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

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

Resource Profile: Profile: Document Reference - RDA

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

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

Perfil FHIR para la referencia de documentos FHIR RDA en Colombia, siguiendo el perfil IHE XDS (Cross-enterprise Document Sharing).

Documento clínico o administrativo relacionado con la atención en salud de un paciente, que se adjunta en la historia clínica electrónica como soporte en formato electrónico (por ejemplo, PDF).

La referencia de documentos FHIR permite adjuntar, identificar y compartir información relevante del resumen de la historia clínica de la persona que ha recibido servicios de urgencia con observación, internación (hospitalización) o procedimientos quirúrgicos, cuyo contenido, según la resolución 2284 de 2023, se especifica acontinuación (Ver: ANEXO TÉCNICO NO. 1, SOPORTES DE COBRO):

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso FHIR DocumentReference (Referencia de Documentos), con el objetivo de estandarizar y representar la información de documentos de soporte clínico o administrativo adjuntos en la historia clínica electrónica del paciente, dentro del contexto del Resumen Digital de Atención en salud (RDA).

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

Características

  • Permite adjuntar documentos relevantes como soportes clínicos o administrativos en formato electrónico (por ejemplo, PDF).
  • Incluye resultados de exámenes, informes de laboratorio, consentimientos informados, imágenes diagnósticas y otros documentos relevantes para la atención en salud.
  • Facilita la continuidad del cuidado y la disponibilidad de información de soporte en procesos de atención e interoperabilidad.
  • Registra metadatos clave como tipo de documento, autor, fecha, descripción y contexto clínico asociado.
  • Se expresa mediante terminologías estandarizadas como LOINC, SNOMED CT y códigos controlados nacionales.

Uso previsto

Este perfil está diseñado para ser implementado por:

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

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

Restricciones y extensiones clave

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

Relación con otras guías o perfiles

Este perfil se basa en:

Consideraciones adicionales

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

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference Documento de referencia - Composition (Paciente, Consulta, Urgencias u Hospitalización) RDA
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Identificador maestro del documento (código vida)
.... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... type Σ 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding Sistema de codificación LOINC
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display Σ 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... category Σ 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date Σ 0..1 instant Fecha del documento
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
... description Σ 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel Σ 1..1 CodeableConcept Etiqueta de seguridad del documento
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..1 BackboneElement Indexación del documento FHIR - RDA
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Referencia al recurso Composition del documento RDA
..... url Σ 1..1 url URL relativa del documento RDA indexado.
Example General: http://www.acme.com/logo-small.png
.... format Σ 0..1 Coding Formato del contenido del documento
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display Σ 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
... context Σ 0..1 BackboneElement Contexto del encuento de atención en salud
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.statusrequiredFixed Value: current
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.formatpreferredFixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference Documento de referencia - Composition (Paciente, Consulta, Urgencias u Hospitalización) RDA
... meta
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/DocumentReferenceRDA
... masterIdentifier 0..1 Identifier Identificador maestro del documento (código vida)
.... use 0..0
.... type 0..0
.... system 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value S 1..1 string The value that is unique
.... period 0..0
.... assigner 0..0
... identifier 0..0
... docStatus 0..0
... type 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC 1..1 Coding Sistema de codificación LOINC
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... category 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
..... display 0..1 string Representation defined by the system
Fixed Value: Clinical presentation Document
... subject S 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date 0..1 instant Fecha del documento
... author S 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
... relatesTo 0..0
... description 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel 1..1 CodeableConcept Etiqueta de seguridad del documento
.... coding
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: R
..... display 1..1 string Representation defined by the system
Fixed Value: restricted
... content 1..1 BackboneElement Indexación del documento FHIR - RDA
.... attachment 1..1 Attachment Referencia al recurso Composition del documento RDA
..... contentType 0..0
..... data 0..0
..... url 1..1 url URL relativa del documento RDA indexado.
.... format 0..1 Coding Formato del contenido del documento
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
... context 0..1 BackboneElement Contexto del encuento de atención en salud
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento
.... event 0..0
.... period 0..0
.... facilityType 0..0
.... practiceSetting 0..0
.... sourcePatientInfo 0..0
.... related 0..0

