Guía implementación interoperabilidad FHIR sectorial e intersectorial
0.10.1 - ci-build

Guía implementación interoperabilidad FHIR sectorial e intersectorial - Local Development build (v0.10.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Ruta Violencia - SDS - Coverage

Defining URL:https://ohapi-fhir-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCoverageRVSDS
Version:0.10.1
Name:ProfileCoverageRVSDS
Title:Ruta Violencia - SDS - Coverage
Status:Draft as of 2025-07-10 20:24:14-0500
Definition:

Recurso que permite registrar información de cobertura que cubre al paciente ya sea por asegurador o de forma independiente en el escenario de rutas de violencia

Publisher:minsait - An Indra Company. Secretaría de Salud de Bogotá,
Copyright:

Secretaría de Salud de Bogotá

Source Resource:XML / JSON / Turtle

La URL oficial para este perfil es: 

https://ohapi-fhir-service-fhir-project.apps.indraclusterdes.eastus.aroapp.io/StructureDefinition-ProfileCoverageRVSDS

Vistas formales para el perfil

Descripción de perfiles, diferenciales, resumenes y cómo deben ser las representaciones en XML y JSON.

Esta estructura se deriva de Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage Coverage
... status 1..1 code active | cancelled | draft | entered-in-error
Fixed Value: active
... type 0..0
... policyHolder 0..0
... subscriberId 0..0
... beneficiary S 1..1 Reference(Recurso Patient - Datos demográficos de la paciente victima de violencia) Plan beneficiary
... dependent 0..0
... relationship 0..0
... period 0..0
... payor S 1..* Reference(Recurso Organization - Organizaciones relacionadas con la traza operativa en la ruta de violencia | Recurso Patient - Datos demográficos de la paciente victima de violencia) Issuer of the policy
... class S 1..1 BackboneElement Regimen Afiliacion
.... type
..... id 0..0
..... coding 1..1 Coding Code defined by a terminology system
...... id 0..0
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/RegimenAfiliacion
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0
..... text 0..0
.... name 0..0
... order 0..0
... network 0..0
... costToBeneficiary 0..0
... subrogation 0..0
... contract 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for the coverage
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Fixed Value: active
... beneficiary SΣ 1..1 Reference(Recurso Patient - Datos demográficos de la paciente victima de violencia) Plan beneficiary
... payor SΣ 1..* Reference(Recurso Organization - Organizaciones relacionadas con la traza operativa en la ruta de violencia | Recurso Patient - Datos demográficos de la paciente victima de violencia) Issuer of the policy
... class S 1..1 BackboneElement Regimen Afiliacion
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/RegimenAfiliacion
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
.... value Σ 1..1 string Value associated with the type

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... beneficiary Σ 1..1 Reference(Recurso Patient - Datos demográficos de la paciente victima de violencia) Plan beneficiary
... payor Σ 1..* Reference(Recurso Organization - Organizaciones relacionadas con la traza operativa en la ruta de violencia | Recurso Patient - Datos demográficos de la paciente victima de violencia) Issuer of the policy
... class 1..1 BackboneElement Regimen Afiliacion

doco Documentation for this format

Vista de diferencias

Esta estructura se deriva de Coverage

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage Coverage
... status 1..1 code active | cancelled | draft | entered-in-error
Fixed Value: active
... type 0..0
... policyHolder 0..0
... subscriberId 0..0
... beneficiary S 1..1 Reference(Recurso Patient - Datos demográficos de la paciente victima de violencia) Plan beneficiary
... dependent 0..0
... relationship 0..0
... period 0..0
... payor S 1..* Reference(Recurso Organization - Organizaciones relacionadas con la traza operativa en la ruta de violencia | Recurso Patient - Datos demográficos de la paciente victima de violencia) Issuer of the policy
... class S 1..1 BackboneElement Regimen Afiliacion
.... type
..... id 0..0
..... coding 1..1 Coding Code defined by a terminology system
...... id 0..0
...... system 1..1 uri Identity of the terminology system
Fixed Value: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/RegimenAfiliacion
...... version 0..0
...... code 1..1 code Symbol in syntax defined by the system
...... userSelected 0..0
..... text 0..0
.... name 0..0
... order 0..0
... network 0..0
... costToBeneficiary 0..0
... subrogation 0..0
... contract 0..0

doco Documentation for this format

Tabla de resumen

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Coverage 0..* Coverage Insurance or medical plan or a payment agreement
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for the coverage
... status ?!Σ 1..1 code active | cancelled | draft | entered-in-error
Binding: FinancialResourceStatusCodes (required): A code specifying the state of the resource instance.
Fixed Value: active
... beneficiary SΣ 1..1 Reference(Recurso Patient - Datos demográficos de la paciente victima de violencia) Plan beneficiary
... payor SΣ 1..* Reference(Recurso Organization - Organizaciones relacionadas con la traza operativa en la ruta de violencia | Recurso Patient - Datos demográficos de la paciente victima de violencia) Issuer of the policy
... class S 1..1 BackboneElement Regimen Afiliacion
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Type of class such as 'group' or 'plan'
Binding: CoverageClassCodes (extensible): The policy classifications, eg. Group, Plan, Class, etc.
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..1 Coding Code defined by a terminology system
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Fixed Value: https://oh-modules.apps.indraclusterdes.eastus.aroapp.io/ehrserver/fhir/CodeSystem/RegimenAfiliacion
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
.... value Σ 1..1 string Value associated with the type

doco Documentation for this format

 

Otras representaciones de este perfil: Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Coverage.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Coverage.statusrequiredFixed Value: active
http://hl7.org/fhir/ValueSet/fm-status|4.0.1
From the FHIR Standard
Coverage.class.typeextensibleCoverageClassCodes
http://hl7.org/fhir/ValueSet/coverage-class
From the FHIR Standard
Coverage.costToBeneficiary.typeextensibleCoverageCopayTypeCodes
http://hl7.org/fhir/ValueSet/coverage-copay-type
From the FHIR Standard
Coverage.costToBeneficiary.exception.typeexampleExampleCoverageFinancialExceptionCodes
http://hl7.org/fhir/ValueSet/coverage-financial-exception
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorCoverageIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorCoverageIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorCoverageIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorCoverageIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceCoverageA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()