ÚNICAS Rare Diseases HL7 FHIR Implementation Guide
0.0.2 - draft

ÚNICAS Rare Diseases HL7 FHIR Implementation Guide - Local Development build (v0.0.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: DocumentReference Documento en Base64 ÚNICAS

Official URL: https://unicas-fhir.sanidad.gob.es/StructureDefinition/UNICASDocumentReference Version: 0.0.2
Draft as of 2025-11-10 Computable Name: UNICASDocumentReference

Este profile define las restricciones del recurso DocumentReference para representar un documento clínico en el contexto del caso de uso de ÚNICAS.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference A reference to a document
Constraints: docRef-1, docRef-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system ΣC 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el documento
Example General: 123456
Example ÚNICAS: 123456
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type Σ 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference ΣC 0..1 string Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... 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 Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 0..1 uri OID registro de número de CIP-SNS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
.... display ΣC 0..1 string Nombre completo del paciente
... context C 0..* Reference(Encounter Interacción Clínica ÚNICAS) Referencia a la interacción clínica
.... reference ΣC 0..1 string Referencia recurso FHIR
.... type Σ 0..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Identificador del recurso FHIR
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 0..1 uri Sistema para identificar el origen
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 123456
Example ÚNICAS: 123456
... date Σ 1..1 instant Fecha de publicación del informe/información
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... reference ΣC 0..1 string Referencia recurso FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 0..1 uri OID registro de número de REGCESS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value ΣC 0..1 string Código REGCESS
Example General: 123456
Example ÚNICAS: 0123456789
.... display ΣC 0..1 string Nombre completo de la institución
... description Σ 1..1 markdown Título del informe/información ÚNICAS
... content Σ 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... contentType ΣC 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
..... data C 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url Σ 1..1 url URL del datos en formato Base64 (recurso Binary)
Example General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍5.0.0 FHIR Std.
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.subject.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
DocumentReference.context.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.custodian.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.contentType Base required Mime Types 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference 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 DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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()
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReference
... identifier 1..* Identifier Identificador único
.... system C 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example ÚNICAS: urn:regcess:0123456789
.... value 1..1 string Identificador interno del sistema para el documento
Example ÚNICAS: 123456
... type 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
.... coding
..... system 1..1 uri URL del refset Documentos del CMDIC | URL del SNOMED CT. Extensión para España del SNS
..... code 1..1 code Código del tipo de informe/información ÚNICAS
..... display 1..1 string Descripción del tipo de informe/información ÚNICAS
... subject 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference 0..1 string Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type 1..1 uri Tipo de recurso FHIR
.... identifier 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... type 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... coding
....... system 0..1 uri URL del SNOMED CT. Extensión para España del SNS
....... code 0..1 code Código del identificador
....... display 0..1 string Decripción del identificador
..... system 0..1 uri OID registro de número de CIP-SNS
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value 0..1 string Número CIP-SNS
Example ÚNICAS: BBBBBBBBQR648597
.... display 0..1 string Nombre completo del paciente
.... reference 0..1 string Referencia recurso FHIR
.... type 0..1 uri Tipo de recurso FHIR
.... identifier 0..1 Identifier Identificador del recurso FHIR
..... system 0..1 uri Sistema para identificar el origen
Example ÚNICAS: urn:regcess:0123456789
..... value 0..1 string Identificador interno del sistema para la interacción clínica
Example ÚNICAS: 123456
... date 1..1 instant Fecha de publicación del informe/información
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... reference 0..1 string Referencia recurso FHIR
.... type 1..1 uri Tipo de recurso FHIR
.... identifier 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... system 0..1 uri OID registro de número de REGCESS
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value 0..1 string Código REGCESS
Example ÚNICAS: 0123456789
.... display 0..1 string Nombre completo de la institución
... description 1..1 markdown Título del informe/información ÚNICAS
... content 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... attachment
..... contentType 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
..... data 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url 1..1 url URL del datos en formato Base64 (recurso Binary)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference A reference to a document
Constraints: docRef-1, docRef-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Identificador único
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system ΣC 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el documento
Example General: 123456
Example ÚNICAS: 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)
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 0..* Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): Status of the underlying document.
... modality Σ 0..* CodeableConcept Imaging modality used
Binding: Modality (extensible): Type of acquired data in the instance.
... type Σ 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
.... id 0..1 id 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 id 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 URL del refset Documentos del CMDIC | URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del tipo de informe/información ÚNICAS
..... display ΣC 1..1 string Descripción del tipo de informe/información ÚNICAS
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of document
Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... id 0..1 id 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 Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... id 0..1 id 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 Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... id 0..1 id 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 id 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 URL del SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... 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
..... system Σ 0..1 uri OID registro de número de CIP-SNS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
..... 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 ΣC 0..1 string Nombre completo del paciente
... context C 0..* Reference(Encounter Interacción Clínica ÚNICAS) Referencia a la interacción clínica
.... id 0..1 id 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 Referencia recurso FHIR
.... type Σ 0..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Identificador del recurso FHIR
..... id 0..1 id 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: IdentifierTypeCodes (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 Sistema para identificar el origen
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 123456
Example ÚNICAS: 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 ΣC 0..1 string Text alternative for the resource
... event 0..* CodeableReference() Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... bodySite Σ 0..* CodeableReference(BodyStructure) Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... facilityType C 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
... practiceSetting C 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period Σ 0..1 Period Time of service that is being documented
... date Σ 1..1 instant Fecha de publicación del informe/información
... author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) Who and/or what authored the document
... attester 0..* BackboneElement Attests to accuracy of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
.... time 0..1 dateTime When the document was attested
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the document
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... id 0..1 id 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 Referencia recurso FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... id 0..1 id 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: IdentifierTypeCodes (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 OID registro de número de REGCESS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value ΣC 0..1 string Código REGCESS
Example General: 123456
Example ÚNICAS: 0123456789
..... 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 ΣC 0..1 string Nombre completo de la institución
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 1..1 markdown Título del informe/información ÚNICAS
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... 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 Where to access the document
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
..... data C 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url Σ 1..1 url URL del datos en formato Base64 (recurso Binary)
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 integer64 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
..... height 0..1 positiveInt Height of the image in pixels (photo/video)
..... width 0..1 positiveInt Width of the image in pixels (photo/video)
..... frames 0..1 positiveInt Number of frames if > 1 (photo)
..... duration 0..1 decimal Length in seconds (audio / video)
..... pages 0..1 positiveInt Number of printed pages
.... profile Σ 0..* BackboneElement Content profile rules for the document
..... 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
..... value[x] Σ 1..1 Code|uri|canonical
Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍5.0.0 FHIR Std.
DocumentReference.docStatus Base required Composition Status 📍5.0.0 FHIR Std.
DocumentReference.modality Base extensible ​ Modality (missing link) 📦2022.4.20221006 This IG
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
DocumentReference.subject.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
DocumentReference.context.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.event Base example v3 Code System ActCode 📦3.0.0 THO v6.5
DocumentReference.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
DocumentReference.facilityType Base example Facility Type Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
DocumentReference.custodian.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.securityLabel Base example Example set of Security Labels 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.contentType Base required Mime Types 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base preferred HL7 ValueSet of Format Codes for use with Document Sharing 📦2.1.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference 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 DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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()
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference A reference to a document
Constraints: docRef-1, docRef-2
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system ΣC 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el documento
Example General: 123456
Example ÚNICAS: 123456
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... type Σ 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference ΣC 0..1 string Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... 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 Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
..... system Σ 0..1 uri OID registro de número de CIP-SNS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
.... display ΣC 0..1 string Nombre completo del paciente
... context C 0..* Reference(Encounter Interacción Clínica ÚNICAS) Referencia a la interacción clínica
.... reference ΣC 0..1 string Referencia recurso FHIR
.... type Σ 0..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Identificador del recurso FHIR
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 0..1 uri Sistema para identificar el origen
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 123456
Example ÚNICAS: 123456
... date Σ 1..1 instant Fecha de publicación del informe/información
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... reference ΣC 0..1 string Referencia recurso FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
..... system Σ 0..1 uri OID registro de número de REGCESS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value ΣC 0..1 string Código REGCESS
Example General: 123456
Example ÚNICAS: 0123456789
.... display ΣC 0..1 string Nombre completo de la institución
... description Σ 1..1 markdown Título del informe/información ÚNICAS
... content Σ 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... attachment Σ 1..1 Attachment Where to access the document
..... contentType ΣC 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
..... data C 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url Σ 1..1 url URL del datos en formato Base64 (recurso Binary)
Example General: http://www.acme.com/logo-small.png

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍5.0.0 FHIR Std.
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.subject.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
DocumentReference.context.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.custodian.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.contentType Base required Mime Types 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference 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 DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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()
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

Differential View

This structure is derived from DocumentReference

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference DocumentReference
... identifier 1..* Identifier Identificador único
.... system C 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example ÚNICAS: urn:regcess:0123456789
.... value 1..1 string Identificador interno del sistema para el documento
Example ÚNICAS: 123456
... type 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
.... coding
..... system 1..1 uri URL del refset Documentos del CMDIC | URL del SNOMED CT. Extensión para España del SNS
..... code 1..1 code Código del tipo de informe/información ÚNICAS
..... display 1..1 string Descripción del tipo de informe/información ÚNICAS
... subject 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... reference 0..1 string Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type 1..1 uri Tipo de recurso FHIR
.... identifier 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... type 0..1 CodeableConcept Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... coding
....... system 0..1 uri URL del SNOMED CT. Extensión para España del SNS
....... code 0..1 code Código del identificador
....... display 0..1 string Decripción del identificador
..... system 0..1 uri OID registro de número de CIP-SNS
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value 0..1 string Número CIP-SNS
Example ÚNICAS: BBBBBBBBQR648597
.... display 0..1 string Nombre completo del paciente
.... reference 0..1 string Referencia recurso FHIR
.... type 0..1 uri Tipo de recurso FHIR
.... identifier 0..1 Identifier Identificador del recurso FHIR
..... system 0..1 uri Sistema para identificar el origen
Example ÚNICAS: urn:regcess:0123456789
..... value 0..1 string Identificador interno del sistema para la interacción clínica
Example ÚNICAS: 123456
... date 1..1 instant Fecha de publicación del informe/información
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... reference 0..1 string Referencia recurso FHIR
.... type 1..1 uri Tipo de recurso FHIR
.... identifier 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... system 0..1 uri OID registro de número de REGCESS
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value 0..1 string Código REGCESS
Example ÚNICAS: 0123456789
.... display 0..1 string Nombre completo de la institución
... description 1..1 markdown Título del informe/información ÚNICAS
... content 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... attachment
..... contentType 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
..... data 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url 1..1 url URL del datos en formato Base64 (recurso Binary)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. DocumentReference C 0..* DocumentReference A reference to a document
Constraints: docRef-1, docRef-2
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... 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 ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier Σ 1..* Identifier Identificador único
.... id 0..1 id 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: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system ΣC 1..1 uri Sistema para identificar el origen
Constraints: regcess-system
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
.... value ΣC 1..1 string Identificador interno del sistema para el documento
Example General: 123456
Example ÚNICAS: 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)
... version Σ 0..1 string An explicitly assigned identifer of a variation of the content in the DocumentReference
... basedOn 0..* Reference(Appointment | AppointmentResponse | CarePlan | Claim | CommunicationRequest | Contract | CoverageEligibilityRequest | DeviceRequest | EnrollmentRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | RequestOrchestration | ServiceRequest | SupplyRequest | VisionPrescription) Procedure that caused this media to be created
... status ?!Σ 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required): The status of the document reference.
... docStatus Σ 0..1 code registered | partial | preliminary | final | amended | corrected | appended | cancelled | entered-in-error | deprecated | unknown
Binding: CompositionStatus (required): Status of the underlying document.
... modality Σ 0..* CodeableConcept Imaging modality used
Binding: Modality (extensible): Type of acquired data in the instance.
... type Σ 1..1 CodeableConcept Tipo de informe/información ÚNICAS
Binding: Value set de Tipos de informes para ÚNICAS (preferred): Value set de Tipos de informes para ÚNICAS
.... id 0..1 id 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 id 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 URL del refset Documentos del CMDIC | URL del SNOMED CT. Extensión para España del SNS
..... version Σ 0..1 string Version of the system - if relevant
..... code ΣC 1..1 code Código del tipo de informe/información ÚNICAS
..... display ΣC 1..1 string Descripción del tipo de informe/información ÚNICAS
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text Σ 0..1 string Plain text representation of the concept
... category Σ 0..* CodeableConcept Categorization of document
Binding: ReferencedItemCategoryValueSet (example): High-level kind of document at a macro level.
... subject Σ 1..1 Reference(Patient Paciente ÚNICAS) Referencia al paciente
.... id 0..1 id 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 Referencia recurso FHIR. Identificador de la referencia del recurso FHIR asociado cuando exista/creamos un recurso en el mismo servidor FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de paciente CIP-SNS. Cuando no tengamos recurso Patient, se debera informar el identificador de paciente mediante CIP-SNS
..... id 0..1 id 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 Tipos de documentos de identificación para persona ÚNICAS
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
Additional BindingsPurposeDocumentation
Value set de Tipos de documentos de identificación para persona ÚNICAS Extensible
...... id 0..1 id 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 id 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 URL del SNOMED CT. Extensión para España del SNS
....... version Σ 0..1 string Version of the system - if relevant
....... code ΣC 0..1 code Código del identificador
....... display ΣC 0..1 string Decripción del identificador
....... 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
..... system Σ 0..1 uri OID registro de número de CIP-SNS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.40
..... value ΣC 0..1 string Número CIP-SNS
Example General: 123456
Example ÚNICAS: BBBBBBBBQR648597
..... 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 ΣC 0..1 string Nombre completo del paciente
... context C 0..* Reference(Encounter Interacción Clínica ÚNICAS) Referencia a la interacción clínica
.... id 0..1 id 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 Referencia recurso FHIR
.... type Σ 0..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 0..1 Identifier Identificador del recurso FHIR
..... id 0..1 id 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: IdentifierTypeCodes (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 Sistema para identificar el origen
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:regcess:0123456789
..... value ΣC 0..1 string Identificador interno del sistema para la interacción clínica
Example General: 123456
Example ÚNICAS: 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 ΣC 0..1 string Text alternative for the resource
... event 0..* CodeableReference() Main clinical acts documented
Binding: v3 Code System ActCode (example): This list of codes represents the main clinical acts being documented.
... bodySite Σ 0..* CodeableReference(BodyStructure) Body part included
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts
... facilityType C 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.
... practiceSetting C 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).
... period Σ 0..1 Period Time of service that is being documented
... date Σ 1..1 instant Fecha de publicación del informe/información
... author Σ 0..* Reference(Practitioner | PractitionerRole | Organization | Device | Patient | RelatedPerson | CareTeam) Who and/or what authored the document
... attester 0..* BackboneElement Attests to accuracy of the document
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... mode 1..1 CodeableConcept personal | professional | legal | official
Binding: CompositionAttestationMode (preferred): The way in which a person authenticated a document.
.... time 0..1 dateTime When the document was attested
.... party 0..1 Reference(Patient | RelatedPerson | Practitioner | PractitionerRole | Organization) Who attested the document
... custodian 1..1 Reference(Organization Institución ÚNICAS) Referencia a la institución
.... id 0..1 id 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 Referencia recurso FHIR
.... type Σ 1..1 uri Tipo de recurso FHIR
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier ΣC 1..1 Identifier Identificador de la institución. Cuando no tengamos recurso Organization, se debera informar el identificador de institución mediante código REGCESS
..... id 0..1 id 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: IdentifierTypeCodes (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 OID registro de número de REGCESS
Example General: http://www.acme.com/identifiers/patient
Example ÚNICAS: urn:oid:2.16.724.4.21.5.10
..... value ΣC 0..1 string Código REGCESS
Example General: 123456
Example ÚNICAS: 0123456789
..... 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 ΣC 0..1 string Nombre completo de la institución
... relatesTo Σ 0..* BackboneElement Relationships to other documents
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code Σ 1..1 CodeableConcept The relationship type with another document
Binding: DocumentRelationshipType (extensible): The type of relationship between the documents.
.... target Σ 1..1 Reference(DocumentReference) Target of the relationship
... description Σ 1..1 markdown Título del informe/información ÚNICAS
... securityLabel Σ 0..* CodeableConcept Document security-tags
Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
... content Σ 1..* BackboneElement Contenido del documento codificado en Base64, que puede incluir formatos como PDF o HL7 CDA
.... 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 Where to access the document
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType ΣC 0..1 code Tipo de datos (application/pdf | multipart/x-hl7-cda-level-one)
Binding: MimeTypes (required): BCP 13 (RFCs 2045, 2046, 2047, 4288, 4289 and 2049)
Example General: text/plain; charset=UTF-8, image/png
..... language Σ 0..1 code Human language of the content (BCP-47)
Binding: AllLanguages (required): IETF language tag for a human language.
Additional BindingsPurpose
CommonLanguages Starter

