PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.cl.minsal.nid@0.4.6
    https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPacienteBusqueda
{
  "description": "Paciente definido para la busqueda dentro del \\\"Indice Maestro de Pacientes\\\". Este es utilizado en la operación $match como parámetro de entrada.",
  "_filename": "StructureDefinition-MINSALPacienteBusqueda.json",
  "package_name": "hl7.fhir.cl.minsal.nid",
  "date": "2025-02-04T08:30:46-03:00",
  "derivation": "constraint",
  "publisher": "Unidad de Interoperabilidad - MINSAL",
  "fhirVersion": "4.0.1",
  "jurisdiction": [ {
    "coding": [ {
      "code": "CL",
      "system": "urn:iso:std:iso:3166",
      "display": "Chile"
    } ]
  } ],
  "name": "MINSALPacienteBusqueda",
  "mapping": [ {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/v3/cda",
    "name": "CDA (R2)",
    "identity": "cda"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://loinc.org",
    "name": "LOINC code for the element",
    "identity": "loinc"
  } ],
  "abstract": false,
  "type": "Patient",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "MINSAL Paciente Busqueda",
  "package_version": "0.4.6",
  "snapshot": {
    "element": [ {
      "constraint": [ {
        "key": "dom-2",
        "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
        "xpath": "not(parent::f:contained and f:contained)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.contained.empty()"
      }, {
        "key": "dom-3",
        "human": "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",
        "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "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()"
      }, {
        "key": "dom-4",
        "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
        "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"
      }, {
        "key": "dom-5",
        "human": "If a resource is contained in another resource, it SHALL NOT have a security label",
        "xpath": "not(exists(f:contained/*/f:meta/f:security))",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "error",
        "expression": "contained.meta.security.empty()"
      }, {
        "key": "dom-6",
        "human": "A resource should have narrative for robust management",
        "xpath": "exists(f:text/h:div)",
        "source": "http://hl7.org/fhir/StructureDefinition/DomainResource",
        "severity": "warning",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
          "valueBoolean": true
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
          "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."
        } ],
        "expression": "text.`div`.exists()"
      } ],
      "path": "Patient",
      "min": 0,
      "definition": "Demographics and other administrative information about an individual or animal receiving care or other health-related services.",
      "isModifier": false,
      "short": "Information about an individual or animal receiving health care services",
      "mapping": [ {
        "map": "Entity. Role, or Act",
        "identity": "rim"
      }, {
        "map": "Patient[classCode=PAT]",
        "identity": "rim"
      }, {
        "map": "ClinicalDocument.recordTarget.patientRole",
        "identity": "cda"
      } ],
      "alias": [ "SubjectOfCare Client Resident" ],
      "max": "*",
      "id": "Patient",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient"
      },
      "isSummary": false
    }, {
      "path": "Patient.id",
      "min": 0,
      "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
      "isModifier": false,
      "short": "Logical id of this artifact",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "id"
        } ]
      } ],
      "max": "1",
      "id": "Patient.id",
      "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.id"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.meta",
      "min": 0,
      "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
      "isModifier": false,
      "short": "Metadata about the resource",
      "type": [ {
        "code": "Meta"
      } ],
      "max": "1",
      "id": "Patient.meta",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.meta"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.implicitRules",
      "min": 0,
      "definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
      "isModifier": true,
      "short": "A set of rules under which this content was created",
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.implicitRules",
      "comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.implicitRules"
      },
      "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.language",
      "min": 0,
      "definition": "The base language in which the resource is written.",
      "isModifier": false,
      "short": "Language of the resource content",
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/languages",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
          "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "Language"
        } ],
        "description": "A human language."
      },
      "max": "1",
      "id": "Patient.language",
      "comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies  to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Resource.language"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.text",
      "min": 0,
      "definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
      "isModifier": false,
      "short": "Text summary of the resource, for human interpretation",
      "mapping": [ {
        "map": "Act.text?",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Narrative"
      } ],
      "alias": [ "narrative", "html", "xhtml", "display" ],
      "max": "1",
      "id": "Patient.text",
      "comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "DomainResource.text"
      },
      "isSummary": false
    }, {
      "path": "Patient.contained",
      "min": 0,
      "definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
      "isModifier": false,
      "short": "Contained, inline Resources",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Resource"
      } ],
      "alias": [ "inline resources", "anonymous resources", "contained resources" ],
      "max": "*",
      "id": "Patient.contained",
      "comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.contained"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Identidad De Género",
      "isModifier": false,
      "short": "Identidad De Género",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdentidadDeGenero" ]
      } ],
      "mustSupport": true,
      "sliceName": "IdentidadDeGenero",
      "max": "1",
      "id": "Patient.extension:IdentidadDeGenero",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Sexo Biologico del paciente",
      "isModifier": false,
      "short": "Sexo Biologico del paciente",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SexoBiologico" ]
      } ],
      "mustSupport": true,
      "sliceName": "SexoBiologico",
      "max": "1",
      "id": "Patient.extension:SexoBiologico",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Esta extensión incluye códigos de países",
      "isModifier": false,
      "short": "Código de Países",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises" ]
      } ],
      "mustSupport": true,
      "sliceName": "nacionalidad",
      "max": "1",
      "id": "Patient.extension:nacionalidad",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "País de origen del paciente",
      "isModifier": false,
      "short": "País de origen del paciente",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PaisOrigenMPI" ]
      } ],
      "mustSupport": true,
      "sliceName": "PaisOrigen",
      "max": "1",
      "id": "Patient.extension:PaisOrigen",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Religión",
      "isModifier": false,
      "short": "Religión",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/Religion" ]
      } ],
      "mustSupport": true,
      "sliceName": "Religion",
      "max": "1",
      "id": "Patient.extension:Religion",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Pueblos Afrodescendiente",
      "isModifier": false,
      "short": "Pueblos Afrodescendiente",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosAfrodescendiente" ]
      } ],
      "mustSupport": true,
      "sliceName": "PueblosAfrodescendiente",
      "max": "1",
      "id": "Patient.extension:PueblosAfrodescendiente",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.extension",
      "min": 0,
      "definition": "Extensión para describir si el paciente pertenece algún pueblo originario",
      "isModifier": false,
      "short": "Pueblos Originarios",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosOriginarios" ]
      } ],
      "mustSupport": true,
      "sliceName": "PueblosOriginarios",
      "max": "1",
      "id": "Patient.extension:PueblosOriginarios",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "DomainResource.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier",
      "requirements": "Patients are almost always assigned specific numerical identifiers.",
      "min": 0,
      "definition": "Este es el listado de Identificaciones de un paciente. Se procura como R2 el RUN, pero en caso de no existir ese identificador se debe ocupar otro nacional u otro otorgado por país extranjero",
      "isModifier": false,
      "short": "Identificador de paciente",
      "mapping": [ {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": "PID-3",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": ".id",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.identifier",
      "comment": "En caso de que el paciente posea una CI con número RUN válido, este debe ser ingresado como identificador, independiente de que tenga otros identificadores, los cuales también pueden ser ingresados. La identificación implica el ingreso del tipo de documento, el país de origen de ese documento y el valor del identificador",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.identifier"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.identifier.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.identifier.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.use",
      "requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
      "min": 0,
      "definition": "De contar el Paciente con una Cédula de Identidad Nacional, se sugiere el uso de esta como identificador",
      "isModifier": true,
      "short": "usual | official | temp | secondary | old (If known)",
      "mapping": [ {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/identifier-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "IdentifierUse"
        } ],
        "description": "Identifies the purpose for this identifier, if known ."
