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

• Content
• Detailed Descriptions
• Mappings
• JSON

Resource Profile: Resultado de procedimiento (Observation) RDA

Perfil FHIR de resultado de un procedimiento realizado a un paciente durante un encuentro de atención en salud, para su intercambio en un documento RDA en Colombia.

Ámbito

Este perfil define las restricciones y extensiones aplicables al recurso NombreDelRecursoFHIR, con el objetivo de estandarizar y representar [describir brevemente qué tipo de información se representa, por ejemplo: "los diagnósticos clínicos registrados durante una atención ambulatoria"], 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.

Uso previsto

Este perfil está diseñado para ser implementado por:

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

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

Restricciones y extensiones clave

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

Relación con otras guías o perfiles

Este perfil se basa en:

• Recurso FHIR R4
• Nombre del perfil base o guía: por ejemplo, "FHIR Core IG Colombia"

Consideraciones adicionales

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

Usages:

• Use this Profile: Paquete transaccional (Bundle) de documento RDA (Urgencias) and Paquete transaccional (Bundle) de documento RDA (Hospitalización)
• Refer to this Profile: Resumen Digital de Atención en Salud de Urgencias (RDA Urgencias), Resumen Digital de Atención en Salud de Hospitalización (RDA Hospitalización), Resumen Digital de Atención en Salud (RDA) 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status	?!Σ	1..1	code	Estatus del resultado Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	SΣ	1..1	CodeableConcept	Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code	SΣ	1..1	code	Código del procedimiento (código de la tecnología en salud)
display	SΣ	1..1	string	Nombre del procedimiento (Nombre de la tecnología en salud)
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	Fecha del resultado del procedimiento.
performer	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
device		0..1	Reference(Device | DeviceMetric)	Instrumento utilizado para medir el resultado observado
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	Identificación del instrumento para medir el resultado observado Example General: 123456
component	Σ	1..*	BackboneElement	Componente o parámetro del resultado observado
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	SΣ	1..1	string	Parámetro del resultado observado
value[x]	Σ	0..1		Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
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	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Observation.device.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 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

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/ProcedureResultRDA
identifier		..0
basedOn		..0
partOf		1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status				Estatus del resultado Fixed Value: final
code	S			Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code	S	1..		Código del procedimiento (código de la tecnología en salud)
display	S	1..		Nombre del procedimiento (Nombre de la tecnología en salud)
subject	S	1..	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
focus		..0
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]		1..		Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..1	dateTime	Fecha del resultado del procedimiento.
issued		..0
performer	S	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
value[x]		..0
dataAbsentReason		..0
interpretation		..0
note		..0
bodySite		..0
method		..0
specimen		..0
device				Instrumento utilizado para medir el resultado observado
identifier
value	S	1..		Identificación del instrumento para medir el resultado observado
referenceRange		..0
hasMember		..0
derivedFrom		..0
component		1..		Componente o parámetro del resultado observado
code
text	S	1..		Parámetro del resultado observado
value[x]				Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
dataAbsentReason		..0
interpretation		..0
referenceRange		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures 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/ProcedureResultRDA
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status	?!Σ	1..1	code	Estatus del resultado Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del procedimiento (código de la tecnología en salud)
display	SΣ	1..1	string	Nombre del procedimiento (Nombre de la tecnología en salud)
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 que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	Fecha del resultado del procedimiento.
performer	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
device		0..1	Reference(Device | DeviceMetric)	Instrumento utilizado para medir el resultado observado
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
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Identificación del instrumento para medir el resultado observado Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
component	Σ	1..*	BackboneElement	Componente o parámetro del resultado observado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) 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	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Parámetro del resultado observado
value[x]	Σ	0..1		Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Observation.device.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.device.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.device.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
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

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(12 nested mandatory elements)
Must-Support: 9 elements
Fixed: 3 elements
Prohibited: 17 elements

Structures

This structure refers to these other structures:

• Procedimiento realizado (Procedure) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA)
• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]

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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status	?!Σ	1..1	code	Estatus del resultado Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
code	SΣ	1..1	CodeableConcept	Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
coding	Σ	0..*	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code	SΣ	1..1	code	Código del procedimiento (código de la tecnología en salud)
display	SΣ	1..1	string	Nombre del procedimiento (Nombre de la tecnología en salud)
subject	SΣ	1..1	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	Fecha del resultado del procedimiento.
performer	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
device		0..1	Reference(Device | DeviceMetric)	Instrumento utilizado para medir el resultado observado
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	SΣ	1..1	string	Identificación del instrumento para medir el resultado observado Example General: 123456
component	Σ	1..*	BackboneElement	Componente o parámetro del resultado observado
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) Binding: LOINCCodes (example): Codes identifying names of simple observations.
text	SΣ	1..1	string	Parámetro del resultado observado
value[x]	Σ	0..1		Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
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	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Observation.device.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 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