Example General: en-AU
..... data C 0..1 base64Binary Datos en base64 (Debe indicar un HL7 CDA o un PDF convertido a datos base64)
..... url Σ 1..1 url URL del datos en formato Base64 (recurso Binary)
Example General: http://www.acme.com/logo-small.png
..... size Σ 0..1 integer64 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
..... height 0..1 positiveInt Height of the image in pixels (photo/video)
..... width 0..1 positiveInt Width of the image in pixels (photo/video)
..... frames 0..1 positiveInt Number of frames if > 1 (photo)
..... duration 0..1 decimal Length in seconds (audio / video)
..... pages 0..1 positiveInt Number of printed pages
.... profile Σ 0..* BackboneElement Content profile rules for the document
..... 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
..... value[x] Σ 1..1 Code|uri|canonical
Binding: HL7 ValueSet of Format Codes for use with Document Sharing (preferred): Document Format Codes.
...... valueCoding Coding
...... valueUri uri
...... valueCanonical canonical(Any)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
DocumentReference.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.status Base required DocumentReferenceStatus 📍5.0.0 FHIR Std.
DocumentReference.docStatus Base required Composition Status 📍5.0.0 FHIR Std.
DocumentReference.modality Base extensible ​ Modality (missing link) 📦2022.4.20221006 This IG
DocumentReference.type Base preferred Value set de Tipos de informes para ÚNICAS 📦0.0.2 This IG
DocumentReference.category Base example Referenced Item Category Value Set 📍5.0.0 FHIR Std.
DocumentReference.subject.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.subject.​identifier.type Base extensible Identifier Type Codes 📦5.0.0 FHIR Std.
DocumentReference.context.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.context.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.event Base example v3 Code System ActCode 📦3.0.0 THO v6.5
DocumentReference.bodySite Base example SNOMED CT Body Structures 📍5.0.0 FHIR Std.
DocumentReference.facilityType Base example Facility Type Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.practiceSetting Base example Practice Setting Code Value Set 📍5.0.0 FHIR Std.
DocumentReference.attester.​mode Base preferred Composition Attestation Mode 📍5.0.0 FHIR Std.
DocumentReference.custodian.​type Base extensible Resource Types 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.use Base required IdentifierUse 📍5.0.0 FHIR Std.
DocumentReference.custodian.​identifier.type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
DocumentReference.relatesTo.​code Base extensible Document Relationship Type 📍5.0.0 FHIR Std.
DocumentReference.securityLabel Base example Example set of Security Labels 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.contentType Base required Mime Types 📍5.0.0 FHIR Std.
DocumentReference.content.​attachment.language Base required All Languages 📍5.0.0 FHIR Std.
DocumentReference.content.​profile.value[x] Base preferred HL7 ValueSet of Format Codes for use with Document Sharing 📦2.1.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error DocumentReference If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error DocumentReference 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error DocumentReference 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 DocumentReference If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice DocumentReference A resource should have narrative for robust management text.`div`.exists()
docRef-1 warning DocumentReference facilityType SHALL only be present if context is not an encounter facilityType.empty() or context.where(resolve() is Encounter).empty()
docRef-2 warning DocumentReference practiceSetting SHALL only be present if context is not present practiceSetting.empty() or context.where(resolve() is Encounter).empty()
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()
regcess-system warning DocumentReference.identifier.system system debe comenzar por urn:regcess: seguido del identificador del sistema. matches('^urn:regcess:[A-Za-z0-9]+$')

 

Other representations of profile: CSV, Excel, Schematron

ÚNICAS está impulsado por el Consejo Interterritorial del Sistema Nacional de Salud, y financiado con fondos Next Generation de la Unión Europea, en el marco del Plan de Recuperación, Transformación y Resiliencia del Gobierno de España. El Ministerio de Sanidad ejerce la coordinación del proyecto, y Cataluña lidera la parte del desarrollo de los activos tecnológicos para su implementación.

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