      },
      "max": "1",
      "id": "Patient.identifier.use",
      "comment": "Se definirá como official pues en una primera etapa solo se considerarán los identidicadores en esa categoría. Para una segunda etapa se abrirá este elemento para cualquier clase de identificador",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one.",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type",
      "requirements": "Allows users to make use of identifiers when the identifier system is not known.",
      "min": 0,
      "definition": "Tipo de documento",
      "isModifier": false,
      "short": "Tipo de documento",
      "mapping": [ {
        "map": "CX.5",
        "identity": "v2"
      }, {
        "map": "Role.code or implied by context",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTipoIdentificador",
        "description": "Identificadores definidos por DEIS"
      },
      "max": "1",
      "id": "Patient.identifier.type",
      "comment": "Tipo de documento",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.type"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier.type.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.identifier.type.extension",
      "min": 0,
      "definition": "Se usa esta extensión para agregarle al tipo de documento el país de origen de este",
      "isModifier": false,
      "short": "País de Origen del Documento de Id",
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.identifier.type.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.identifier.type.extension",
      "min": 0,
      "definition": "Esta extensión incluye códigos de países",
      "isModifier": false,
      "short": "Código de Países",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises" ]
      } ],
      "mustSupport": true,
      "sliceName": "paisEmisionDocumento",
      "max": "1",
      "id": "Patient.identifier.type.extension:paisEmisionDocumento",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "isModifier": false,
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.identifier.type.coding",
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "path": "Patient.identifier.type.coding.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.identifier.type.coding.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.identifier.type.coding.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.identifier.type.coding.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding.system",
      "requirements": "Need to be unambiguous about the source of the definition of the symbol.",
      "min": 0,
      "definition": "Sistema mediante el cual se obtienen los códigos para un determinado tipo de documento",
      "isModifier": false,
      "short": "Sistema de identificación de tipos de documentos",
      "mapping": [ {
        "map": "C*E.3",
        "identity": "v2"
      }, {
        "map": "./codeSystem",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.identifier.type.coding.system",
      "comment": "En la URL del sistema se describe el set de códigos. Por ejemplo, si se desea usar Cédula de identidad el código es NNxxx en donde xxx corresponde al identificador del país según la norma iso3166-1-N. Dado lo anterior si fuera Chile, el tipo de documento sería NNCL. En el Caso de Usar un Pasaporte este no requiere identificar país de origen dado que este es un elemento adicional, por lo que independiente del país el código será PPT según el VS indicado",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding.version",
      "min": 0,
      "definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
      "isModifier": false,
      "short": "Version of the system - if relevant",
      "mapping": [ {
        "map": "C*E.7",
        "identity": "v2"
      }, {
        "map": "./codeSystemVersion",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.identifier.type.coding.version",
      "comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.version"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding.code",
      "requirements": "Need to refer to a particular code in the system.",
      "min": 0,
      "definition": "Código de Tipo de Documento",
      "isModifier": false,
      "short": "Código de Tipo de Documento",
      "mapping": [ {
        "map": "C*E.1",
        "identity": "v2"
      }, {
        "map": "./code",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.identifier.type.coding.code",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.code"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding.display",
      "requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know  the system.",
      "min": 0,
      "definition": "Glosa del Código Documento",
      "isModifier": false,
      "short": "Glosa del Código Documento",
      "mapping": [ {
        "map": "C*E.2 - but note this is not well followed",
        "identity": "v2"
      }, {
        "map": "CV.displayName",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.identifier.type.coding.display",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.coding.userSelected",
      "requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
      "min": 0,
      "definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
      "isModifier": false,
      "short": "If this coding was chosen directly by the user",
      "mapping": [ {
        "map": "Sometimes implied by being first",
        "identity": "v2"
      }, {
        "map": "CD.codingRationale",
        "identity": "rim"
      }, {
        "map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map;   fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [     fhir:source \"true\";     fhir:target dt:CDCoding.codingRationale\\#O   ]",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Patient.identifier.type.coding.userSelected",
      "comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Coding.userSelected"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.type.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "isModifier": false,
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.identifier.type.text",
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.system",
      "requirements": "There are many sets  of identifiers.  To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
      "min": 0,
      "definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
      "isModifier": false,
      "short": "The namespace for the identifier value",
      "mapping": [ {
        "map": "CX.4 / EI-2-4",
        "identity": "v2"
      }, {
        "map": "II.root or Role.id.root",
        "identity": "rim"
      }, {
        "map": "./IdentifierType",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "max": "1",
      "id": "Patient.identifier.system",
      "comment": "Identifier.system is always case sensitive.",
      "example": [ {
        "label": "General",
        "valueUri": "http://www.acme.com/identifiers/patient"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.value",
      "min": 0,
      "definition": "Número o valor de identificación",
      "isModifier": false,
      "short": "Valor del identificador",
      "mapping": [ {
        "map": "CX.1 / EI.1",
        "identity": "v2"
      }, {
        "map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)",
        "identity": "rim"
      }, {
        "map": "./Value",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.identifier.value",
      "comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986.  The value's primary purpose is computational mapping.  As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.)  A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/R4/extension-rendered-value.html). Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.",
      "example": [ {
        "label": "General",
        "valueString": "123456"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.value"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.period",
      "min": 0,
      "definition": "Time period during which identifier is/was valid for use.",
      "isModifier": false,
      "short": "Time period when id is/was valid for use",
      "mapping": [ {
        "map": "CX.7 + CX.8",
        "identity": "v2"
      }, {
        "map": "Role.effectiveTime or implied by context",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.identifier.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.identifier.assigner",
      "min": 0,
      "definition": "Organization that issued/manages the identifier.",
      "isModifier": false,
      "short": "Organization that issued id (may be just text)",
      "mapping": [ {
        "map": "CX.4 / (CX.4,CX.9,CX.10)",
        "identity": "v2"
      }, {
        "map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field.  Also Role.scoper",
        "identity": "rim"
      }, {
        "map": "./IdentifierIssuingAuthority",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "max": "1",
      "id": "Patient.identifier.assigner",
      "comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Identifier.assigner"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.active",
      "requirements": "Need to be able to mark a patient record as not to be used because it was created in error.",
      "min": 0,
      "definition": "Whether this patient record is in active use. \nMany systems use this property to mark as non-current patients, such as those that have not been seen for a period of time based on an organization's business rules.\n\nIt is often used to filter patient lists to exclude inactive patients\n\nDeceased patients may also be marked as inactive for the same reasons, but may be active for some time after death.",
      "isModifier": true,
      "short": "Si el registro de este paciente está en uso activo.",
      "mapping": [ {
        "map": "FiveWs.status",
        "identity": "w5"
      }, {
        "map": "statusCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "mustSupport": true,
      "meaningWhenMissing": "This resource is generally assumed to be active if no value is provided for the active element",
      "max": "1",
      "id": "Patient.active",
      "comment": "If a record is inactive, and linked to an active record, then future patient/record updates should occur on the other patient.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.active"
      },
      "isModifierReason": "This element is labelled as a modifier because it is a status element that can indicate that a record should not be treated as valid",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name",
      "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
      "min": 0,
      "definition": "Nombre del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido",
      "isModifier": false,
      "short": "Nombres y Apellidos del Paciente considerando, según el caso: 1er Nombre, Nombres, 1er Apellido y 2o Apellido",
      "mapping": [ {
        "map": "PID-5, PID-9",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": ".patient.name",
        "identity": "cda"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Este slice se genera para diferenciar el nombre registrado Versus el nombre social",
        "discriminator": [ {
          "path": "use",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "HumanName"
      } ],
      "max": "*",
      "id": "Patient.name",
      "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.name"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name",
      "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
      "min": 0,
      "definition": "Determinación del nombre registrado oficialmente del Paciente",
      "isModifier": false,
      "short": "Determinación del nombre registrado oficialmente del Paciente",
      "mapping": [ {
        "map": "PID-5, PID-9",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": ".patient.name",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "HumanName"
      } ],
      "mustSupport": true,
      "sliceName": "NombreOficial",
      "max": "1",
      "id": "Patient.name:NombreOficial",
      "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.name"
      },
      "isSummary": true
    }, {
      "path": "Patient.name.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name:NombreOficial.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.name:NombreOficial.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.use",
      "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
      "min": 1,
      "definition": "este slice corresponde al nombre registrado al momento de nacer, por lo que se fuerza el valor \"official\"",
      "isModifier": true,
      "short": "uso del nombre del paciente",
      "mapping": [ {
        "map": "XPN.7, but often indicated by which field contains the name",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./NamePurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "patternCode": "official",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "NameUse"
        } ],
        "description": "The use of a human name."