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

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/DocumentReferenceRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Identificador maestro del documento (código vida)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code Valor por defecto: current
Binding: DocumentReferenceStatus (required): The status of the document reference.
Fixed Value: current
... type Σ 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding Sistema de codificación LOINC
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display Σ 1..1 string Representation defined by the system
Fixed Value: Discharge summary
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
..... display Σ 0..1 string Representation defined by the system
Fixed Value: Clinical presentation Document
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date Σ 0..1 instant Fecha del documento
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... description Σ 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel Σ 1..1 CodeableConcept Etiqueta de seguridad del documento
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: R
..... display Σ 1..1 string Representation defined by the system
Fixed Value: restricted
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... content Σ 1..1 BackboneElement Indexación del documento FHIR - RDA
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Referencia al recurso Composition del documento RDA
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... url Σ 1..1 url URL relativa del documento RDA indexado.
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 0..1 Coding Formato del contenido del documento
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display Σ 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... context Σ 0..1 BackboneElement Contexto del encuento de atención en salud
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.statusrequiredFixed Value: current
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.custodian.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.attachment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.content.formatpreferredFixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference Documento de referencia - Composition (Paciente, Consulta, Urgencias u Hospitalización) RDA
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Identificador maestro del documento (código vida)
.... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... type Σ 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding Sistema de codificación LOINC
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display Σ 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... category Σ 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date Σ 0..1 instant Fecha del documento
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
... description Σ 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel Σ 1..1 CodeableConcept Etiqueta de seguridad del documento
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..1 BackboneElement Indexación del documento FHIR - RDA
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Referencia al recurso Composition del documento RDA
..... url Σ 1..1 url URL relativa del documento RDA indexado.
Example General: http://www.acme.com/logo-small.png
.... format Σ 0..1 Coding Formato del contenido del documento
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display Σ 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
... context Σ 0..1 BackboneElement Contexto del encuento de atención en salud
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.statusrequiredFixed Value: current
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.formatpreferredFixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference 0..* DocumentReference Documento de referencia - Composition (Paciente, Consulta, Urgencias u Hospitalización) RDA
... meta
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/DocumentReferenceRDA
... masterIdentifier 0..1 Identifier Identificador maestro del documento (código vida)
.... use 0..0
.... type 0..0
.... system 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value S 1..1 string The value that is unique
.... period 0..0
.... assigner 0..0
... identifier 0..0
... docStatus 0..0
... type 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
.... Slices for coding 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC 1..1 Coding Sistema de codificación LOINC
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display 1..1 string Representation defined by the system
Fixed Value: Discharge summary
... category 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
.... coding
..... system 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 0..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
..... display 0..1 string Representation defined by the system
Fixed Value: Clinical presentation Document
... subject S 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date 0..1 instant Fecha del documento
... author S 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
... relatesTo 0..0
... description 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel 1..1 CodeableConcept Etiqueta de seguridad del documento
.... coding
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: R
..... display 1..1 string Representation defined by the system
Fixed Value: restricted
... content 1..1 BackboneElement Indexación del documento FHIR - RDA
.... attachment 1..1 Attachment Referencia al recurso Composition del documento RDA
..... contentType 0..0
..... data 0..0
..... url 1..1 url URL relativa del documento RDA indexado.
.... format 0..1 Coding Formato del contenido del documento
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
... context 0..1 BackboneElement Contexto del encuento de atención en salud
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento
.... event 0..0
.... period 0..0
.... facilityType 0..0
.... practiceSetting 0..0
.... sourcePatientInfo 0..0
.... related 0..0

