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

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Resource Profile: Clasificación del Triage durante el encuentro de atención de urgencias (Observation) RDA

Perfil FHIR de el Triage de urgencias, para su intercambio en un documento RDA en Colombia.

Triage es el proceso rápido y sistemático de clasificar a los pacientes según la gravedad de su condición clínica, con el fin de priorizar la atención y optimizar el uso de los recursos disponibles en situaciones de urgencias.

El perfil ObservationTriageRDA define las restricciones y extensiones aplicables al recurso Observation para representar la clasificación de Triage de un paciente, durante un encuentro de atención de urgencias.

El recurso Observation en FHIR se utiliza para registrar mediciones, evaluaciones o aserciones clínicas. En este caso, se adapta para documentar la clasificación del Triage.

Este perfil forma parte del Resumen Digital de Atención (RDA) y contribuye a la interoperabilidad de la información ocupacional en el ecosistema de salud colombiano.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso Observation, con el objetivo de representar la ocupación del paciente en el momento del encuentro de atención en salud, de acuerdo con los códigos del Clasificador Internacional Uniforme de Ocupaciones CIUO-88 A.C..

Se aplica dentro del contexto de la interoperabilidad de la Historia Clínica Electrónica en Colombia, particularmente en el escenario de intercambio del Resumen Digital de Atención (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.

Uso previsto

Este perfil está diseñado para ser implementado por:

• Plataforma de interoperabilidad del Ministerio de Salud y Protección Social.
• Instituciones Prestadoras de Servicios de Salud.
• Sistemas de información en salud (HIS, HCE, LIS, 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 la terminología CIUO-88 A.C. para la representación de la ocupación del paciente.
• Se aplican restricciones sobre elementos obligatorios y cardinalidad (code, valueCodeableConcept, subject, encounter, effective[x]).
• Puede incluir extensiones para representar información ocupacional adicional relevante para el contexto colombiano.

Relación con otras guías o perfiles

Este perfil se basa en:

• Observation FHIR R4
• FHIR Core IG Colombia

Consideraciones adicionales

• Este perfil no sustituye las obligaciones legales sobre el registro clínico.
• La información de la ocupación debe estar en concordancia con los lineamientos establecidos por el Ministerio de Salud y Protección Social.
• Se recomienda verificar la conformidad de su implementación antes de su despliegue en producción.

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Urgencias)
• Refer to this Profile: Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias) and Nota aclaratoria, posterior al reporte del encuentro de atención (Observation) RDA

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.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	Σ	1..1	CodeableConcept	Tipo de observación Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Sistema de codificación para el tipo de observación
system	Σ	1..1	uri	Sistema de codificación Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Código de la observación Fixed Value: 225390008
display	Σ	1..1	string	Descripción del código de la observación Fixed Value: triaje
text	Σ	1..1	string	Texto descriptivo del tipo de observación Fixed Value: Triage
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
encounter	Σ	0..1	Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]	Σ	1..1	dateTime	Fecha y hora de la observación del Triage
value[x]	ΣC	1..1	CodeableConcept	Valor de la observación
coding	Σ	1..1	Coding	Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
system	Σ	1..1	uri	Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
code	SΣ	1..1	code	01 | 01 | 03 | 04 | 05
display	SΣ	1..1	string	Triage I | Triage II | Triage III | Triage IV | Triage V
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ObservationTriageRDA
extension		..0
modifierExtension		..0
identifier		..0
basedOn		..0
partOf		..0
status				Fixed Value: final
category		..0
code				Tipo de observación
coding		1..1		Sistema de codificación para el tipo de observación
system		1..		Sistema de codificación Fixed Value: http://snomed.info/sct
code		1..		Código de la observación Fixed Value: 225390008
display		1..		Descripción del código de la observación Fixed Value: triaje
text		1..		Texto descriptivo del tipo de observación Fixed Value: Triage
subject	S	1..	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
focus		..0
encounter			Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]		1..	dateTime	Fecha y hora de la observación del Triage
issued		..0
performer		..0
value[x]		1..	CodeableConcept	Valor de la observación
coding		1..1		Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
system		1..		Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
code	S	1..		01 | 01 | 03 | 04 | 05
display	S	1..		Triage I | Triage II | Triage III | Triage IV | Triage V
text		..0
dataAbsentReason		..0
interpretation		..0
note		..0
bodySite		..0
method		..0
specimen		..0
device		..0
referenceRange		..0
hasMember		..0
derivedFrom		..0
component		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ObservationTriageRDA
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	Σ	1..1	CodeableConcept	Tipo de observación Binding: LOINCCodes (example): Codes identifying names of simple observations.
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	1..1	Coding	Sistema de codificación para el tipo de observación
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	Sistema de codificación Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código de la observación Fixed Value: 225390008
display	Σ	1..1	string	Descripción del código de la observación Fixed Value: triaje
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	1..1	string	Texto descriptivo del tipo de observación Fixed Value: Triage
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
encounter	Σ	0..1	Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]	Σ	1..1	dateTime	Fecha y hora de la observación del Triage
value[x]	ΣC	1..1	CodeableConcept	Valor de la observación
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	1..1	Coding	Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	01 | 01 | 03 | 04 | 05
display	SΣ	1..1	string	Triage I | Triage II | Triage III | Triage IV | Triage V
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 0 element(13 nested mandatory elements)
Must-Support: 3 elements
Fixed: 7 elements
Prohibited: 21 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	Σ	1..1	CodeableConcept	Tipo de observación Binding: LOINCCodes (example): Codes identifying names of simple observations.
coding	Σ	1..1	Coding	Sistema de codificación para el tipo de observación
system	Σ	1..1	uri	Sistema de codificación Fixed Value: http://snomed.info/sct
code	Σ	1..1	code	Código de la observación Fixed Value: 225390008
display	Σ	1..1	string	Descripción del código de la observación Fixed Value: triaje
text	Σ	1..1	string	Texto descriptivo del tipo de observación Fixed Value: Triage
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
encounter	Σ	0..1	Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]	Σ	1..1	dateTime	Fecha y hora de la observación del Triage
value[x]	ΣC	1..1	CodeableConcept	Valor de la observación
coding	Σ	1..1	Coding	Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
system	Σ	1..1	uri	Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
code	SΣ	1..1	code	01 | 01 | 03 | 04 | 05
display	SΣ	1..1	string	Triage I | Triage II | Triage III | Triage IV | Triage V
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