      },
      "max": "1",
      "id": "Patient.name:NombreOficial.use",
      "comment": "Para ser considerado como el slice determinado para el uso de nombre completo, el use DEBE ser de valor de código \"official\"",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
      "isModifier": false,
      "short": "Text representation of the full name",
      "mapping": [ {
        "map": "implied by XPN.11",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.name:NombreOficial.text",
      "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.family",
      "min": 0,
      "definition": "Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil",
      "isModifier": false,
      "short": "1er Apellido",
      "mapping": [ {
        "map": "XPN.1/FN.1",
        "identity": "v2"
      }, {
        "map": "./part[partType = FAM]",
        "identity": "rim"
      }, {
        "map": "./FamilyName",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "surname" ],
      "max": "1",
      "id": "Patient.name:NombreOficial.family",
      "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.family"
      },
      "isSummary": true
    }, {
      "path": "Patient.name.family.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name:NombreOficial.family.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "Extensión para la declaración de un segundo apellido",
      "isModifier": false,
      "short": "Extensión para el segundo apellido",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.name:NombreOficial.family.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.family.extension",
      "min": 0,
      "definition": "Segundo Apellido",
      "isModifier": false,
      "short": "Segundo Apellido",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido" ]
      } ],
      "mustSupport": true,
      "sliceName": "segundoApellido",
      "max": "1",
      "id": "Patient.name:NombreOficial.family.extension:segundoApellido",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.name.family.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name:NombreOficial.family.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.given",
      "min": 0,
      "definition": "Todos los nombres de los pacientes no necesariamente solo el Primer Nombre",
      "isModifier": false,
      "short": "Primer nombre y nombres del Paciente",
      "mapping": [ {
        "map": "XPN.2 + XPN.3",
        "identity": "v2"
      }, {
        "map": "./part[partType = GIV]",
        "identity": "rim"
      }, {
        "map": "./GivenNames",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "first name", "middle name" ],
      "max": "*",
      "id": "Patient.name:NombreOficial.given",
      "comment": "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.",
      "orderMeaning": "Given Names appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.given"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.prefix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
      "isModifier": false,
      "short": "Parts that come before the name",
      "mapping": [ {
        "map": "XPN.5",
        "identity": "v2"
      }, {
        "map": "./part[partType = PFX]",
        "identity": "rim"
      }, {
        "map": "./TitleCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.name:NombreOficial.prefix",
      "orderMeaning": "Prefixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.prefix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.suffix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
      "isModifier": false,
      "short": "Parts that come after the name",
      "mapping": [ {
        "map": "XPN/4",
        "identity": "v2"
      }, {
        "map": "./part[partType = SFX]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.name:NombreOficial.suffix",
      "orderMeaning": "Suffixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.suffix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.period",
      "requirements": "Allows names to be placed in historical context.",
      "min": 0,
      "definition": "Indicates the period of time when this name was valid for the named person.",
      "isModifier": false,
      "short": "Time period when name was/is in use",
      "mapping": [ {
        "map": "XPN.13 + XPN.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.name:NombreOficial.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name",
      "requirements": "Need to be able to track the patient by multiple names. Examples are your official name and a partner name.",
      "min": 0,
      "definition": "Nombre con el cual se identifica al paciente sin ser este oficial. Se especifica solo en el uso del nombre",
      "isModifier": false,
      "short": "nombre recurrente que usa el paciente",
      "mapping": [ {
        "map": "PID-5, PID-9",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": ".patient.name",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "HumanName"
      } ],
      "mustSupport": true,
      "sliceName": "NombreSocial",
      "max": "1",
      "id": "Patient.name:NombreSocial",
      "comment": "A patient may have multiple names with different uses or applicable periods. For animals, the name is a \"HumanName\" in the sense that is assigned and used by humans and has the same patterns.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.name"
      },
      "isSummary": true
    }, {
      "path": "Patient.name.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.name:NombreSocial.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.name.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.name:NombreSocial.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.use",
      "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
      "min": 1,
      "definition": "Este uso especifico se enfoca a la definición de un nombre social. Es por esta razón que el uso se fuerza a usual",
      "isModifier": true,
      "short": "uso que se le da al nombre",
      "mapping": [ {
        "map": "XPN.7, but often indicated by which field contains the name",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./NamePurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "patternCode": "usual",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "NameUse"
        } ],
        "description": "The use of a human name."
      },
      "max": "1",
      "id": "Patient.name:NombreSocial.use",
      "comment": "Para ser considerado como el slice determinado para el uso de nombre social, el use DEBE ser de valor de código \"usual\"",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
      "isModifier": false,
      "short": "Text representation of the full name",
      "mapping": [ {
        "map": "implied by XPN.11",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "0",
      "id": "Patient.name:NombreSocial.text",
      "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.family",
      "min": 0,
      "definition": "The part of a name that links to the genealogy. In some cultures (e.g. Eritrea) the family name of a son is the first name of his father.",
      "isModifier": false,
      "short": "Family name (often called 'Surname')",
      "mapping": [ {
        "map": "XPN.1/FN.1",
        "identity": "v2"
      }, {
        "map": "./part[partType = FAM]",
        "identity": "rim"
      }, {
        "map": "./FamilyName",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "surname" ],
      "max": "0",
      "id": "Patient.name:NombreSocial.family",
      "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.family"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.given",
      "min": 1,
      "definition": "Nombre Social del Paciente",
      "isModifier": false,
      "short": "Nombre Social",
      "mapping": [ {
        "map": "XPN.2 + XPN.3",
        "identity": "v2"
      }, {
        "map": "./part[partType = GIV]",
        "identity": "rim"
      }, {
        "map": "./GivenNames",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "first name", "middle name" ],
      "max": "*",
      "id": "Patient.name:NombreSocial.given",
      "comment": "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.",
      "orderMeaning": "Given Names appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.given"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.prefix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
      "isModifier": false,
      "short": "Parts that come before the name",
      "mapping": [ {
        "map": "XPN.5",
        "identity": "v2"
      }, {
        "map": "./part[partType = PFX]",
        "identity": "rim"
      }, {
        "map": "./TitleCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "0",
      "id": "Patient.name:NombreSocial.prefix",
      "orderMeaning": "Prefixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.prefix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.suffix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
      "isModifier": false,
      "short": "Parts that come after the name",
      "mapping": [ {
        "map": "XPN/4",
        "identity": "v2"
      }, {
        "map": "./part[partType = SFX]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "0",
      "id": "Patient.name:NombreSocial.suffix",
      "orderMeaning": "Suffixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.suffix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.name.period",
      "requirements": "Allows names to be placed in historical context.",
      "min": 0,
      "definition": "Indicates the period of time when this name was valid for the named person.",
      "isModifier": false,
      "short": "Time period when name was/is in use",
      "mapping": [ {
        "map": "XPN.13 + XPN.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "0",
      "id": "Patient.name:NombreSocial.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "Detalles del contacto de un paciente comúnmente el o los más usados (Ej: Teléfono fijo, móvil, email, etc.)",
      "isModifier": false,
      "short": "Detalles de contacto del Paciente",
      "mapping": [ {
        "map": "PID-13, PID-14, PID-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": ".telecom",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "ContactPoint"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.telecom",
      "comment": "A Patient may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently and also to help with identification. The address might not go directly to the individual, but may reach another party that is able to proxy for the patient (i.e. home phone, or pet owner's phone).",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.telecom"
      },
      "isSummary": true
    }, {
      "path": "Patient.telecom.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.telecom.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.telecom.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.telecom.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom.system",
      "min": 1,
      "definition": "Sistema de contacto",
      "isModifier": false,
      "short": "phone | email",
      "mapping": [ {
        "map": "XTN.3",
        "identity": "v2"
      }, {
        "map": "./scheme",
        "identity": "rim"
      }, {
        "map": "./ContactPointType",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSSistemasComunicacion"
      },
      "max": "1",
      "id": "Patient.telecom.system",
      "condition": [ "cpt-2" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "ContactPoint.system"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom.value",
      "requirements": "Need to support legacy numbers that are not in a tightly controlled format.",
      "min": 1,
      "definition": "Valor del contacto como por ejemplo el número de teléfono fijo o de móvil o el email del Paciente",
      "isModifier": false,
      "short": "Valor de contacto",
      "mapping": [ {
        "map": "XTN.1 (or XTN.12)",
        "identity": "v2"
      }, {
        "map": "./url",
        "identity": "rim"
      }, {
        "map": "./Value",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.telecom.value",
      "comment": "Additional text data such as phone extension numbers, or notes about use of the contact are sometimes included in the value.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ContactPoint.value"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom.use",
      "requirements": "Need to track the way a person uses this contact, so a user can choose which is appropriate for their purpose.",
      "min": 0,
      "definition": "Propósito para el contacto que se ha definido",
      "isModifier": true,
      "short": "home | work | temp | old | mobile",
      "mapping": [ {
        "map": "XTN.2 - but often indicated by field",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./ContactPointPurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/contact-point-use"
      },
      "max": "1",
      "id": "Patient.telecom.use",
      "comment": "Applications can assume that a contact is current unless it explicitly says that it is temporary or old.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ContactPoint.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old contact etc.for a current/permanent one",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom.rank",
      "min": 0,
      "definition": "Specifies a preferred order in which to use a set of contacts. ContactPoints with lower rank values are more preferred than those with higher rank values.",
      "isModifier": false,
      "short": "Orden de uso del método de contacto, siendo 1 = prioritario",
      "mapping": [ {
        "map": "n/a",
        "identity": "v2"
      }, {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "positiveInt"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.telecom.rank",
      "comment": "Note that rank does not necessarily follow the order in which the contacts are represented in the instance.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ContactPoint.rank"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.telecom.period",
      "min": 0,
      "definition": "Time period when the contact point was/is in use.",
      "isModifier": false,
      "short": "Periodo de tiempo durante el cual es válido el contacto del paciente",
      "mapping": [ {
        "map": "N/A",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.telecom.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "ContactPoint.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.gender",
      "requirements": "Needed for identification of the individual, in combination with (at least) name and birth date.",
      "min": 0,
      "definition": "Sexo Registrado",
      "isModifier": false,
      "short": "Sexo Registral del paciente",
      "mapping": [ {
        "map": "PID-8",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
        "identity": "rim"
      }, {
        "map": ".patient.administrativeGenderCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AdministrativeGender"
        } ],
        "description": "The gender of a person used for administrative purposes."
      },
      "max": "1",
      "id": "Patient.gender",
      "comment": "The gender might not match the biological sex as determined by genetics or the individual's preferred identification. Note that for both humans and particularly animals, there are other legitimate possibilities than male and female, though the vast majority of systems and contexts only support male and female.  Systems providing decision support or enforcing business rules should ideally do this on the basis of Observations dealing with the specific sex or gender aspect of interest (anatomical, chromosomal, social, etc.)  However, because these observations are infrequently recorded, defaulting to the administrative gender is common practice.  Where such defaulting occurs, rule enforcement should allow for the variation between administrative and biological, chromosomal and other gender aspects.  For example, an alert about a hysterectomy on a male should be handled as a warning or overridable error, not a \"hard\" error.  See the Patient Gender and Sex section for additional information about communicating patient gender and sex.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.gender"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.birthDate",
      "requirements": "Age of the individual drives many clinical processes.",
      "min": 0,
      "definition": "Fecha de nacimiento del Paciente.",
      "isModifier": false,
      "short": "Fecha de nacimiento del Paciente.",
      "mapping": [ {
        "map": "PID-7",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime",
        "identity": "rim"
      }, {
        "map": ".patient.birthTime",
        "identity": "cda"
      }, {
        "map": "21112-8",
        "identity": "loinc"
      } ],
      "type": [ {
        "code": "date"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.birthDate",
      "comment": "At least an estimated year should be provided as a guess if the real DOB is unknown  There is a standard extension \"patient-birthTime\" available that should be used where Time is required (such as in maternity/infant care systems).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.birthDate"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.deceased[x]",
      "requirements": "The fact that a patient is deceased influences the clinical process. Also, in human communication and relation management it is necessary to know whether the person is alive.",
      "min": 0,
      "definition": "Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.",
      "isModifier": true,
      "short": "Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.",
      "mapping": [ {
        "map": "PID-30  (bool) and PID-29 (datetime)",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "dateTime"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.deceased[x]",
      "comment": "If there's no value in the instance, it means there is no statement on whether or not the individual is deceased. Most systems will interpret the absence of a value as a sign of the person being alive.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.deceased[x]"
      },
      "isModifierReason": "This element is labeled as a modifier because once a patient is marked as deceased, the actions that are appropriate to perform on the patient may be significantly different.",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address",
      "requirements": "May need to keep track of patient addresses for contacting, billing or reporting requirements and also to help with identification.",
      "min": 0,
      "definition": "An address expressed using postal conventions (as opposed to GPS or other location definition formats).  This data type may be used to convey addresses for use in delivering mail as well as for visiting locations which might not be valid for mail delivery.  There are a variety of postal address formats defined around the world.",
      "isModifier": false,
      "short": "Tipo de dato para agregar la dirección",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      }, {
        "map": "XAD",
        "identity": "v2"
      }, {
        "map": "AD",
        "identity": "rim"
      }, {
        "map": "Address",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Address",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/cl-address" ]
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.address",
      "condition": [ "ele-1" ],
      "comment": "Variable dirección",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.address"
      }
    }, {
      "path": "Patient.address.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "Formato Chileno para la definición de direcciones",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.address.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "The absolute geographic location of the Location, expressed using the WGS84 datum (This is the same co-ordinate system used in KML).",
      "isModifier": false,
      "short": "Dirección absoluta, es decir, latitud y longitud.",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/geolocation" ]
      } ],
      "mustSupport": true,
      "sliceName": "Geolocalizacion",
      "max": "1",
      "id": "Patient.address.extension:Geolocalizacion",
      "comment": "The extension can be further extended to include unique geolocation identifiers, confidence, altitude, etc.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.extension",
      "min": 0,
      "definition": "Situacion Calle",
      "isModifier": false,
      "short": "Situacion Calle",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/SituacionCalle" ]
      } ],
      "mustSupport": true,
      "sliceName": "SituacionCalle",
      "max": "1",
      "id": "Patient.address.extension:SituacionCalle",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.use",
      "requirements": "Allows an appropriate address to be chosen from a list of many.",
      "min": 0,
      "definition": "Se especifica el tipo de dirección notificada. Esto debe ser segn los códigos definidos por HL7 FHIR",
      "isModifier": true,
      "short": "Definición del tipo de domicilio home | work | temp | old (requerido)",
      "mapping": [ {
        "map": "XAD.7",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./AddressPurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/address-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AddressUse"
        } ],
        "description": "The use of an address."
      },
      "max": "1",
      "id": "Patient.address.use",
      "comment": "Applications can assume that an address is current unless it explicitly says that it is temporary or old.",
      "example": [ {
        "label": "General",
        "valueCode": "home"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old address etc.for a current/permanent one",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.type",
      "min": 0,
      "definition": "Distinguishes between physical addresses (those you can visit) and mailing addresses (e.g. PO Boxes and care-of addresses). Most addresses are both.",
      "isModifier": false,
      "short": "postal | physical | both",
      "mapping": [ {
        "map": "XAD.18",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "address type parameter",
        "identity": "vcard"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/address-type|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AddressType"
        } ],
        "description": "The type of an address (physical / postal)."
      },
      "max": "1",
      "id": "Patient.address.type",
      "comment": "The definition of Address states that \"address is intended to describe postal addresses, not physical locations\". However, many applications track whether an address has a dual purpose of being a location that can be visited as well as being a valid delivery destination, and Postal addresses are often used as proxies for physical locations (also see the [Location](http://hl7.org/fhir/R4/location.html#) resource).",
      "example": [ {
        "label": "General",
        "valueCode": "both"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "Specifies the entire address as it should be displayed e.g. on a postal label. This may be provided instead of or as well as the specific parts.",
      "isModifier": false,
      "short": "Text representation of the address",
      "mapping": [ {
        "map": "XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      }, {
        "map": "address label parameter",
        "identity": "vcard"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.address.text",
      "comment": "Can provide both a text representation and parts. Applications updating an address SHALL ensure that  when both text and parts are present,  no content is included in the text that isn't found in a part.",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street, Erewhon 9132"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.line",
      "min": 0,
      "definition": "Calle o avenida, numero y casa o dpto",
      "isModifier": false,
      "short": "Calle o avenida, numero y casa o dpto",
      "mapping": [ {
        "map": "XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = AL]",
        "identity": "rim"
      }, {
        "map": "street",
        "identity": "vcard"
      }, {
        "map": "./StreetAddress (newline delimitted)",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.line",
      "example": [ {
        "label": "General",
        "valueString": "137 Nowhere Street"
      } ],
      "orderMeaning": "The order in which lines should appear in an address label",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Address.line"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.city",
      "min": 0,
      "definition": "Campo para Comuna de residencia.",
      "isModifier": false,
      "short": "Campo para Comuna de residencia",
      "mapping": [ {
        "map": "XAD.3",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CTY]",
        "identity": "rim"
      }, {
        "map": "locality",
        "identity": "vcard"
      }, {
        "map": "./Jurisdiction",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "Municpality" ],
      "max": "1",
      "id": "Patient.address.city",
      "example": [ {
        "label": "General",
        "valueString": "Erewhon"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.city"
      },
      "isSummary": true
    }, {
      "path": "Patient.address.city.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.city.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.city.extension",
      "min": 1,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.city.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.city.extension",
      "min": 1,
      "definition": "Esta extensión que permite codiificar las Comunas en Chile en el campo de Dirección",
      "isModifier": false,
      "short": "Códigos para Comunas en Chile",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ComunasCl" ]
      } ],
      "mustSupport": true,
      "sliceName": "comunas",
      "max": "1",
      "id": "Patient.address.city.extension:comunas",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.address.city.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.city.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.district",
      "min": 0,
      "definition": "Campo para Provincia de Residencia. Se usa el valueSet de códigos de provicias definidos a nivel naciona.",
      "isModifier": false,
      "short": "Campo para Provincia de Residencia",
      "mapping": [ {
        "map": "XAD.9",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT | CPA]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "County" ],
      "max": "1",
      "id": "Patient.address.district",
      "comment": "District is sometimes known as county, but in some regions 'county' is used in place of city (municipality), so county name should be conveyed in city instead.",
      "example": [ {
        "label": "General",
        "valueString": "Madison"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.district"
      },
      "isSummary": true
    }, {
      "path": "Patient.address.district.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.district.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.district.extension",
      "min": 1,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.district.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.district.extension",
      "min": 1,
      "definition": "Esta extensión que permite codificar las Provincias en Chile en el campo de Dirección",
      "isModifier": false,
      "short": "Códigos para Provincias en Chile",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/ProvinciasCl" ]
      } ],
      "mustSupport": true,
      "sliceName": "provincias",
      "max": "1",
      "id": "Patient.address.district.extension:provincias",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.address.district.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.district.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.state",
      "min": 0,
      "definition": "Campo Región. Se usa el valueSet de códigos de regiones definidos a nivel naciona.",
      "isModifier": false,
      "short": "Campo para la Región",
      "mapping": [ {
        "map": "XAD.4",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = STA]",
        "identity": "rim"
      }, {
        "map": "region",
        "identity": "vcard"
      }, {
        "map": "./Region",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "Province", "Territory" ],
      "max": "1",
      "id": "Patient.address.state",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.state"
      },
      "isSummary": true
    }, {
      "path": "Patient.address.state.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.state.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.state.extension",
      "min": 1,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.state.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.state.extension",
      "min": 1,
      "definition": "Esta extensión que permite codificar las Regiones en Chile en el campo de Dirección",
      "isModifier": false,
      "short": "Códigos para Regiones en Chile",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/RegionesCl" ]
      } ],
      "mustSupport": true,
      "sliceName": "regiones",
      "max": "1",
      "id": "Patient.address.state.extension:regiones",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.address.state.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.state.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.postalCode",
      "min": 0,
      "definition": "A postal code designating a region defined by the postal service.",
      "isModifier": false,
      "short": "Postal code for area",
      "mapping": [ {
        "map": "XAD.5",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = ZIP]",
        "identity": "rim"
      }, {
        "map": "code",
        "identity": "vcard"
      }, {
        "map": "./PostalIdentificationCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "alias": [ "Zip" ],
      "max": "1",
      "id": "Patient.address.postalCode",
      "example": [ {
        "label": "General",
        "valueString": "9132"
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.postalCode"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.country",
      "min": 0,
      "definition": "Campo para País de Residencia",
      "isModifier": false,
      "short": "Campo para País de Residencia",
      "mapping": [ {
        "map": "XAD.6",
        "identity": "v2"
      }, {
        "map": "AD.part[parttype = CNT]",
        "identity": "rim"
      }, {
        "map": "country",
        "identity": "vcard"
      }, {
        "map": "./Country",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.country",
      "comment": "ISO 3166 3 letter codes can be used in place of a human readable country name.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.country"
      },
      "isSummary": true
    }, {
      "path": "Patient.address.country.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension",
      "min": 1,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.country.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.address.country.extension",
      "min": 1,
      "definition": "Esta extensión incluye códigos de países",
      "isModifier": false,
      "short": "Código de Países",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CodigoPaises" ]
      } ],
      "mustSupport": true,
      "sliceName": "paises",
      "max": "1",
      "id": "Patient.address.country.extension:paises",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.address.country.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.address.country.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.address.period",
      "requirements": "Allows addresses to be placed in historical context.",
      "min": 0,
      "definition": "Time period when address was/is in use.",
      "isModifier": false,
      "short": "Periodo de tiempo durante el  cual es válida la dirección entregada",
      "mapping": [ {
        "map": "XAD.12 / XAD.13 + XAD.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.address.period",
      "example": [ {
        "label": "General",
        "valuePeriod": {
          "end": "2010-07-01",
          "start": "2010-03-23"
        }
      } ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Address.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.maritalStatus",
      "requirements": "Most, if not all systems capture it.",
      "min": 0,
      "definition": "This field contains a patient's most recent marital (civil) status.",
      "isModifier": false,
      "short": "Estado civil del paciente",
      "mapping": [ {
        "map": "PID-16",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN]/maritalStatusCode",
        "identity": "rim"
      }, {
        "map": ".patient.maritalStatusCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSEstadoCivil"
      },
      "max": "1",
      "id": "Patient.maritalStatus",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.maritalStatus"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.multipleBirth[x]",
      "requirements": "For disambiguation of multiple-birth children, especially relevant where the care provider doesn't meet the patient, such as labs.",
      "min": 0,
      "definition": "Indicates whether the patient is part of a multiple (boolean) or indicates the actual birth order (integer).",
      "isModifier": false,
      "short": "Whether patient is part of a multiple birth",
      "mapping": [ {
        "map": "PID-24 (bool), PID-25 (integer)",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd,  player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      }, {
        "code": "integer"
      } ],
      "max": "1",
      "id": "Patient.multipleBirth[x]",
      "comment": "Where the valueInteger is provided, the number is the birth number in the sequence. E.g. The middle birth in triplets would be valueInteger=2 and the third born would have valueInteger=3 If a boolean value was provided for this triplets example, then all 3 patient records would have valueBoolean=true (the ordering is not indicated).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.multipleBirth[x]"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.photo",
      "requirements": "Many EHR systems have the capability to capture an image of the patient. Fits with newer social media usage too.",
      "min": 0,
      "definition": "Image of the patient.",
      "isModifier": false,
      "short": "Image of the patient",
      "mapping": [ {
        "map": "OBX-5 - needs a profile",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Attachment"
      } ],
      "max": "*",
      "id": "Patient.photo",
      "comment": "Guidelines:\n* Use id photos, not clinical photos.\n* Limit dimensions to thumbnail.\n* Keep byte count low to ease resource updates.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.photo"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "pat-1",
        "human": "SHALL at least contain a contact's details or a reference to an organization",
        "xpath": "exists(f:name) or exists(f:telecom) or exists(f:address) or exists(f:organization)",
        "source": "http://hl7.org/fhir/StructureDefinition/Patient",
        "severity": "error",
        "expression": "name.exists() or telecom.exists() or address.exists() or organization.exists()"
      } ],
      "path": "Patient.contact",
      "requirements": "Need to track people you can contact about the patient.",
      "min": 0,
      "definition": "Contacto, tutor legal o representante del Paciente",
      "isModifier": false,
      "short": "Contacto, tutor legal o representante del Paciente",
      "mapping": [ {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.contact",
      "comment": "Contact covers all kinds of contact parties: family members, business contacts, guardians, caregivers. Not applicable to register pedigree and family ties beyond use of having contact.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact"
      },
      "isSummary": false
    }, {
      "path": "Patient.contact.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.extension",
      "min": 0,
      "definition": "An Extension",
      "isModifier": false,
      "short": "Extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.contact.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.extension",
      "min": 0,
      "definition": "Extensión para declarar identificación del contacto y la procedencia de esta",
      "isModifier": false,
      "short": "Identificación del Contacto",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/IdContacto" ]
      } ],
      "mustSupport": true,
      "sliceName": "IdContacto",
      "max": "*",
      "id": "Patient.contact.extension:IdContacto",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.contact.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship",
      "requirements": "Used to determine which contact person is the most relevant to approach, depending on circumstances.",
      "min": 0,
      "definition": "The nature of the relationship between the patient and the contact person.",
      "isModifier": false,
      "short": "Relación legal o de parentesco entre el contacto y el paciente",
      "mapping": [ {
        "map": "NK1-7, NK1-3",
        "identity": "v2"
      }, {
        "map": "code",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/patient-contactrelationship",
        "description": "VS FHIR para relación del contacto con el Paciente"
      },
      "max": "*",
      "id": "Patient.contact.relationship",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.relationship"
      },
      "isSummary": false
    }, {
      "path": "Patient.contact.relationship.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.relationship.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.relationship.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.relationship.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship.coding",
      "requirements": "Allows for alternative encodings within a code system, and translations to other code systems.",
      "min": 0,
      "definition": "A reference to a code defined by a terminology system.",
      "isModifier": false,
      "short": "Code defined by a terminology system",
      "mapping": [ {
        "map": "C*E.1-8, C*E.10-22",
        "identity": "v2"
      }, {
        "map": "union(., ./translation)",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "Coding"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.contact.relationship.coding",
      "comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information.  Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "CodeableConcept.coding"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.relationship.text",
      "requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
      "min": 0,
      "definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
      "isModifier": false,
      "short": "Plain text representation of the concept",
      "mapping": [ {
        "map": "C*E.9. But note many systems use C*E.2 for this",
        "identity": "v2"
      }, {
        "map": "./originalText[mediaType/code=\"text/plain\"]/data",
        "identity": "rim"
      }, {
        "map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText",
        "identity": "orim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.contact.relationship.text",
      "comment": "Very often the text is the same as a displayName of one of the codings.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "CodeableConcept.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name",
      "requirements": "Contact persons need to be identified by name, but it is uncommon to need details about multiple other names for that contact person.",
      "min": 0,
      "definition": "Nombre del contacto asociado al paciente",
      "isModifier": false,
      "short": "Nombre del Contacto",
      "mapping": [ {
        "map": "NK1-2",
        "identity": "v2"
      }, {
        "map": "name",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "HumanName"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.contact.name",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.name"
      },
      "isSummary": false
    }, {
      "path": "Patient.contact.name.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.contact.name.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.use",
      "requirements": "Allows the appropriate name for a particular context of use to be selected from among a set of names.",
      "min": 0,
      "definition": "Nombre registrado oficialmente en el Registro Civil",
      "isModifier": true,
      "short": "uso del nombre del paciente",
      "mapping": [ {
        "map": "XPN.7, but often indicated by which field contains the name",
        "identity": "v2"
      }, {
        "map": "unique(./use)",
        "identity": "rim"
      }, {
        "map": "./NamePurpose",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "mustSupport": true,
      "patternCode": "official",
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/name-use|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "NameUse"
        } ],
        "description": "The use of a human name."
      },
      "max": "1",
      "id": "Patient.contact.name.use",
      "comment": "El use DEBE ser de valor de código \"official\"",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.use"
      },
      "isModifierReason": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary or old name etc.for a current/permanent one",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.text",
      "requirements": "A renderable, unencoded form.",
      "min": 0,
      "definition": "Specifies the entire name as it should be displayed e.g. on an application UI. This may be provided instead of or as well as the specific parts.",
      "isModifier": false,
      "short": "Text representation of the full name",
      "mapping": [ {
        "map": "implied by XPN.11",
        "identity": "v2"
      }, {
        "map": "./formatted",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "1",
      "id": "Patient.contact.name.text",
      "comment": "Can provide both a text representation and parts. Applications updating a name SHALL ensure that when both text and parts are present,  no content is included in the text that isn't found in a part.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.text"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.family",
      "min": 0,
      "definition": "Se define el primer apellido registrado al momento de nacer o aquel que se ha inscrito legalmente en el Registro Civil",
      "isModifier": false,
      "short": "1er Apellido",
      "mapping": [ {
        "map": "XPN.1/FN.1",
        "identity": "v2"
      }, {
        "map": "./part[partType = FAM]",
        "identity": "rim"
      }, {
        "map": "./FamilyName",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "surname" ],
      "max": "1",
      "id": "Patient.contact.name.family",
      "comment": "Family Name may be decomposed into specific parts using extensions (de, nl, es related cultures).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.family"
      },
      "isSummary": true
    }, {
      "path": "Patient.contact.name.family.id",
      "min": 0,
      "definition": "unique id for the element within a resource (for internal references)",
      "isModifier": false,
      "short": "xml:id (or equivalent in JSON)",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "Extensión para la declaración de un segundo apellido",
      "isModifier": false,
      "short": "Extensión para 2o apellido",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "max": "*",
      "id": "Patient.contact.name.family.extension",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.contact.name.family.extension",
      "min": 0,
      "definition": "Segundo Apellido",
      "isModifier": false,
      "short": "Segundo Apellido",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/SegundoApellido" ]
      } ],
      "mustSupport": true,
      "sliceName": "segundoApellido",
      "max": "1",
      "id": "Patient.contact.name.family.extension:segundoApellido",
      "condition": [ "ele-1" ],
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      }
    }, {
      "path": "Patient.contact.name.family.value",
      "min": 0,
      "definition": "The actual value",
      "isModifier": false,
      "short": "Primitive value for string",
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        }, {
          "url": "http://hl7.org/fhir/StructureDefinition/regex",
          "valueString": "[ \\r\\n\\t\\S]+"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.contact.name.family.value",
      "maxLength": 1048576,
      "base": {
        "max": "1",
        "min": 0,
        "path": "string.value"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.given",
      "min": 0,
      "definition": "Todos los nombres no necesariamente solo el Primero",
      "isModifier": false,
      "short": "Primer nombre y nombres del Contacto o Representante Legal",
      "mapping": [ {
        "map": "XPN.2 + XPN.3",
        "identity": "v2"
      }, {
        "map": "./part[partType = GIV]",
        "identity": "rim"
      }, {
        "map": "./GivenNames",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "alias": [ "first name", "middle name" ],
      "max": "*",
      "id": "Patient.contact.name.given",
      "comment": "If only initials are recorded, they may be used in place of the full name parts. Initials may be separated into multiple given names but often aren't due to paractical limitations.  This element is not called \"first name\" since given names do not always come first.",
      "orderMeaning": "Given Names appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.given"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.prefix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the start of the name.",
      "isModifier": false,
      "short": "Parts that come before the name",
      "mapping": [ {
        "map": "XPN.5",
        "identity": "v2"
      }, {
        "map": "./part[partType = PFX]",
        "identity": "rim"
      }, {
        "map": "./TitleCode",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.contact.name.prefix",
      "orderMeaning": "Prefixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.prefix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.suffix",
      "min": 0,
      "definition": "Part of the name that is acquired as a title due to academic, legal, employment or nobility status, etc. and that appears at the end of the name.",
      "isModifier": false,
      "short": "Parts that come after the name",
      "mapping": [ {
        "map": "XPN/4",
        "identity": "v2"
      }, {
        "map": "./part[partType = SFX]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "max": "*",
      "id": "Patient.contact.name.suffix",
      "orderMeaning": "Suffixes appear in the correct order for presenting the name",
      "base": {
        "max": "*",
        "min": 0,
        "path": "HumanName.suffix"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.name.period",
      "requirements": "Allows names to be placed in historical context.",
      "min": 0,
      "definition": "Indicates the period of time when this name was valid for the named person.",
      "isModifier": false,
      "short": "Time period when name was/is in use",
      "mapping": [ {
        "map": "XPN.13 + XPN.14",
        "identity": "v2"
      }, {
        "map": "./usablePeriod[type=\"IVL\"]",
        "identity": "rim"
      }, {
        "map": "./StartDate and ./EndDate",
        "identity": "servd"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.name.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "HumanName.period"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.telecom",
      "requirements": "People have (primary) ways to contact them in some way such as phone, email.",
      "min": 0,
      "definition": "A contact detail for the person, e.g. a telephone number or an email address.",
      "isModifier": false,
      "short": "A contact detail for the person",
      "mapping": [ {
        "map": "NK1-5, NK1-6, NK1-40",
        "identity": "v2"
      }, {
        "map": "telecom",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "ContactPoint"
      } ],
      "max": "*",
      "id": "Patient.contact.telecom",
      "comment": "Contact may have multiple ways to be contacted with different uses or applicable periods.  May need to have options for contacting the person urgently, and also to help with identification.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.contact.telecom"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.address",
      "requirements": "Need to keep track where the contact person can be contacted per postal mail or visited.",
      "min": 0,
      "definition": "Address for the contact person.",
      "isModifier": false,
      "short": "Address for the contact person",
      "mapping": [ {
        "map": "NK1-4",
        "identity": "v2"
      }, {
        "map": "addr",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Address"
      } ],
      "max": "1",
      "id": "Patient.contact.address",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.address"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.gender",
      "requirements": "Needed to address the person correctly.",
      "min": 0,
      "definition": "Administrative Gender - the gender that the contact person is considered to have for administration and record keeping purposes.",
      "isModifier": false,
      "short": "male | female | other | unknown",
      "mapping": [ {
        "map": "NK1-15",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "AdministrativeGender"
        } ],
        "description": "The gender of a person used for administrative purposes."
      },
      "max": "1",
      "id": "Patient.contact.gender",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.gender"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.organization",
      "requirements": "For guardians or business related contacts, the organization is relevant.",
      "min": 0,
      "definition": "Organization on behalf of which the contact is acting or for which the contact is working.",
      "isModifier": false,
      "short": "Organization that is associated with the contact",
      "mapping": [ {
        "map": "NK1-13, NK1-30, NK1-31, NK1-32, NK1-41",
        "identity": "v2"
      }, {
        "map": "scoper",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "max": "1",
      "id": "Patient.contact.organization",
      "condition": [ "pat-1" ],
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.organization"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.contact.period",
      "min": 0,
      "definition": "The period during which this contact person or organization is valid to be contacted relating to this patient.",
      "isModifier": false,
      "short": "The period during which this contact person or organization is valid to be contacted relating to this patient",
      "mapping": [ {
        "map": "effectiveTime",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Period"
      } ],
      "max": "1",
      "id": "Patient.contact.period",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.contact.period"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.communication",
      "requirements": "If a patient does not speak the local language, interpreters may be required, so languages spoken and proficiency are important things to keep track of both for patient and other persons of interest.",
      "min": 0,
      "definition": "Lenguaje en el cual se puede comunicar con el paciente",
      "isModifier": false,
      "short": "Lenguaje en el cual se puede comunicar con el paciente",
      "mapping": [ {
        "map": "LanguageCommunication",
        "identity": "rim"
      }, {
        "map": "patient.languageCommunication",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "mustSupport": true,
      "max": "*",
      "id": "Patient.communication",
      "comment": "If no language is specified, this *implies* that the default local language is spoken.  If you need to convey proficiency for multiple modes, then you need multiple Patient.Communication associations.   For animals, language is not a relevant field, and should be absent from the instance. If the Patient does not speak the default local language, then the Interpreter Required Standard can be used to explicitly declare that an interpreter is required.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.communication"
      },
      "isSummary": false
    }, {
      "path": "Patient.communication.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.communication.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.communication.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.communication.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.communication.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.communication.language",
      "requirements": "Most systems in multilingual countries will want to convey language. Not all systems actually need the regional dialect.",
      "min": 1,
      "definition": "Código del lenguaje específico",
      "isModifier": false,
      "short": "Lenguaje específico",
      "mapping": [ {
        "map": "PID-15, LAN-2",
        "identity": "v2"
      }, {
        "map": "player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code",
        "identity": "rim"
      }, {
        "map": ".languageCode",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "mustSupport": true,
      "binding": {
        "strength": "required",
        "valueSet": "https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSCodigoslenguaje",
        "description": "Value Set de HL7, # de elementos es muy grande para poder visualizarlo"
      },
      "max": "1",
      "id": "Patient.communication.language",
      "comment": "The structure aa-BB with this exact casing is one the most widely used notations for locale. However not all systems actually code this but instead have it as free text. Hence CodeableConcept instead of code as the data type.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.communication.language"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.communication.preferred",
      "requirements": "People that master multiple languages up to certain level may prefer one or more, i.e. feel more confident in communicating in a particular language making other languages sort of a fall back method.",
      "min": 0,
      "definition": "Indicates whether or not the patient prefers this language (over other languages he masters up a certain level).",
      "isModifier": false,
      "short": "Language preference indicator",
      "mapping": [ {
        "map": "PID-15",
        "identity": "v2"
      }, {
        "map": "preferenceInd",
        "identity": "rim"
      }, {
        "map": ".preferenceInd",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "boolean"
      } ],
      "max": "1",
      "id": "Patient.communication.preferred",
      "comment": "This language is specifically identified for communicating healthcare information.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.communication.preferred"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner",
      "min": 0,
      "definition": "Proveedor de Salud designado como principal",
      "isModifier": false,
      "short": "Proveedor de Salud designado como principal",
      "mapping": [ {
        "map": "PD1-4",
        "identity": "v2"
      }, {
        "map": "subjectOf.CareEvent.performer.AssignedEntity",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreOrganizacionCl", "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePrestadorCl", "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CoreRolClinicoCl" ]
      } ],
      "mustSupport": true,
      "alias": [ "careProvider" ],
      "max": "*",
      "id": "Patient.generalPractitioner",
      "comment": "This may be the primary care provider (in a GP context), or it may be a patient nominated care manager in a community/disability setting, or even organization that will provide people to perform the care provider roles.  It is not to be used to record Care Teams, these should be in a CareTeam resource that may be linked to the CarePlan or EpisodeOfCare resources.\nMultiple GPs may be recorded against the patient for various reasons, such as a student that has his home GP listed along with the GP at university during the school semesters, or a \"fly-in/fly-out\" worker that has the onsite GP also included with his home GP to remain aware of medical issues.\n\nJurisdictions may decide that they can profile this down to 1 if desired, or 1 per type.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.generalPractitioner"
      },
      "isSummary": false
    }, {
      "path": "Patient.generalPractitioner.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.generalPractitioner.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.generalPractitioner.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "slicing": {
        "rules": "open",
        "description": "Extensions are always sliced by (at least) url",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      },
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.generalPractitioner.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.reference",
      "min": 0,
      "definition": "URI de referencia a la Organización o a un Médico",
      "isModifier": false,
      "short": "URI de referencia a la Organización o a un Médico",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "max": "1",
      "id": "Patient.generalPractitioner.reference",
      "condition": [ "ref-1" ],
      "comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries.   Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.reference"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.type",
      "min": 0,
      "definition": "The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
      "isModifier": false,
      "short": "Type the reference refers to (e.g. \"Patient\")",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "uri"
      } ],
      "binding": {
        "strength": "extensible",
        "valueSet": "http://hl7.org/fhir/ValueSet/resource-types",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "FHIRResourceTypeExt"
        } ],
        "description": "Aa resource (or, for logical models, the URI of the logical model)."
      },
      "max": "1",
      "id": "Patient.generalPractitioner.type",
      "comment": "This element is used to indicate the type of  the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.type"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.identifier",
      "min": 0,
      "definition": "An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
      "isModifier": false,
      "short": "Logical reference, when literal reference is not known",
      "mapping": [ {
        "map": ".identifier",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Identifier"
      } ],
      "max": "1",
      "id": "Patient.generalPractitioner.identifier",
      "comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.\n\nReference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference.  For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport).  One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.identifier"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.generalPractitioner.display",
      "min": 0,
      "definition": "Texto alternativo a la referencia",
      "isModifier": false,
      "short": "Texto alternativo a la referencia",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "string"
      } ],
      "mustSupport": true,
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
        "valueBoolean": true
      } ],
      "max": "1",
      "id": "Patient.generalPractitioner.display",
      "comment": "This is generally not the same as the Resource.text of the referenced resource.  The purpose is to identify what's being referenced, not to fully describe it.",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Reference.display"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.managingOrganization",
      "requirements": "Need to know who recognizes this patient record, manages and updates it.",
      "min": 0,
      "definition": "Organization that is the custodian of the patient record.",
      "isModifier": false,
      "short": "Organization that is the custodian of the patient record",
      "mapping": [ {
        "map": "scoper",
        "identity": "rim"
      }, {
        "map": ".providerOrganization",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Organization" ]
      } ],
      "max": "1",
      "id": "Patient.managingOrganization",
      "comment": "There is only one managing organization for a specific patient record. Other organizations will have their own Patient record, and may use the Link property to join the records together (or a Person resource which can include confidence ratings for the association).",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Patient.managingOrganization"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.link",
      "requirements": "There are multiple use cases:   \n\n* Duplicate patient records due to the clerical errors associated with the difficulties of identifying humans consistently, and \n* Distribution of patient information across multiple servers.",
      "min": 0,
      "definition": "Link to another patient resource that concerns the same actual patient.",
      "isModifier": true,
      "short": "Link to another patient resource that concerns the same actual person",
      "mapping": [ {
        "map": "outboundLink",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "BackboneElement"
      } ],
      "max": "*",
      "id": "Patient.link",
      "comment": "There is no assumption that linked patient records have mutual links.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Patient.link"
      },
      "isModifierReason": "This element is labeled as a modifier because it might not be the main Patient resource, and the referenced patient should be used instead of this Patient record. This is when the link.type value is 'replaced-by'",
      "isSummary": true
    }, {
      "path": "Patient.link.id",
      "min": 0,
      "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
      "isModifier": false,
      "short": "Unique id for inter-element referencing",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "http://hl7.org/fhirpath/System.String",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
          "valueUrl": "string"
        } ]
      } ],
      "representation": [ "xmlAttr" ],
      "max": "1",
      "id": "Patient.link.id",
      "base": {
        "max": "1",
        "min": 0,
        "path": "Element.id"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.link.extension",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
      "isModifier": false,
      "short": "Additional content defined by implementations",
      "mapping": [ {
        "map": "n/a",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content" ],
      "max": "*",
      "id": "Patient.link.extension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "Element.extension"
      },
      "isSummary": false
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      }, {
        "key": "ext-1",
        "human": "Must have either extensions or value[x], not both",
        "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
        "source": "http://hl7.org/fhir/StructureDefinition/Extension",
        "severity": "error",
        "expression": "extension.exists() != value.exists()"
      } ],
      "path": "Patient.link.modifierExtension",
      "requirements": "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored.  This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).",
      "min": 0,
      "definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
      "isModifier": true,
      "short": "Extensions that cannot be ignored even if unrecognized",
      "mapping": [ {
        "map": "N/A",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Extension"
      } ],
      "alias": [ "extensions", "user content", "modifiers" ],
      "max": "*",
      "id": "Patient.link.modifierExtension",
      "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
      "base": {
        "max": "*",
        "min": 0,
        "path": "BackboneElement.modifierExtension"
      },
      "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.link.other",
      "min": 1,
      "definition": "The other patient resource that the link refers to.",
      "isModifier": false,
      "short": "The other patient or related person resource that the link refers to",
      "mapping": [ {
        "map": "PID-3, MRG-1",
        "identity": "v2"
      }, {
        "map": "id",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "Reference",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy",
          "valueBoolean": false
        } ],
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson" ]
      } ],
      "max": "1",
      "id": "Patient.link.other",
      "comment": "Referencing a RelatedPerson here removes the need to use a Person record to associate a Patient and RelatedPerson as the same individual.",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.link.other"
      },
      "isSummary": true
    }, {
      "constraint": [ {
        "key": "ele-1",
        "human": "All FHIR elements must have a @value or children",
        "xpath": "@value|f:*|h:div",
        "source": "http://hl7.org/fhir/StructureDefinition/Element",
        "severity": "error",
        "expression": "hasValue() or (children().count() > id.count())"
      } ],
      "path": "Patient.link.type",
      "min": 1,
      "definition": "The type of link between this patient resource and another patient resource.",
      "isModifier": false,
      "short": "replaced-by | replaces | refer | seealso",
      "mapping": [ {
        "map": "typeCode",
        "identity": "rim"
      }, {
        "map": "n/a",
        "identity": "cda"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/link-type|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "LinkType"
        } ],
        "description": "The type of link between this patient resource and another patient resource."
      },
      "max": "1",
      "id": "Patient.link.type",
      "base": {
        "max": "1",
        "min": 1,
        "path": "Patient.link.type"
      },
      "isSummary": true
    } ]
  },
  "status": "draft",
  "id": "74d1f9c2-2f05-44bd-9fec-53670e4e0b8f",
  "kind": "resource",
  "url": "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/MINSALPacienteBusqueda",
  "version": "0.4.6",
  "differential": {
    "element": [ {
      "id": "Patient",
      "path": "Patient"
    }, {
      "id": "Patient.extension:nacionalidad",
      "max": "1",
      "path": "Patient.extension",
      "sliceName": "nacionalidad"
    }, {
      "id": "Patient.extension:PaisOrigen",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PaisOrigenMPI" ]
      } ],
      "sliceName": "PaisOrigen",
      "mustSupport": true
    }, {
      "id": "Patient.extension:Religion",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/Religion" ]
      } ],
      "sliceName": "Religion",
      "mustSupport": true
    }, {
      "id": "Patient.extension:PueblosAfrodescendiente",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosAfrodescendiente" ]
      } ],
      "sliceName": "PueblosAfrodescendiente",
      "mustSupport": true
    }, {
      "id": "Patient.extension:PueblosOriginarios",
      "max": "1",
      "min": 0,
      "path": "Patient.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/PueblosOriginarios" ]
      } ],
      "sliceName": "PueblosOriginarios",
      "mustSupport": true
    }, {
      "id": "Patient.identifier",
      "path": "Patient.identifier",
      "short": "Identificador de paciente"
    }, {
      "id": "Patient.identifier.type",
      "path": "Patient.identifier.type",
      "short": "Tipo de documento",
      "binding": {
        "strength": "required",
        "valueSet": "https://hl7chile.cl/fhir/ig/clcore/ValueSet/VSTipoIdentificador",
        "description": "Identificadores definidos por DEIS"
      },
      "comment": "Tipo de documento",
      "definition": "Tipo de documento"
    }, {
      "id": "Patient.identifier.value",
      "path": "Patient.identifier.value",
      "short": "Valor del identificador",
      "mustSupport": true
    }, {
      "id": "Patient.active",
      "path": "Patient.active",
      "short": "Si el registro de este paciente está en uso activo.",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.system",
      "min": 1,
      "path": "Patient.telecom.system",
      "short": "phone | email",
      "binding": {
        "strength": "required",
        "valueSet": "https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSSistemasComunicacion"
      },
      "definition": "Sistema de contacto"
    }, {
      "id": "Patient.telecom.value",
      "min": 1,
      "path": "Patient.telecom.value",
      "short": "Valor de contacto"
    }, {
      "id": "Patient.telecom.rank",
      "path": "Patient.telecom.rank",
      "short": "Orden de uso del método de contacto, siendo 1 = prioritario",
      "mustSupport": true
    }, {
      "id": "Patient.telecom.period",
      "path": "Patient.telecom.period",
      "short": "Periodo de tiempo durante el cual es válido el contacto del paciente",
      "mustSupport": true
    }, {
      "id": "Patient.gender",
      "path": "Patient.gender",
      "short": "Sexo Registral del paciente"
    }, {
      "id": "Patient.deceased[x]",
      "path": "Patient.deceased[x]",
      "short": "Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.",
      "definition": "Puede indicar si el paciente esta fallecido o no o en su defecto, agregar la fecha de fallecimiento.",
      "mustSupport": true
    }, {
      "id": "Patient.address.extension:Geolocalizacion",
      "path": "Patient.address.extension",
      "short": "Dirección absoluta, es decir, latitud y longitud.",
      "sliceName": "Geolocalizacion"
    }, {
      "id": "Patient.address.extension:SituacionCalle",
      "max": "1",
      "min": 0,
      "path": "Patient.address.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://interoperabilidad.minsal.cl/fhir/ig/nid/StructureDefinition/SituacionCalle" ]
      } ],
      "sliceName": "SituacionCalle",
      "mustSupport": true
    }, {
      "id": "Patient.address.line",
      "path": "Patient.address.line",
      "short": "Calle o avenida, numero y casa o dpto",
      "definition": "Calle o avenida, numero y casa o dpto"
    }, {
      "id": "Patient.address.city.extension",
      "max": "1",
      "path": "Patient.address.city.extension",
      "mustSupport": true
    }, {
      "id": "Patient.address.district.extension",
      "max": "1",
      "path": "Patient.address.district.extension",
      "mustSupport": true
    }, {
      "id": "Patient.address.state.extension",
      "max": "1",
      "path": "Patient.address.state.extension",
      "mustSupport": true
    }, {
      "id": "Patient.address.country.extension",
      "max": "1",
      "path": "Patient.address.country.extension",
      "mustSupport": true
    }, {
      "id": "Patient.address.period",
      "path": "Patient.address.period",
      "short": "Periodo de tiempo durante el  cual es válida la dirección entregada",
      "mustSupport": true
    }, {
      "id": "Patient.maritalStatus",
      "path": "Patient.maritalStatus",
      "short": "Estado civil del paciente",
      "binding": {
        "strength": "required",
        "valueSet": "https://interoperabilidad.minsal.cl/fhir/ig/nid/ValueSet/VSEstadoCivil"
      },
      "mustSupport": true
    } ]
  },
  "contact": [ {
    "name": "Unidad de Interoperabilidad - MINSAL",
    "telecom": [ {
      "value": "https://interoperabilidad.minsal.cl",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "https://hl7chile.cl/fhir/ig/clcore/StructureDefinition/CorePacienteCl"
}