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/ProcedureResultRDA
identifier		..0
basedOn		..0
partOf		1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status				Estatus del resultado Fixed Value: final
code	S			Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
coding
system		1..		Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
code	S	1..		Código del procedimiento (código de la tecnología en salud)
display	S	1..		Nombre del procedimiento (Nombre de la tecnología en salud)
subject	S	1..	Reference(Paciente (Patient) RDA)	Referencia al paciente que recibió el procedimiento
focus		..0
encounter	S		Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]		1..		Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	1..1	dateTime	Fecha del resultado del procedimiento.
issued		..0
performer	S	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
value[x]		..0
dataAbsentReason		..0
interpretation		..0
note		..0
bodySite		..0
method		..0
specimen		..0
device				Instrumento utilizado para medir el resultado observado
identifier
value	S	1..		Identificación del instrumento para medir el resultado observado
referenceRange		..0
hasMember		..0
derivedFrom		..0
component		1..		Componente o parámetro del resultado observado
code
text	S	1..		Parámetro del resultado observado
value[x]				Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
dataAbsentReason		..0
interpretation		..0
referenceRange		..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Observation.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures 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/ProcedureResultRDA
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
partOf	Σ	1..1	Reference(Procedimiento realizado (Procedure) RDA)	Referencia al procedimiento realizado
status	?!Σ	1..1	code	Estatus del resultado Binding: ObservationStatus (required): Codes providing the status of an observation. Fixed Value: final
category		0..*	CodeableConcept	Classification of type of observation Binding: ObservationCategoryCodes (preferred): Codes for high level observation categories.
code	SΣ	1..1	CodeableConcept	Código del prodecimiento Binding: ValueSet: CUPS Procedures (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: https://fhir.minsalud.gov.co/rda/CodeSystem/CUPS
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Código del procedimiento (código de la tecnología en salud)
display	SΣ	1..1	string	Nombre del procedimiento (Nombre de la tecnología en salud)
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 que recibió el procedimiento
encounter	SΣ	0..1	Reference(Encuentro de atención ambulatoria (Encounter) RDA | Encuentro de atención de urgencias en salud (Encounter) RDA | Encuentro de hospitalización (Encounter) RDA)	Referencia al encuentro durante el cual se realizó el procedimiento
Slices for effective[x]	Σ	1..1		Clinically relevant time/time-period for observation Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effectiveTiming			Timing
effectiveInstant			instant
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	Fecha del resultado del procedimiento.
performer	SΣ	1..1	Reference(Profesional de salud (Practitioner) RDA)	Referencia al profesional de salud que realizó el procedimiento
device		0..1	Reference(Device | DeviceMetric)	Instrumento utilizado para medir el resultado observado
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
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	Identificación del instrumento para medir el resultado observado Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
component	Σ	1..*	BackboneElement	Componente o parámetro del resultado observado
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	1..1	CodeableConcept	Type of component observation (code / type) 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	0..*	Coding	Code defined by a terminology system
text	SΣ	1..1	string	Parámetro del resultado observado
value[x]	Σ	0..1		Valor del resultado observado
valueQuantity			Quantity
valueCodeableConcept			CodeableConcept
valueString			string
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.category	preferred	ObservationCategoryCodes http://hl7.org/fhir/ValueSet/observation-category From the FHIR Standard
Observation.code	required	CoCUPSProcedures(a valid code from CodeSystem: Unified Codes of Procedures and Health Services - Colombia) https://fhir.minsalud.gov.co/rda/ValueSet/CoCUPSProcedures From this IG
Observation.device.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard
Observation.device.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Observation.device.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
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

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(12 nested mandatory elements)
Must-Support: 9 elements
Fixed: 3 elements
Prohibited: 17 elements

Structures

This structure refers to these other structures:

• Procedimiento realizado (Procedure) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/ProcedureRDA)
• Paciente (Patient) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PatientRDA)
• Encuentro de atención ambulatoria (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterAmbulatoryRDA)
• Encuentro de atención de urgencias en salud (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterEmergencyRDA)
• Encuentro de hospitalización (Encounter) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/EncounterHospitalizationRDA)
• Profesional de salud (Practitioner) RDA (https://fhir.minsalud.gov.co/rda/StructureDefinition/PractitionerRDA)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Observation.effective[x]

Other representations of profile: CSV, Excel, Schematron