Differential View

This structure is derived from Observation

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation			Observation
meta
profile		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ObservationTriageRDA
extension		..0
modifierExtension		..0
identifier		..0
basedOn		..0
partOf		..0
status				Fixed Value: final
category		..0
code				Tipo de observación
coding		1..1		Sistema de codificación para el tipo de observación
system		1..		Sistema de codificación Fixed Value: http://snomed.info/sct
code		1..		Código de la observación Fixed Value: 225390008
display		1..		Descripción del código de la observación Fixed Value: triaje
text		1..		Texto descriptivo del tipo de observación Fixed Value: Triage
subject	S	1..	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
focus		..0
encounter			Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]		1..	dateTime	Fecha y hora de la observación del Triage
issued		..0
performer		..0
value[x]		1..	CodeableConcept	Valor de la observación
coding		1..1		Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
system		1..		Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
code	S	1..		01 | 01 | 03 | 04 | 05
display	S	1..		Triage I | Triage II | Triage III | Triage IV | Triage V
text		..0
dataAbsentReason		..0
interpretation		..0
note		..0
bodySite		..0
method		..0
specimen		..0
device		..0
referenceRange		..0
hasMember		..0
derivedFrom		..0
component		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Observation	C	0..*	Observation	Measurements and simple assertions Constraints: obs-6, obs-7
id	Σ	0..1	string	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: https://fhir.minsalud.gov.co/rda/StructureDefinition/ObservationTriageRDA
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	Σ	1..1	CodeableConcept	Tipo de observación Binding: LOINCCodes (example): Codes identifying names of simple observations.
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	1..1	Coding	Sistema de codificación para el tipo de observación
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	Sistema de codificación Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Código de la observación Fixed Value: 225390008
display	Σ	1..1	string	Descripción del código de la observación Fixed Value: triaje
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	1..1	string	Texto descriptivo del tipo de observación Fixed Value: Triage
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Paciente asociado a la observación
encounter	Σ	0..1	Reference(Encuentro de atención de urgencias en salud (Encounter) RDA)	Encuentro de atención en salud asociado a la observación
effective[x]	Σ	1..1	dateTime	Fecha y hora de la observación del Triage
value[x]	ΣC	1..1	CodeableConcept	Valor de la observación
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	1..1	Coding	Sistema de codificación para el valor de la observación Binding: ValueSet: Clasificación de Triage. (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Sistema de codificación Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/ClaseTriage
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	01 | 01 | 03 | 04 | 05
display	SΣ	1..1	string	Triage I | Triage II | Triage III | Triage IV | Triage V
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Observation.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Observation.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags From the FHIR Standard
Observation.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Observation.status	required	Fixed Value: final http://hl7.org/fhir/ValueSet/observation-status|4.0.1 From the FHIR Standard
Observation.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.value[x].coding	required	ClaseTriageCodigos(a valid code from CodeSystem: Clasificación de Triage.) https://fhir.minsalud.gov.co/rda/ValueSet/ClaseTriageCodigos From this IG
Observation.referenceRange.type	preferred	ObservationReferenceRangeMeaningCodes http://hl7.org/fhir/ValueSet/referencerange-meaning From the FHIR Standard
Observation.referenceRange.appliesTo	example	ObservationReferenceRangeAppliesToCodes http://hl7.org/fhir/ValueSet/referencerange-appliesto From the FHIR Standard
Observation.component.code	example	LOINCCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/observation-codes From the FHIR Standard
Observation.component.dataAbsentReason	extensible	DataAbsentReason http://hl7.org/fhir/ValueSet/data-absent-reason From the FHIR Standard
Observation.component.interpretation	extensible	ObservationInterpretationCodes http://hl7.org/fhir/ValueSet/observation-interpretation From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Observation	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Observation	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	Observation	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	Observation	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Observation	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()
obs-6	error	Observation	dataAbsentReason SHALL only be present if Observation.value[x] is not present : dataAbsentReason.empty() or value.empty()
obs-7	error	Observation	If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present : value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()

This structure is derived from Observation

Summary

Mandatory: 0 element(13 nested mandatory elements)
Must-Support: 3 elements
Fixed: 7 elements
Prohibited: 21 elements

Structures

This structure refers to these other structures:

• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)

Other representations of profile: CSV, Excel, Schematron