doco Documentation for this format

Snapshot View

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

Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/DocumentReferenceRDA
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... masterIdentifier Σ 0..1 Identifier Identificador maestro del documento (código vida)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... system Σ 0..1 uri The namespace for the identifier value
Fixed Value: https://fhir.minsalud.gov.co/rda/NamingSystem/identifier-RDA
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!Σ 1..1 code Valor por defecto: current
Binding: DocumentReferenceStatus (required): The status of the document reference.
Fixed Value: current
... type Σ 1..1 CodeableConcept Tipo de documento (Basado en Loinc y RDA)
Binding: DocumentTypeValueSet (preferred): Precise type of clinical document.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... Slices for coding Σ 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:system
..... coding:LOINC Σ 1..1 Coding Sistema de codificación LOINC
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: 18842-5
...... display Σ 1..1 string Representation defined by the system
Fixed Value: Discharge summary
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 1..1 CodeableConcept Categoría del documento (Basado en Loinc)
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 0..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: 55108-5
..... display Σ 0..1 string Representation defined by the system
Fixed Value: Clinical presentation Document
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Paciente (Patient) RDA) Referencia al paciente a quien pertenece el documento
... date Σ 0..1 instant Fecha del documento
... author SΣ 1..1 Reference(Institución Prestadora de Servicios de Salud (Organization) RDA | Profesional de salud (Practitioner) RDA) Institución Prestadora de Servicios de Salud o Profesional de la salud que genera el documento
... authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document
... custodian 1..1 Reference(Organization) Organización responsable de la custodia del documento
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
Required Pattern: Organization/MinSalud
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... description Σ 1..1 string Descripción del documento
Fixed Value: Documento FHIR del encuentro de atención en salud - RDA
... securityLabel Σ 1..1 CodeableConcept Etiqueta de seguridad del documento
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-Confidentiality
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: R
..... display Σ 1..1 string Representation defined by the system
Fixed Value: restricted
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... content Σ 1..1 BackboneElement Indexación del documento FHIR - RDA
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Referencia al recurso Composition del documento RDA
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding

Example General: en-AU
..... url Σ 1..1 url URL relativa del documento RDA indexado.
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 unsignedInt Number of bytes of content (if url provided)
..... hash Σ 0..1 base64Binary Hash of the data (sha-1, base64ed)
..... title Σ 0..1 string Label to display in place of the data
Example General: Official Corporate Logo
..... creation Σ 0..1 dateTime Date attachment was first created
.... format Σ 0..1 Coding Formato del contenido del documento
Binding: DocumentReferenceFormatCodeSet (preferred): Document Format Codes.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
Fixed Value: http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
..... display Σ 0..1 string Representation defined by the system
Fixed Value: mimeType Sufficient
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
... context Σ 0..1 BackboneElement Contexto del encuento de atención en salud
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... encounter S 1..1 Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA) Referencia al encuento de atención en salud asociado al documento

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DocumentReference.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
From the FHIR Standard
DocumentReference.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.statusrequiredFixed Value: current
http://hl7.org/fhir/ValueSet/document-reference-status|4.0.1
From the FHIR Standard
DocumentReference.typepreferredDocumentTypeValueSet
http://hl7.org/fhir/ValueSet/c80-doc-typecodes
From the FHIR Standard
DocumentReference.categoryexampleDocumentClassValueSet
http://hl7.org/fhir/ValueSet/document-classcodes
From the FHIR Standard
DocumentReference.custodian.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
From the FHIR Standard
DocumentReference.relatesTo.coderequiredDocumentRelationshipType
http://hl7.org/fhir/ValueSet/document-relationship-type|4.0.1
From the FHIR Standard
DocumentReference.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
From the FHIR Standard
DocumentReference.content.attachment.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
DocumentReference.content.formatpreferredFixed Value: urn:ihe:iti:xds:2017:mimeTypeSufficient
http://hl7.org/fhir/ValueSet/formatcodes
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorDocumentReferenceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorDocumentReferenceIf 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-4errorDocumentReferenceIf 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-5errorDocumentReferenceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceDocumentReferenceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron