 1..1 | Reference(Paciente (Patient) RDA) | Who and/or what the composition is about | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | Reference(Encounter) | Context of the Composition | ||||
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SΣ | 1..1 | dateTime | Composition editing time | ||||
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SΣ | 1..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the RDA Patient Summary | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 1..1 | string | RDA Patient Summary | ||||
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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 | ||||
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S | 0..* | BackboneElement | Attests to accuracy of composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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S | 1..1 | code | personal | professional | legal | official Binding: CompositionAttestationMode (required): The way in which a person authenticated a composition. Required Pattern: legal | ||||
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S | 0..1 | dateTime | When the composition was attested | ||||
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S | 0..1 | Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) | Who attested the composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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SΣ | 0..1 | Reference(Organization) | Organization which maintains the composition | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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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). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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Σ | 0..1 | string | Text alternative for the resource | ||||
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0..* | BackboneElement | Relationships to other compositions/documents | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | code | replaces | transforms | signs | appends Binding: DocumentRelationshipType (required): The type of relationship between documents. | |||||
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1..1 | Target of the relationship | ||||||
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Identifier | |||||||
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Reference(Composition) | |||||||
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SΣ | 0..* | BackboneElement | The clinical service(s) being documented | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | ||||
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SΣ | 0..1 | Period | The period covered by the documentation | ||||
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Σ | 0..* | Reference(Resource) | The event(s) being documented | ||||
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SC | 2..* | BackboneElement | Sections composing the RDA Patient Summary Slice: Unordered, Closed by pattern:code Constraints: cmp-1, cmp-2 | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | string | Label for section (e.g. for ToC) | |||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. | ||||
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0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
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0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
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0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 0..1 | BackboneElement | RDA Patient Summary Medication Summary Section Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de medicamentos | |||||
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S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
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0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10160-0 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of Medication use Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
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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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
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0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
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C | 1..* | Reference(Resource) | Medications relevant for the scope of the patient summary Slice: Unordered, Open by profile:resolve() | ||||
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SC | 0..* | Reference(Antecedente farmacológico (MedicationStatement) RDA) | Uso de medicamentos declarados por el paciente. | ||||
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SC | 0..* | Reference(Resource) | A reference to data that supports this section | ||||
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SC | 0..* | Reference(Administración de medicamentos (MedicationAdministration) RDA) | Medicamentos administrados durante el encuentro de atención en hospitalización / internación | ||||
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SC | 0..* | Reference(Prescripción de Medicamentos (MedicationRequest) RDA) | Fórmula de Medicamentos ordenados al egreso de la Hospitalización / internación (Tecnologías en Salud) | ||||
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C | 0..* | See section (Composition) | Nested Section | ||||
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C | 1..1 | BackboneElement | Sección de alergias e intolerancias Constraints: cmp-1, cmp-2 | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de alergias, intolerancias y reacciones adversas | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 48765-2 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Allergies and adverse reactions Document | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Alergia o intolerancia (AllergyIntolerance) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 1..1 | BackboneElement | Sección de condiciones diagnósticas Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de diagnósticos de problemas de salud | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 11450-4 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Problem list - Reported | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Diagnóstico de condición de salud (Condition) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | RDA Patient Summary History of Procedures Section Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de procedimientos | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 47519-4 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of Procedures Document | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 1..* | Reference(Procedimiento realizado (Procedure) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Resultados del uso de las tecnologías en salud Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Resultados del uso de las tecnologías en salud | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 30954-2 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Relevant diagnostic tests/laboratory data note | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 1..* | Reference(Resultado de procedimiento (Observation) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
C | 0..1 | BackboneElement | Referencia al recurso de antecedentes familiares (FamilyMemberHistory) Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de antecedentes familiares | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 10157-6 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: History of family member diseases Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 1..* | Reference(Antecedente familiar en Salud (FamilyMemberHistory) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
![]() ![]() ![]() |
SC | 0..1 | BackboneElement | RDA Patient Summary Healthcare Encounter Section Constraints: cmp-1, cmp-2 | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | string | Label for section (e.g. for ToC) Fixed Value: Historial de encuentros de atención en salud | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | CodeableConcept | Classification of section (recommended) Binding: DocumentSectionCodes (example): Classification of a section of a composition/document. Fixed Value: As shown | ||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() |
1..1 | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://loinc.org | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | string | Version of the system - if relevant | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | code | Symbol in syntax defined by the system Fixed Value: 67781-5 | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | string | Representation defined by the system Fixed Value: Summarization of encounter note Narrative | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..0 | boolean | If this coding was chosen directly by the user | |||||
![]() ![]() ![]() ![]() ![]() |
0..0 | string | Plain text representation of the concept | |||||
![]() ![]() ![]() ![]() |
0..* | Reference(Practitioner | PractitionerRole | Device | Patient | RelatedPerson | Organization) | Who and/or what authored the section | |||||
![]() ![]() ![]() ![]() |
0..1 | Reference(Resource) | Who/what the section is about, when it is not about the subject of composition | |||||
![]() ![]() ![]() ![]() |
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 | ||||
![]() ![]() ![]() ![]() |
0..1 | code | working | snapshot | changes Binding: ListMode (required): The processing mode that applies to this section. | |||||
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Order of section entries Binding: ListOrderCodes (preferred): What order applies to the items in the entry. | |||||
![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Resource) | A reference to data that supports this section Slice: Unordered, Open by type:resolve(), profile:resolve() | ||||
![]() ![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Encuentro de atención ambulatoria (Encounter) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Encuentro de atención de urgencias en salud (Encounter) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() ![]() |
SC | 0..* | Reference(Encuentro de hospitalización (Encounter) RDA) | A reference to data that supports this section | ||||
![]() ![]() ![]() ![]() |
C | 0..* | See section (Composition) | Nested Section | ||||
Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Composition.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsFrom the FHIR Standard | ||||
| Composition.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsFrom the FHIR Standard | ||||
| Composition.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Composition.status | required | CompositionStatushttp://hl7.org/fhir/ValueSet/composition-status|4.0.1From the FHIR Standard | ||||
| Composition.type | required | DocumentTypeValueSethttp://hl7.org/fhir/ValueSet/c80-doc-typecodesFrom the FHIR Standard | ||||
| Composition.category | example | DocumentClassValueSethttp://hl7.org/fhir/ValueSet/document-classcodesFrom the FHIR Standard | ||||
| Composition.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.author.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.confidentiality | required | Pattern Value: Nhttp://terminology.hl7.org/ValueSet/v3-ConfidentialityClassification|2014-03-26From the FHIR Standard | ||||
| Composition.attester.mode | required | Pattern Value: legalhttp://hl7.org/fhir/ValueSet/composition-attestation-mode|4.0.1From the FHIR Standard | ||||
| Composition.attester.party.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.custodian.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesFrom the FHIR Standard | ||||
| Composition.relatesTo.code | required | DocumentRelationshipTypehttp://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1From the FHIR Standard | ||||
| Composition.event.code | example | ActCodehttp://terminology.hl7.org/ValueSet/v3-ActCode | ||||
| Composition.section.code | example | DocumentSectionCodeshttp://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionMedications.code | example | Fixed Value: LOINC Code 10160-0("History of Medication use Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionMedications.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionMedications.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionAllergies.code | example | Fixed Value: LOINC Code 48765-2("Allergies and adverse reactions Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionAllergies.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionAllergies.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionProblems.code | example | Fixed Value: LOINC Code 11450-4("Problem list - Reported")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionProblems.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionProblems.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.code | example | Fixed Value: LOINC Code 47519-4("History of Procedures Document")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionProceduresHx.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionResults.code | example | Fixed Value: LOINC Code 30954-2("Relevant diagnostic tests/laboratory data note")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionResults.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionResults.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.code | example | Fixed Value: LOINC Code 10157-6("History of family member diseases Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionFamilyMemberHistory.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard | ||||
| Composition.section:sectionEncounters.code | example | Fixed Value: LOINC Code 67781-5("Summarization of encounter note Narrative")http://hl7.org/fhir/ValueSet/doc-section-codesFrom the FHIR Standard | ||||
| Composition.section:sectionEncounters.mode | required | ListModehttp://hl7.org/fhir/ValueSet/list-mode|4.0.1From the FHIR Standard | ||||
| Composition.section:sectionEncounters.orderedBy | preferred | ListOrderCodeshttp://hl7.org/fhir/ValueSet/list-orderFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section must contain at least one of text, entries, or sub-sections : text.exists() or entry.exists() or section.exists() | |
| cmp-2 | error | Composition.section, Composition.section:sectionMedications, Composition.section:sectionAllergies, Composition.section:sectionProblems, Composition.section:sectionProceduresHx, Composition.section:sectionResults, Composition.section:sectionFamilyMemberHistory, Composition.section:sectionEncounters | A section can only have an emptyReason if it is empty : emptyReason.empty() or entry.empty() | |
| dom-2 | error | Composition | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Composition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : 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-4 | error | Composition | If 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-5 | error | Composition | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Composition | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from Composition
Summary
Mandatory: 8 elements(13 nested mandatory elements)
Must-Support: 39 elements
Fixed: 21 elements
Prohibited: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron